Physician Obstetrics & Gynecology - Competitive Salary

Job Description

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 :

Additional Requirements :

Compensation and Benefits :

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.