Value-Based Medical Director — Lead Care & Policy

Prominence Health is seeking a Medical Director to lead the Health Services Department, overseeing Utilization Management, Care Management, Disease Management, Quality Improvement, Pharmacy Management, Risk Adjustment and Community Provider Relations. The role requires active medical licensure in applicable states and board-certified expertise. The Medical Director will shape policy, participate in cross-functional teams, and may travel to PHP markets to support growth and member outcomes.