Medical Director - Medicaid

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Medical Director - Medicaid based in the United States. We are seeking an experienced physician to provide clinical leadership and medical oversight for Medicaid utilization management activities. In this role, you will leverage your medical expertise and clinical judgment to evaluate healthcare services, determine medical necessity, and ensure appropriate levels and settings of care. You will review complex clinical cases, interpret medical records, and make evidence-based decisions aligned with national clinical guidelines, regulatory requirements, and established medical policies. Working closely with healthcare professionals, care management teams, and regional leadership, you will help promote quality, cost-effective, and patient-centered care. You will also contribute to initiatives focused on population health, care coordination, and improved health outcomes for underserved communities. This fully remote opportunity offers significant professional autonomy within a structured, collaborative healthcare environment. Your work will directly support the delivery of high-quality care and help improve healthcare experiences and outcomes for Medicaid members.