Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Associate Medical Director
Location
United States
Posted
84 days ago
Salary
$90 - $187.5K / hour
Seniority
Lead
No structured requirement data.
Job Description
Associate Medical Director
Acentra Health, LLC
Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities The Associate Medical Director will engage medical activities like peer review, of medical prior authorizations, peer-to-peer conversations, testimony on behalf of Health First Colorado during Medicaid Fair Hearings, and other clinical consultations related to the applicable contract. The Associate Medical Director may also support business development and strategic planning as needed. (This is a part-time position ~ 20 hours per week) - Responsible for day-to-day clinical decision-making aspects of the Utilization Management program and provides clinical guidance to clinical review team members. - Collaborate with other Medical Directors on case consultations as needed. - Discuss complicated Utilization Management reviews or clinical scenarios with Utilization Management Clinical Reviewers. - Participate in the client's weekly, monthly, quarterly and ad-hoc medical meetings. - Review safety, sentinel, and Quality of Care events and provide detailed feedback and recommendations as per organization and policy. - Conduct educational meetings twice a year for Clinical Review staff on relevant clinical topics of interest. - Complete secondary-level Utilization Management reviews including peer-to-peer and reconsideration UM reviews. - Prepare for and attend by video conference assigned Medicaid Fair Hearings defending the determinations made by the Company on behalf of Health First Colorado. - Participate in annual and ad hoc review of clinical medical necessity criteria consistent with clinical expertise. - Perform any other duties assigned. Qualifications Required - M.D. or D.O. with a current non-restricted license to practice medicine by the Board of Medical Examiners. - Board certification in a clinical specialty is required. - 10+ years of active practice preferred; 5 years minimum required. - 5-7 years of experience in developing managed care strategies, integrating delivery systems, improving quality and utilization management programs, and coaching medical staff on healthcare business and practice issues. - Experience in Utilization Management with knowledge of Medicaid and Medicare programs. - Exceptional writing and oral communication abilities. - Strong knowledge of quality assurance and utilization review. Preferred: - 2 years as a Medical Director in a managed care company or health plan preferred. - Prior review experience or quality assurance committee responsibility in a hospital setting is preferred. - Proficient in Microsoft Excel and other Microsoft Office applications. - Exceptional writing and oral communication abilities. - Strong knowledge of quality assurance and utilization review. - Understand significant trends in healthcare and managed care. - Ability to work effectively with a diversity of personalities. - Ability to be approachable, show respect for others and be a consensus builder. - Strong organizational skills and a system thinking approach. - Ability to efficiently manage projects. - Ability to deliver on time and within budget. - Adaptable with a collaborative solid management style. - Ability to be a creative thinker. - Possess high energy and enthusiasm. - Able to adapt to frequently changing work parameters. Pay Range USD $187,520.00 - USD $90.15 /Hr.
Related Guides
Related Categories
Related Job Pages
More Medical Director Jobs
Medical Director – Oncology
MednetEasily build and manage your own studies with Mednet’s clinical data management system for all study types and phases.
• Manage a team of physician editors in Medical Oncology, Radiation Oncology, Hematology, Pediatric Hematology/Oncology, and Gynecologic Oncology, under the guidance of the Senior Medical Director of Oncology • Launch and manage Palliative Medicine specialty • Oversee content, engagement, and growth in oncology specialties • Work with product team to give input on new products and improving products offered to physicians on Mednet • Grow relationships with oncology professional societies and academic programs
Senior Director, Medical Learning Leader
GenentechGenentech is an equal opportunity employer. It is our policy and practice to employ, promote, and otherwise treat any and all employees and applicants on the basis of merit, qualifications, and competence. The company's policy prohibits unlawful discrimination, including but not limited to, discrimination on the basis of Protected Veteran status, individuals with disabilities status, and consistent with all federal, state, or local laws. If you have a disability and need an accommodation in relation to the online application process, please contact us by completing this form.
