Access. Answers. Advocacy. We're raising the standard of healthcare for everyone.
Associate Medical Director – Maternal and Pediatric Health
Location
United States
Posted
5 days ago
Salary
$206.4K - $319.9K / year
Seniority
Lead
Job Description
Associate Medical Director – Maternal and Pediatric Health
Included Health
• Lead the clinicians supporting maternal and pediatric populations and provide clinical and operational leadership for the maternal and pediatric complex care programs. • Oversee the development, implementation, and maintenance of clinical standards, evidence-based care pathways, and educational materials across maternal and pediatric health programs. • Manage clinicians against clear performance expectations, including productivity, documentation, clinical quality, and safety standards. • Partner with other clinical leaders and cross-functional stakeholders to ensure coordination across service lines for members with multi-specialty needs. • Serve as the clinical authority for maternal and pediatric care/case management programs and provide oversight of clinical standards, escalations, and care pathways across both domains.
Job Requirements
- Education: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO).
- Clinical Experience: Board certified in family medicine, med-peds, or a related speciality.
- Minimum of 5 years post-residency clinical experience caring for prenatal, postpartum, and pediatric patients in a generalist setting, with the ability to apply that clinical lens to population health leadership.
- Licensure: Active medical license in good standing in state of residence. Willingness to become licensed in additional states as needed.
- Operations and Performance: Experience leading clinicians in a performance-driven environment, including use of quality, productivity, and operational metrics to drive accountability and improvement.
- Preferred: Experience working in digital health or virtual care delivery models.
- Comfort integrating clinical AI tools into day-to-day workflows and direct care delivery.
- Knowledge of the medical, behavioral, and social factors that drive poor outcomes and avoidable cost across complex populations.
- Lives in physician compact-eligible state.
Benefits
- Remote-first culture
- 401(k) savings plan through Fidelity
- Comprehensive medical, vision, and dental coverage through multiple medical plan options (including disability insurance)
- Paid Time Off ("PTO") and Discretionary Time Off ("DTO")
- 12 weeks of 100% Paid Parental leave
- Family Building & Compassionate Leave: Fertility coverage, $25,000 for surrogacy/adoption, and paid leave for failed treatments, adoption or pregnancies.
- Work-From-Home reimbursement to support team collaboration home office work
Related Guides
Related Categories
Related Job Pages
More Medical Director Jobs
VP of Physician Partnerships – Women’s Health Sales Executive
MonarchCreating a new standard for women's health by empowering physicians to build thriving membership-based practices.
• Build trusted relationships with physicians • Identify and engage prospective physician partners • Assess fit for Monarch's membership model • Guide physicians through consultative evaluation process • Support physicians through professional transitions • Generate new opportunities and build partnerships
E&I Market Chief Medical Officer
UnitedHealth GroupUnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Role Description UnitedHealthcare’s Market CMOs serve as the local senior clinical executive for their line of business, with accountability for: - Achieving defined clinical outcomes, affordability goals and growth targets, in partnership with their health plan leadership team. - Providing clinical insight into market data and implementing tailored interventions to address clinical trends and opportunities for their state or region. - Serving as a central health plan leader accountable to facilitate coordination with UnitedHealthcare and Optum national clinical and operational functions. - Actively engaging and helping drive performance with market-level quality, network, and compliance teams. - Building and deepening relationships with area hospitals, physicians, and other health care providers. - Advocating for UnitedHealthcare’s clinical value story, evidence-based medical policies, and member health with government/state regulatory entities, professional and medical society chapters, employers, and as part of external communications and media relations. - Providing subject/specialty based clinical expertise and leadership to UCS and the enterprise, as needed. You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Core Accountabilities: - Clinical Affordability: CMOs are responsible for achieving their assigned incremental savings goal and support the national savings target for the year. - Network / Provider Engagement: The CMO serves as the local clinical point of contact for physicians, systems, and other care providers. - Market Relationships: The CMO is the clinical face of UnitedHealthcare to elected officials, policy makers, plan sponsors, medical and professional societies, news media, and community-based organizations. - Quality & Compliance: The CMO maintains a strong working knowledge of all government mandates and provisions, working across the enterprise to implement and maintain compliant clinical programs and procedures. