You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a proficient Medical Assistant to provide clinical leadership and medical oversight for care management, utilization management, and quality improvement initiatives. This role involves collaboration with multidisciplinary teams to develop clinical policies, workflows, and best practices while ensuring compliance with healthcare standards.

Key Responsibilities

• Provide clinical leadership and medical oversight for care management, utilization management, and quality improvement initiatives.
• Serve as a physician advisor for complex clinical cases, medical necessity determinations, and appeals.
• Collaborate with multidisciplinary teams to develop and implement clinical policies, workflows, and best practices.
• Ensure compliance with CMS, NCQA, state regulations, and other applicable healthcare standards.
• Participate in peer-to-peer discussions with providers as needed.
• Support quality improvement efforts through analysis of clinical outcomes and performance metrics.
• Partner with operational leadership to improve patient outcomes, member experience, and cost-effective care delivery.
• Provide mentorship and guidance to clinical staff and physician colleagues.
• Participate in committees, strategic planning initiatives, and organizational leadership meetings.
• Stay current on healthcare regulations, clinical guidelines, and industry best practices.

Qualifications

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).
• Active, unrestricted Ohio medical license.
• Board Certification in an ABMS or AOA-recognized specialty.
• Minimum of 5 years of post-residency clinical practice experience.
• Minimum of 3 years of physician leadership experience (Medical Director, Associate Medical Director, Physician Advisor, or similar).
• Experience within managed care, health plans, value-based care, or population health preferred.
• Strong knowledge of utilization management, quality improvement, and evidence-based medicine.
• Excellent communication and leadership skills.
• Ability to collaborate effectively across clinical and operational teams.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

This position complies with all applicable state and federal laws and regulations.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Clinical Sciences division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: high-risk working environments (laboratories, clinical settings), handling hazards chemicals or lab specimens, conducting direct patient care, accessing medical and confidential records, access to prescription medication or other drugs, and job duties that can cause serious injury or death as a result of error. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.