The Position The Opportunity The Senior Director of Medical Learning acts as the primary strategist for the clinical readiness of Genentech's entire medical organization. The role ensures both home office and field medical teams possess the scientific acumen and digital fluency needed for the "omnichannel pharma" era, championing a continuous learning culture. Key responsibilities include designing compliant curriculum, overseeing a comprehensive learning strategy aligned with the US Medical strategy, and spearheading the field medical onboarding experience. This leader manages the ongoing development journey for the Medical organization, leading a team of Field Training Partners & Squad Trainers and using strategic workforce planning data to prioritize critical skills. The role drives innovation by continuously measuring the learning experience for all employees and integrating digital learning solutions, while collaborating cross-functionally with teams like Marketing, Compliance, and People & Culture. Key Accountabilities - Strategic Leadership and Integration: Serve as the single-threaded leader accountable for the comprehensive training and readiness of all field and home office medical employees, setting strategic direction and ensuring clinical capability development is linked to the organization's long-term imperatives, driving measurable business impact and omnichannel excellence through consulting with Medical and Commercial teams. - Learning Strategy and Execution: Define and lead a multi-year learning roadmap that accelerates the US Medical (USM) strategy, directing a team of partners and trainers to develop clear onboarding frameworks and continually optimizing the new hire and annual field medical learning experience for rapid role proficiency. - Field Readiness and Scalable Infrastructure: Lead senior employees in providing deep technical expertise on Genentech’s portfolio and the healthcare landscape, while directing an ecosystem of learning partners, architects, and technologists to deliver high-fidelity learning products at scale and managing field meeting learning components. - Data, Measurement, and Compliance: Utilize strategic workforce planning data to anticipate and address future skill gaps, partner with Data Science to automate metrics, move toward business impact metrics (Value Realization), and serve as the primary point of contact for internal and external audits and compliance oversight. - Team and Employee Focus: Cultivate a culture of belonging and influence across complex, matrixed dynamics (Governance & Influence) while leading and guiding the team to execute high-quality training, overseeing the development journey (Employee Experience), and collaborating closely with cross-functional partners like Compliance, Marketing, and People & Culture. Management Responsibilities: - Develop and create an inspiring culture and great place to work by leading, acting and living our Operating Principles in all aspects of work, inclusive of employee engagement and promoting a culture of inclusivity and belonging - Responsible for resource management, recruiting, hiring, on-boarding, managing, and leading teams in assigned functional areas through operations strategy, strategic alignment with internal stakeholders, and understanding current and future business needs. - Establishes and clearly communicates team priorities, goals and expectations - Foster collaboration across multiple functions within LSD, CMG, and Genentech to drive alignment and ensure effective implementation of learning solutions - Provide clear direction and focus for the team while ensuring all deliverables for a given priority area are completed, issues are escalated and assess/mitigate risk appropriately - Manage resources in an out of key initiatives as needed to flow talent, ensure ongoing maintenance, drive critical work and assess/mitigate risk Who you are: - You have an advanced clinical degree required (PharmD, MD, PhD, or equivalent) - You have 12+ years in a senior leadership (Director or above) role managing and leading large, diverse teams (including direct and indirect reports) responsible for training delivery and strategy. - Proven experience as a strategic business partner to senior leadership teams. - Demonstrated success in designing, implementing, and optimizing large-scale field employee onboarding programs. - Deep working knowledge of the pharmaceutical/biotech field medical roles (e.g. Medical Science Liaisons) and their compliance requirements. - Extensive experience in product launch training, field readiness, and developing learning strategies for complex therapeutic areas and product portfolios. - Proven ability to leverage AI, technology, data and analytics (e.g., learning KPIs, proficiency metrics, strategic workforce planning data) to drive development strategy and measure business impact. Relocation Benefits are not offered on this posting This role is South San Francisco, CA preferred however is Remote approved The expected salary range for this position based on the primary location of California is $185,700/yr to $345,000/yr. Actual pay will be determined based on experience, qualifications, geographic location, and other job-related factors permitted by law. A discretionary annual bonus may be available based on individual and Company performance. This position also qualifies for the benefits detailed at the link provided below. Benefits #LI-CM4 JA Genentech is an equal opportunity employer. It is our policy and practice to employ, promote, and otherwise treat any and all employees and applicants on the basis of merit, qualifications, and competence. The company's policy prohibits unlawful discrimination, including but not limited to, discrimination on the basis of Protected Veteran status, individuals with disabilities status, and consistent with all federal, state, or local laws. If you have a disability and need an accommodation in relation to the online application process, please contact us by completing this form Accommodations for Applicants.
