A growing health plan in Dallas, TX is seeking a dedicated, experienced Associate Medical Director (OB/GYN) to support clinical operations and improve access to high-quality, affordable care for underserved communities. This is a rare opportunity to combine clinical expertise with system-level impact driving better outcomes, shaping care standards, and guiding the future of women s health within a managed care environment.
Position HighlightsLocation: Dallas, TX
Schedule: Full-time
Employment Type: W2 only (no Locums, no 1099, no visa sponsorship)
Focus Areas: Utilization management, clinical oversight, quality, pharmacy collaboration, policy development, and care coordination
Team Environment: Collaborative, mission-driven, community-centered
Review prior authorizations, appeals, and medical necessity determinations
Conduct peer-to-peer provider consultations
Provide clinical oversight for utilization management, quality initiatives, and disease management programs
Assist in developing policies, procedures, and clinical standards based on evidence-based guidelines
Analyze provider and practice data to evaluate performance and support credentialing
Collaborate with pharmacy leadership on care integration between medical and pharmacy benefits
Support fraud, waste, and abuse program operations
Represent the organization to state and community stakeholders when assigned
Participate in continuous quality improvement and process optimization across clinical workflows
Develop, implement, and evaluate annual departmental goals
Support provider and member education initiatives
Serve on internal committees and cross-functional groups
Mentor and support multidisciplinary team members
Maintain regulatory, compliance, and accreditation standards
Board Certified OB/GYN
Texas medical license (or willingness to obtain)
Experience in managed care and prior authorization
Experience in or ability to lead multidisciplinary teams
Working knowledge of Texas Medicaid Regulations
Clean malpractice & license history (highly preferred)
Experience participating in UM committees (preferred)
Strong leadership, communication, and organizational skills
Ability to interpret regulations, manage confidential information, and make data-driven decisions
Strong understanding of managed care models
Excellent communication with executives, providers, and community stakeholders
Ability to interpret treatment plans and apply medical judgment to operational decisions
Knowledge of care coordination, population health, SDOH, and value-based care strategies
Calm, adaptable, detail-oriented, and solutions-focused
Proficiency with technology and clinical review systems
Competitive, customizable compensation package (To be discussed during interview - providers encouraged to share expectations)
Comprehensive medical, dental, and vision coverage
401(k) plan
Flexible schedule & work-life balance
Opportunities for advancement in a rapidly growing, mission-aligned organization
This position is ideal for OB/GYN physicians who want to make a broader impact outside of traditional clinical practice improving systems, shaping policy, and advocating for vulnerable populations while working in a stable, supportive environment.