Family Practice Physician

About the role

We are seeking a Part-Time Medical Director to provide expert clinical guidance for a health plan serving approximately 180,000 members, primarily public employees and their families.

Responsibilities

• Review medical and disability claims for medical necessity and preauthorization requests
• Advise on the quality and reasonableness of treatments
• Serve as a clinical resource for staff
• Participate in quality initiatives, case management, and utilization review
• Review prescription drug requests and appeals
• Contribute to committees and organizational objectives as needed
• Provide high-quality healthcare oversight, support organizational policies, and maintain necessary licenses and certifications

Requirements

• Unrestricted Michigan MD or DO license
• 10+ years of medical practice experience

Qualifications

• Board certification

Skills

• Strong communication skills
• Analytical skills
• Independent working skills

Benefits

• Partly remote work
• Independent contractor arrangement

Schedule

Approximately 20 hours per week, with flexible hours.