Philadelphia, PA

The Regional Medical Director provides medical leadership to a multidisciplinary regional team for utilization, prior authorization, provider relations and case management functions. Primary responsibility lies in leading the development and implementation of medical policy as it relates to health services utilization. This position will oversee 10–12 Medical Directors.


  • 8+ years’ in senior management and/or Medical Director experience.
  • 7 years’ utilization review and case management experience.
  • Fifteen plus years’ progressively responsible managerial experience.
  • Full-time experience as an administrator in a Medicare or state-level Medicaid program, Health Maintenance Organization (HMO), PreferredProvider Organization (PPO), large Health Care Organization, health plan or any combination thereof.
  • MD/DO required.
  • Must possess an unrestricted license in his/her state.
  • Must be board certified in a primary care specialty.
  • Must be clear of any sanctions by the applicable state or Office of the Inspector General.


Apply Now

Not sure if you want to apply?
Contact us for more info:
Rebecka Boyd