Director, Population Health - Complex Care
CVS HealthCVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: Oak Street Health®, a part of CVS Health, helps older adults stay healthier and live fuller lives through our 230 centers across 27 states. Our value-based care model helps us consistently deliver better patient experiences and outcomes. Population Health drives both our clinical and economic model and is focused on delivering high-quality, cost-effective care. As a Lead Director, Population Health - Complex Health, you will play a critical role in supporting our Oak Street Health patients, providers and business by designing and implementing key Population Health priorities. The Population Health Director will work on programs and interventions, targeted to the right patients, to improve quality and cost of care. They will be an effective cross team leader, working side by side with providers, care teams, operations team members, and Treehouse team members. Content areas for the Director will include, but not be limited to, behavioral health, transitions-in-care, pharmacy and medication adherence, HEDIS / Stars, accurate risk adjustment, preferred partner relationships, and remote monitoring. This will require building relationships with our clinicians, including primary care physicians, nurse practitioners, pharmacists, psychiatrists, registered nurses, licensed clinical social workers, and others. The Director’s focus will include building a system for supporting patients as they near end-of-life, such as advance care planning and connecting patients to high-quality palliative care and hospice care when needed. This a fast-paced, high visibility role to ensure that we are driving innovation and improvement rapidly and consistently within a division. Core Responsibilities: - Own the execution and the ongoing refinement of Population Health programs in the local division. - Work closely with functional leaders in the central office to assist with strategy and program design. - Work side by side with regional leaders and Care Teams to ensure effective implementation of key clinical and business priorities. - Accountability to key population health metrics, including quality measures, utilization measures, and financial measures. - Other duties, as assigned. Required Qualifications - 7-10 years of prior relevant experience. 5+ years specific experience in healthcare / population health / working with healthcare providers; or other similar fields - Ability to build the trust and confidence of a wide range of stakeholders - Strong leadership skills and strong influencing skills - Incredible level of organization and detail orientation - Analytical and data savvy. Ability to develop business cases, ROI analysis, and financial analysis - Someone who connects the dots between teams - a proactive communicator who puts individual projects into broader organizational objectives - Expert in MS Office, Google Apps, project management software - Pleasantly persistent approach - Humility - Quick learner comfortable with a high level of ambiguity Education - Bachelor's degree required - Graduate degree preferred but not required (MBA, MPH) Why Oak Street Health? Oak Street Health is on a mission to “Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. Our innovative care model is centered right in our patient’s communities, and focused on the quality of care over volume of services. We’re an organization on the move! With over 150 locations and an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody “Oaky” values and passion for our mission. What does being “Oaky” look like? - Radiating positive energy - Assuming good intentions - Creating an unmatched patient experience - Driving clinical excellence - Taking ownership and delivering results - Being relentlessly determined Oak Street Health Benefits: - Paid vacation, sick time, and investment/retirement 401K match options - Health insurance, vision, and dental benefits - Opportunities for leadership development and continuing education stipends - New centers and flexible work environments - Opportunities for high levels of responsibility and rapid advancement Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply. Pay Range The typical pay range for this role is: $100,000.00 - $231,540.