Medical Director – Pediatrics

Medical Director – Pediatrics

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### Role Summary

Are you an accomplished physician executive with a passion for driving systemic clinical excellence and healthcare transformation? We are seeking a visionary, board-certified pediatric leader to step into the role of Medical Director – Pediatrics for a nationally recognized healthcare organization. In this high-impact executive position, you will provide overarching clinical leadership, quality oversight, and strategic medical policy guidance to ensure high-quality, evidence-based, and cost-effective care across an expansive network. Collaborating closely with clinical and operational leaders, you will champion peer reviews, utilization management, and provider engagement initiatives. This long-term opportunity allows you to leverage your extensive clinical expertise to shape pediatric healthcare delivery on a national scale, all from a flexible remote environment.

### Duties & Responsibilities

#### Clinical Leadership & Quality Governance

• Clinical Oversight: Provide strategic clinical leadership and medical policy guidance for comprehensive pediatric healthcare services across multiple business units.
• Quality Assurance: Lead robust peer review activities, clinical governance, quality reviews, and complex medical necessity evaluations.
• Policy Development: Support the formulation, optimization, and implementation of evidence-based clinical policies, procedures, and medical guidelines.
• Performance Partnership: Partner dynamically with operational and clinical leadership to monitor, evaluate, and improve provider performance and patient outcomes.
• Metric Evaluation: Track and analyze key performance indicators (KPIs), utilization management data, and HEDIS/quality metrics to drive continuous organizational success.
• Compliance & Accreditation: Support rigorous accreditation processes, regulatory compliance, and org