Jobs in South Dakota

About the role

The Vice President, Medical Director, Health Plan provides senior clinical leadership across the Health Plan, with a focus on quality, affordability, compliance, clinical performance, and member outcomes. This role requires strong health plan experience, the ability to lead across functions, and the communication skills to influence clinical, operational, financial, regulatory, and executive stakeholders. Employees are expected to support and demonstrate the mission, vision, and core values of Martin’s Point Health Care. This position is not eligible for immigration sponsorship.

What you'll bring

• Medical Degree, MD or DO, from an accredited medical school.
• Board certification in a relevant medical discipline or specialty.
• Active, unrestricted medical license, or ability to obtain licensure in a state relevant to the role.
• Ten or more years of professional experience, including clinical practice experience.
• Health plan, managed care, or payer experience in a Medical Director or comparable physician leadership role.
• Demonstrated experience working across health plan functions, such as utilization management, care management, quality, appeals and grievances, population health, medical economics, provider relations, pharmacy, compliance, or network.
• Experience using clinical, quality, utilization, or financial data to guide decisions, develop interventions, and measure outcomes.
• Strong cross-functional leadership skills, with the ability to align clinical, operational, financial, and regulatory priorities.
• Strong verbal, written, and presentation skills, including the ability to communicate effectively with executive, clinical, provider, operational, and regulatory audiences.
• Ability to influence, collaborate, and build credibility with internal and external stakeholders.
• Strong analytical, problem-solving, and decision-making skills.
• Demonstrated alignment with Martin’s Point Health Care values.

Benefits

Locations