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: - Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. - No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. - Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 08/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Who We Are: MapLight Therapeutics is a clinical stage biotech company that focuses on drug discovery for central nervous system disorders. We combine cutting-edge technologies including optogenetics, in vivo physiology, and spatial transcriptomics to identify novel drug targets and develop effective therapies to address psychiatric symptoms. What You’ll Do: The Medical Director/Senior Medical Director, Clinical Development will lead development of a promising therapeutic candidate for autism spectrum disorder (ASD). This role is pivotal within the R&D function, requiring deep expertise and a proven track record in drug development for neurodevelopmental and central nervous system (CNS) disorders. Reporting to the Senior Vice President, Clinical Development, the Senior Director will oversee cross-functional teams and may have direct reports. Responsibilities: - Provide overall leadership and management of a cross-functional development team, accountable for the development of a therapeutic candidate for autism spectrum disorder (ASD) - Support the Senior Vice President, Clinical Development, on issues critical to optimizing quality, efficiency, engagement, accountability, and responsiveness of the department, including strategic planning, execution, innovation, communication, and governance - Ensure study adherence to Good Clinical Practice (GCP) and applicable regulatory standards - Lead ongoing evaluation of study data and metrics, including endpoint selection, clinical outcome assessments, and eligibility criteria appropriate for autism populations - Partner with pharmacovigilance to review and communicate clinical safety data to internal and external stakeholders, including executive leadership and Data Safety Monitoring Boards - Collaborate with clinical sites and CROs to support study awareness, patient recruitment and retention in pediatric and neurodiverse populations, and high-quality study conduct - Contribute to the preparation and review of regulatory documents, including IND submissions, IND annual reports, safety reports, Investigator Brochures, and clinical development plans - Build and maintain strong relationships with investigators, key opinion leaders, advocacy organizations, caregivers, and centers of excellence in autism and neurodevelopmental disorders - Communicate program strategy, progress, risks, and results clearly to key stakeholders - Provide clinical and scientific leadership to advance programs from discovery through development and into lifecycle management - Evaluate business development opportunities and translate them into effective and differentiated development strategies aligned with regulatory expectations in neurodevelopmental therapeutics - Ensure compliance with all applicable global regulations, GCP, and company policies We look for these behaviors in all ML employees: - Ability to collaborate effectively across multiple cross-functional teams - Strong interpersonal skills, with an appreciation for the importance of relationships - Proven leadership mindset, with a passion for mentoring and developing others - Willingness to be hands-on and contribute to team success in a fast-paced environment Qualifications: - MD or equivalent - Preferred: Board Certified/Board Eligible in neurology, child neurology, developmental-behavioral pediatrics, or psychiatry - Minimum 3 years of CNS research experience required - Preferred: Minimum 5 years of industry experience, including demonstrated success in leading and implementing clinical development strategies and trials - Preferred: Experience in neurodevelopmental disorders, particularly autism spectrum disorder or related conditions - Experience with clinical trial design in pediatric and/or heterogeneous populations, including use of behavioral and functional endpoints - Preferred: Meaningful regulatory interactions, including IND and/or NDA experience - Established relationships with thought leaders and investigators in autism or neurodevelopmental disorders - Demonstrated ability to work effectively in geographically diverse teams - Proven ability to lead and manage cross-functional teams - Ability to thrive in a growing organization and contribute to advancing leadership in CNS and neurodevelopmental therapeutics - Strong commitment to patient-centered development, including engagement with caregivers and advocacy communities - Excellent oral and written communication skills - Fluent in written and spoken business English - Highly motivated, self-driven, and dependable - Committed to MapLight’s Core Beliefs and Values Travel: - Ability to travel (approximately 25%). Location: This is a remote US base position. Employees located within a 50 mile radius of Redwood City, CA or Burlington, MA is hybrid in office. MapLight does not accept unsolicited resumes from recruiters, staffing agencies, or search firms. Compensation for this role may vary within the above range based on many factors including geographic location, candidate experience, and skills. Additional compensation/benefits include annual bonus opportunity, medical, dental, vision, life and AD&D, short term and long term disability, 401(K) plan with match, stock options, flexible non-accrual paid time off, and parental leave. Salary Range $275,000—$370,000 USD EEOC Statement: MapLight Therapeutics is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.


