Verified Job
Healthcare
Medical Director – Pediatrics
Healthcare
#805342
Remote / WFH
Teema-Group
Job Description
Clinical Leadership & Quality Governance
Clinical Oversight: Provide strategic clinical leadership and medical policy guidance for comprehensive pediatric healthcare services across multiple business units.
Quality Assurance: Lead robust peer review activities, clinical governance, quality reviews, and complex medical necessity evaluations.
Policy Development: Support the formulation, optimization, and implementation of evidence-based clinical policies, procedures, and medical guidelines.
Performance Partnership: Partner dynamically with operational and clinical leadership to monitor, evaluate, and improve provider performance and patient outcomes.
Metric Evaluation: Track and analyze key performance indicators (KPIs), utilization management data, and HEDIS/quality metrics to drive continuous organizational success.
Compliance & Accreditation: Support rigorous accreditation processes, regulatory compliance, and organization-wide Quality Improvement (QI) initiatives.
Stakeholder Engagement: Collaborate with internal and external stakeholders to substantially enhance both the patient and provider experience.
Strategic Planning: Act as a trusted physician executive, participating in long-term strategic planning and multidisciplinary corporate initiatives.
Other duties as assigned.
Required Qualifications
Educational Credentials: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree.
Board Certification: Current Board Certification in Pediatrics.
Licensure: An active, unrestricted state medical license.
Clinical Depth: Minimum of 10 years of hands-on clinical physician experience in pediatrics.
Leadership Experience: Minimum of 5 years of dedicated physician leadership experience in a role such as Medical Director, Associate Medical Director, Chief Medical Officer, Department Chair, or Service Line Director.
Quality Frameworks: Proven experience directing peer reviews, quality improvement structures, and provider performance management.
Core Competencies: Exceptional communication, collaborative relationship-building, and executive leadership skills.
Desired Qualifications
Managed Care Expertise: Prior leadership experience within a Health Plan, Managed Care Organization (MCO), or Integrated Delivery Network.
Utilization & Review: Direct experience handling Utilization Management, Medical Necessity Reviews, and credentialing oversight.
Accreditation Knowledge: Strong familiarity with NCQA, HEDIS, Joint Commission, URAC, or related accreditation bodies.
Modern Care Delivery: Background in Population Health systems, Value-Based Care models, and leading multidisciplinary clinical teams.
Location and Work Type
Work Type: Full-Time, 40 hours per week. Long-term contract opportunity.
Work Setting: 100% Remote (Candidates must reside within approved states).
Location: USA – Remote
Compensation, Benefits & Perks
Hourly Rate: $140.00 – $145.00 per hour.
Perks: Enjoy the ultimate work-life balance with a fully remote schedule while making a profound, macro-level impact on pediatric healthcare systems nationwide.
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf
Clinical Oversight: Provide strategic clinical leadership and medical policy guidance for comprehensive pediatric healthcare services across multiple business units.
Quality Assurance: Lead robust peer review activities, clinical governance, quality reviews, and complex medical necessity evaluations.
Policy Development: Support the formulation, optimization, and implementation of evidence-based clinical policies, procedures, and medical guidelines.
Performance Partnership: Partner dynamically with operational and clinical leadership to monitor, evaluate, and improve provider performance and patient outcomes.
Metric Evaluation: Track and analyze key performance indicators (KPIs), utilization management data, and HEDIS/quality metrics to drive continuous organizational success.
Compliance & Accreditation: Support rigorous accreditation processes, regulatory compliance, and organization-wide Quality Improvement (QI) initiatives.
Stakeholder Engagement: Collaborate with internal and external stakeholders to substantially enhance both the patient and provider experience.
Strategic Planning: Act as a trusted physician executive, participating in long-term strategic planning and multidisciplinary corporate initiatives.
Other duties as assigned.
Required Qualifications
Educational Credentials: Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) degree.
Board Certification: Current Board Certification in Pediatrics.
Licensure: An active, unrestricted state medical license.
Clinical Depth: Minimum of 10 years of hands-on clinical physician experience in pediatrics.
Leadership Experience: Minimum of 5 years of dedicated physician leadership experience in a role such as Medical Director, Associate Medical Director, Chief Medical Officer, Department Chair, or Service Line Director.
Quality Frameworks: Proven experience directing peer reviews, quality improvement structures, and provider performance management.
Core Competencies: Exceptional communication, collaborative relationship-building, and executive leadership skills.
Desired Qualifications
Managed Care Expertise: Prior leadership experience within a Health Plan, Managed Care Organization (MCO), or Integrated Delivery Network.
Utilization & Review: Direct experience handling Utilization Management, Medical Necessity Reviews, and credentialing oversight.
Accreditation Knowledge: Strong familiarity with NCQA, HEDIS, Joint Commission, URAC, or related accreditation bodies.
Modern Care Delivery: Background in Population Health systems, Value-Based Care models, and leading multidisciplinary clinical teams.
Location and Work Type
Work Type: Full-Time, 40 hours per week. Long-term contract opportunity.
Work Setting: 100% Remote (Candidates must reside within approved states).
Location: USA – Remote
Compensation, Benefits & Perks
Hourly Rate: $140.00 – $145.00 per hour.
Perks: Enjoy the ultimate work-life balance with a fully remote schedule while making a profound, macro-level impact on pediatric healthcare systems nationwide.
If you're interested, please reply to this advertisement or directly email your resume to me at DSalgado@teemagroup.com or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf
