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Executive Medstar Jobs (NOW HIRING)

Sodexo

Executive Chef 2

Clinton, MD · On-site

$71K - $97K/yr

MedStar Southern Maryland Hospital is a 210 bed full-service acute care facility with more than 44 ... What You'll Do The Executive Chef is responsible for maintaininghigh-volume kitchen operations ...

MedStar Health

HR Business Partner

Columbia, MD · On-site

... MedStar's mission and SPIRIT values through people and organizational excellence. This role is ... Provides expert HR consultation to director and executive-level leaders on strategic workforce ...

MedStar Health

Manager Clinical Engineering

Leonardtown, MD · On-site

$95K - $124K/yr

Assists in ensuring vendor/contract compliance with terms and conditions of agreements and MedStar ... Other duties and responsibilities may also be assigned by the executive leadership team to ensure ...

CoreLife

Physician Liaison Healthcare Sales

Bel Air, MD · On-site

$70K - $75K/yr

Quarterly Incentive Bonus Structure About the Role At CoreLife, in partnership with MedStar Health ... Ability to work cross-functionally with executive leadership and clinical teams * Highly organized ...

CoreLife Healthcare

$70K - $75K/yr

Quarterly Incentive Bonus Structure About the Role At CoreLife, in partnership with MedStar Health ... Ability to work cross-functionally with executive leadership and clinical teams * Highly organized ...

New

CoreLIFE

Physician Liaison Healthcare Sales

Bel Air, MD · On-site

$70K - $75K/yr

Quarterly Incentive Bonus Structure About the Role At CoreLife, in partnership with MedStar Health ... Ability to work cross-functionally with executive leadership and clinical teams * Highly organized ...

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All JobsMedstar JobsExecutive Medstar Jobs

Executive Medstar information

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$26.5K

$93.6K

$184K

How much do executive medstar jobs pay per year?

As of Aug 8, 2026, the average yearly pay for executive medstar in the United States is $93,552.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,000.00 and $120,500.00 per year, depending on experience, location, and employer.

What is the difference between Executive Medstar vs Paramedic?

AspectExecutive MedstarParamedic
CredentialsEMT-P, healthcare management experienceEMT-B or EMT-Paramedic certification
Work EnvironmentMedical transport, hospital coordinationEmergency scenes, ambulances
Industry UsageHealthcare, emergency servicesEmergency medical services

Executive Medstar roles typically involve overseeing medical transport operations and require healthcare management experience, while Paramedics focus on providing emergency medical care in the field with EMT certification. Both roles are vital in emergency healthcare but differ in responsibilities and work settings.

What cities are hiring for Executive Medstar jobs? Cities with the most Executive Medstar job openings:
What are the most commonly searched types of Medstar jobs? The most popular types of Medstar jobs are:
What states have the most Executive Medstar jobs? States with the most job openings for Executive Medstar jobs include:
What job categories do people searching Executive Medstar jobs look for? The top searched job categories for Executive Medstar jobs are:
Executive Medstar jobs near you
Infographic showing various Executive Medstar job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 90% Full Time, 5% Part Time, and 4% Contract. Highlights an 84% Physical, 4% Hybrid, and 12% Remote job distribution, with an average salary of $93,552 per year, or $45 per hour.

Director Utilization Management MedStar Family Choice

MedStar Health

Washington, DC • On-site

$120K - $238K/yr

Full-time

Re-posted 7 days ago

Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

130th of 887 rated healthcare providers

Job description

About the Job
General Summary of Position
The Director of Utilization Management (UM) provides strategic and operational leadership for the health plan's centralized utilization management function across both plans. This role ensures appropriate evidence-based utilization of services while maintaining regulatory compliance improving quality outcomes and driving cost-effective delivery. Under a centralized clinical operation model the Director aligns UM process across plans standardizes workflows optimizes technology and integrates closely with Case Management Pharmacy Quality and Provider Relations to support enterprise-wide performance goals.
Primary Duties and Responsibilities
  • Leads enterprise-wide utilization management strategy across all health plans under a centralized clinical operation model.
  • Standardizes UM policies workflows and clinical criteria application to ensure consistency and scalability across markets.
  • Oversees prior authorization concurrent review retrospective review to ensure timely and compliant determinations.
  • Ensures compliance with state Medicaid NCQA CMS and contractual requirements including turnaround time standards.
  • Partners with medical directors to ensure appropriate clinical decision-making and consistent application of medical necessity criteria.
  • Develops and monitors UM performance dashboards including denial rates overturn rates length of stay and turnaround times.
  • Drives medical expense management initiatives by identifying utilization trends and implementing targeted interventions.
  • Collaborates with Case Management leadership to ensure seamless transitions between UM and care coordination functions.
  • Partners with pharmacy leadership to align utilization controls on high-cost drugs and specialty therapies.
  • Oversees hospital utilization management including inpatient admission appropriateness DRG optimization and reduction strategies.
  • Identifies and implements process improvement initiatives to increase operational efficiency and reduce variability.
  • Prepares for a lead regulatory audits accreditation reviews and corrective action plans related to UM functions.
  • Monitors and ensures compliance with evidence-based clinical criteria tools (e.g. InterQual ASAM) and internal policies.
  • Leads workforce planning and staffing models to ensure appropriate caseload distribution and productivity standards.
  • Supervises and develops UM managers and supervisors including performance evaluations and professional development.
  • Collaborates with Finance and Actuarial team to analyze utilization trends cost drivers and forecast medical expense impact.
  • Supports value-based payment models and alternative payment initiatives by aligning UM process with performance metrics.
  • Develops escalation and peer review process to manage complex or high-risk clinical determinations.
  • Ensures culturally competent and member- center decision-making balancing access quality and cost stewardship.
  • Provides executive-level reporting and strategic recommendation to the VP of Clinical Operations and senior leadership
    • Minimal Qualifications
    Education
    • Bachelor's degree Bachelor's degree in Nursing Social Work or related healthcare field required
    • Master's degree Master's degree in Nursing (MSN) Public Health (MPH) Healthcare Administration (MHA) Business Administration (MBA) or related field preferred
    Experience
    • 8-10 years years of managed care experience required and
    • 5-7 years Minimum 5 years utilization management leadership required and
    • Experience with centralized operations preferred and
    • Demonstrated experience in Medicaid managed care preferred
    Licenses and Certifications
    • RN - Registered Nurse - State Licensure and/or Compact State Licensure in MD/DC Upon Hire required
    Knowledge Skills and Abilities
    • Deep understanding of state Medicaid CMS and NCQA requirements
    • Experience in medical necessity criteria tools (InterQual)
    • Strong data analytics and financial acumen
    • Change management expertise
    • Excellent executive communication skills.

    This position has a hiring range of
    USD $120,702.00 - USD $238,222.00 /Yr.

    What Medstar Health employees say

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    Benefits

    Hours and flexibility

    Workplace

    Get the full story on Breakroom

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    About Medstar Health

    Sourced by ZipRecruiter

    MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

    Industry

    Health care and social assistance

    Company size

    10,000+ Employees

    Headquarters location

    Columbia, MD, US

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