Obstetrics & Gynecology Physician
Job Title: Perm - Associate Medical Director OB/GYN Location: Dallas, TX Certification Requirement: Board Certified in Obstetrics and Gynecology About the Role: Parkland Community Health Plan (PCHP) is seeking a dedicated and experienced Associate Medical Director specializing in OB/GYN to oversee clinical quality and utilization management for underserved populations in Dallas, Texas. This part-time, PRN leadership position offers a unique opportunity to contribute to community health and health equity within a growing, mission-driven organization committed to innovation, care coordination, and community empowerment. Key Responsibilities: Review prior authorization requests, appeals, and denials related to OB/GYN services, ensuring approvals are based on medical necessity and evidence-based standards. Conduct peer-to-peer reviews with providers as needed to support appropriate utilization management. Provide clinical oversight for utilization, disease, and quality management activities, including participation in the development of policies, procedures, and clinical standards aligned with best practices. Analyze provider performance data, conduct site visits and medical record reviews to ensure compliance with managed care policies, and assist in provider credentialing processes. Collaborate with Pharmacy and other clinical departments to coordinate care and oversee medication management, ensuring optimal outcomes for members. Support fraud, waste, and abuse initiatives through clinical oversight and review processes. Participate in the development and evaluation of provider and member education programs focused on health promotion, disease prevention, and health literacy. Represent PCHP on clinical matters with external agencies such as Texas Department of Insurance, Texas Health and Human Services Commission, and Texas Medical Association. Lead process improvement initiatives to enhance clinical workflows, effectiveness, and overall program efficiency. Serve on and chair clinical or managed care committees, contributing to community outreach and interdisciplinary collaborations. Qualifications: Board certification in Obstetrics and Gynecology is mandatory; recertification must be current. Valid medical license to practice in Texas with a clean malpractice history. Prior experience in managed care, utilization management, or clinical oversight in a hospital or health plan setting preferred. Strong understanding of Texas Medicaid regulations, managed care principles, and quality improvement methodologies. Excellent leadership, communication, and interpersonal skills, capable of engaging with diverse stakeholders including providers, community organizations, and regulatory bodies. Demonstrated ability to interpret clinical data, develop policies, and implement process improvements. Familiarity with pharmacy and behavioral health integration in care management is advantageous. Ability to handle confidential information with integrity and professionalism. Proficiency in computer applications related to clinical and administrative functions. Additional Requirements: No locum, 1099, or visa candidates considered. Active, unrestricted medical license and current board certification required. Committed to the managed care philosophy and patient-centered care principles. Compensation and Benefits: Competitive salary commensurate with experience; candidates are encouraged to share salary expectations. Comprehensive benefits package including health, dental, and vision insurance. 401(k) retirement plan with matching options. Opportunities for career growth and advancement within a mission-driven organization. Flexible scheduling to support work-life balance. This role offers a rewarding leadership opportunity to influence community health outcomes while working within a collaborative and innovative environment. Candidates passionate about serving underserved populations and advancing healthcare quality are encouraged to apply.