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - Active and unrestricted MN/WI Medical License. - Reside in, or be willing to relocate to MN/WI; within proximity to UHC corporate offices. - Board Certified in an ABMS or AOA specialty. - 5+ years clinical practice experience. - Solid knowledge of managed care industry. - Familiarity with current medical issues and practices. - Solid knowledge of health care utilization data and analytics. - Proven ability to identify an improvement opportunity through data, implement a solution and achieve measurable impact. - Solid data analysis and interpretation skills; KPI metrics driven. - Ability/experience in developing collaborative relationships with health system clinical leadership. - Proven ability to develop relationships with network and community physicians and other providers. - Ability to travel within the assigned market—30% travel required. - Proficiency with Microsoft Office applications (Outlook, Word, Excel, PowerPoint). - Capable to quickly become facile with UHC/UHG specific data systems. Requirements - Prior health plan experience in similar leadership capacity. - Advanced Business, Public Health, Medical Management degree. - Solid team player and team building skills. - Strategic thinking with proven ability to communicate a vision and drive results. - Solid negotiation and conflict management skills. - Creative problem-solving skills. - Excellent interpersonal communication skills and ability to influence in executive settings. - Superior presentation skills for both clinical and non-clinical audiences. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). - Salary range from $238,000 to $357,500 annually based on full-time employment. Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. Company Description At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.
Medical Director, Oncology – Genitourinary Focus
NateraWe are a global leader in cell-free DNA (cfDNA) testing, dedicated to oncology, women’s health, and organ health.
• Partner with the Senior Medical Director, Genitourinary Oncology to develop and execute clinical strategies supporting Natera’s molecular diagnostic tools for GU cancers, including minimal residual disease (MRD) and ctDNA-based monitoring. • Lead the design and implementation of clinical studies and treatment protocols that integrate Natera’s technology into standard GU oncology care. • Recruit and engage leading principal investigators (PIs) and clinical sites in GU oncology to participate in company-sponsored studies; manage study timelines and budgets in collaboration with Clinical Trial Operations. • Advise on product development for the GU oncology portfolio, identifying clinical unmet needs, new product opportunities, key product features, intended use, test report content, and minimum validation requirements. • Provide post-launch medical affairs support, including interpretation of test results, clinical consultation for healthcare providers, and guidance on patient counseling (pre- and post-test). • Serve as GU oncology expert for support of high-value engagement and events identified by Strategic Accounts, Area Sales and Marketing leaders, commercial or clinical leadership. • Lead medical education initiatives, including external training, launch planning, and the creation of scientific and clinical materials specific to GU malignancies. • Identify and recruit Key Opinion Leaders (KOLs) in GU oncology to serve on advisory boards and contribute to strategic planning. • Support the publication strategy by collaborating with Scientific Communications on manuscripts, abstracts, and conference presentations in GU oncology. • Contribute to regulatory strategy by providing medical input into submissions related to GU cancer diagnostic products. • Represent Natera’s medical voice externally through public relations, industry panels, advisory boards, and medical conferences, with a focus on GU oncology.
Medical Director – Medicare
Empower AIEmpower AI (formerly NCI) elevates public sector teams with the power of AI, to ensure America’s missions are met.
• As the Medical Director, you will be responsible for the provision of medical insight and expertise for Medicare claims review determinations and national coverage and payment issues under the direction of the Program Director. • Interacts with/presents to medical societies, peer groups, CMS Contractors and/or stakeholders and other industry groups, as a spokesperson for the CERT RC contract and the CMS CERT program. • Maintains a current working knowledge of medical practice standards and guidelines and related technology. • Assists in the development of contractor policy, including necessary updating of policies, and the development of written guidelines used by the CERT personnel. • Provides medical insight and expertise for claims reviews conducted by specialty physicians and medical review specialists, in accordance with CMS policy and/or regulations and the CERT SOW/Manual. • Makes claims determinations when warranted/requested, utilizing the guidelines, regulations, CMS policy, coding manuals and any other applicable/required resources. • Collaborates with CERT management in advising CMS on national coverage and payment issues, as well as identifying and interpreting the improper payment rate drivers. • Coordinates medical specialty educational sessions for the staff when requested. • Produces and submits required reports according to established content and guidelines. • Effectively communicates with the customer, stakeholders, and employees.



