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Insurance Medical Director Jobs in Indiana (NOW HIRING)

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Insurance Medical Director information

See Indiana salary details

$12.4K

$221.1K

$339.7K

How much do insurance medical director jobs pay per year?

As of Jul 2, 2026, the average yearly pay for insurance medical director in Indiana is $221,113.00, according to ZipRecruiter salary data. Most workers in this role earn between $188,400.00 and $270,700.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Insurance Medical Director position, and why are they important?

To thrive as an Insurance Medical Director, you need a medical degree (MD or DO), board certification, clinical expertise, and experience with healthcare regulations and utilization review. Familiarity with claims management systems, ICD-10 coding, and tools like Milliman or InterQual guidelines is often required. Strong analytical skills, clear written and verbal communication, and the ability to make objective decisions are essential soft skills. These competencies are crucial for ensuring ethical, evidence-based determinations that balance patient care with organizational and regulatory requirements.

What does an Insurance Medical Director do?

An Insurance Medical Director is a physician who reviews medical claims, evaluates policyholder cases, and ensures treatments align with insurance guidelines. They analyze complex medical information to determine coverage eligibility and assess the necessity of procedures. They also collaborate with claims adjusters, underwriters, and other medical professionals to ensure fair and accurate decision-making. Their role helps insurance companies manage risk while maintaining compliance with healthcare regulations.

What are the typical daily responsibilities of an Insurance Medical Director?

Insurance Medical Directors typically review medical claims, assess prior authorization requests, and provide clinical guidance on complex cases to ensure that coverage decisions comply with current medical standards and company policies. They also collaborate closely with underwriters, case managers, and other healthcare professionals, participating in multidisciplinary meetings and developing policies for medical management. Additionally, Insurance Medical Directors may engage in quality improvement initiatives, conduct peer reviews, and assist in training staff on clinical procedures and regulatory changes. The role requires a balance of high-level decision-making, medical expertise, and effective communication with both internal teams and external providers.

What are popular job titles related to Insurance Medical Director jobs in Indiana? For Insurance Medical Director jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Insurance Medical Director jobs in Indiana look for? The top searched job categories for Insurance Medical Director jobs in Indiana are:
What cities in Indiana are hiring for Insurance Medical Director jobs? Cities in Indiana with the most Insurance Medical Director job openings:
Insurance Medical Director jobs near you
Infographic showing various Insurance Medical Director job openings in Indiana as of June 2026, with employment types broken down into 28% Full Time, 56% Part Time, and 16% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $221,113 per year, or $106.3 per hour.
Medical Director

Medical Director

Jane Pauley Community Health Center, Inc.

Indianapolis, IN • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Jane Pauley Community Health Center rating

7.5

Company rating: 7.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Empowering communities through accessible, inclusive, and compassionate care, this is the work we do every day.
At Jane Pauley Community Health Center, every role is connected to something bigger. As a Federally Qualified Health Center (FQHC), we deliver integrated, whole-person care to individuals and families across Indiana, regardless of income or insurance status.
Our teams work at the intersection of clinical excellence and community impact, supporting underserved populations while building a culture rooted in collaboration, respect, and growth. Here, you are not just joining a workplace, you are becoming part of a mission that truly matters.
Medical Director - Job Summary
The Medical Director provides senior clinical leadership and oversight across assigned health center sites, including the Post Road location and the Castleton clinic. This role ensures high-quality, patient-centered care; strong provider performance; and consistent adherence to HRSA, UDS, Joint Commission, and value-based care standards. The Medical Director partners closely with operational, nursing, quality, and behavioral health leaders to translate organizational strategy into reliable frontline practice. This is a highly visible leadership role ideal for a physician committed to safety-net medicine, integrated care, and developing high-performing clinical teams.
Job Responsibilities
Clinical Leadership & Oversight
  • Serve as the senior clinical leader for assigned sites, supporting physicians, advanced practice providers, and multidisciplinary teams
  • Promote evidence-based medicine, standardized workflows, and patient-centered care
  • Support integration across primary care, behavioral health, dental, optometry, and enabling services

Quality & Performance Management
  • Partner with Quality leadership to achieve UDS, HRSA, and payer quality benchmarks
  • Review and act on site-level dashboards and provider performance metrics
  • Lead quality improvement initiatives and corrective action plans
  • Support FTCA readiness through peer review, documentation standards, and risk mitigation
  • Lead Pediatric and Adult Clinical Councils related to P&T, clinical policies, and procedures

Provider Performance & Development
  • Conduct or support peer review, clinical coaching, and performance feedback
  • Participate in provider onboarding, mentoring, and remediation
  • Collaborate with the Chief Medical Officer on privileging, re-credentialing, and professional standards

Access, Throughput & Clinical Operations
  • Partner with Operations and Nursing to optimize access, panel management, and clinic flow
  • Address variation in rooming processes, visit types, same-day access, and care team workflows
  • Support implementation of new clinical programs and service lines

Patient Safety & Risk Management
  • Participate in reviews of adverse events, near misses, and patient complaints
  • Lead root cause analyses and ensure timely follow-up
  • Implement corrective actions and coaching to improve safety

Medical Staff Communication
  • Serve as the primary clinical liaison between frontline providers and system leadership
  • Communicate organizational priorities, policy changes, and quality expectations
  • Elevate site-level issues, risks, and resource needs to the Chief Medical Officer

Key Collaborative Relationships
The Medical Director works closely with:
  • Chief Medical Officer, Chief Operating Officer, Chief Financial Officer, Chief Information Officer
  • Directors of Operations, Quality & Population Health, Clinical Informatics
  • Compliance Officer
  • Behavioral Health leadership
  • Site Managers and Nursing Leadership
  • Physicians, Advanced Practice Clinicians, Therapists
  • Contracted care management teams

Qualifications
Education & Experience
  • MD or DO, board-certified in a primary care specialty
  • Minimum 5 years of clinical practice; leadership experience strongly preferred
  • Experience in FQHC, safety-net, or Medicaid-focused environments
  • Demonstrated ability to lead clinicians, manage performance, and drive quality improvement
  • Experience with PCMH models preferred
  • Strong understanding of population health, disease management, and value-based payment programs
  • Proven success with pay-for-performance or quality incentive initiatives
  • Highly organized, detail-oriented, mission-driven, and an effective communicator
  • Proficiency with EHR systems and Microsoft Office

Licenses & Certifications
  • Active Indiana Medical License
  • Active Indiana DEA and CSR
  • American Heart Association BLS certification

Travel
  • Ability to travel up to 50% to regional practice locations

Physical Requirements
  • Ability to sit, stand, walk, and perform routine office and clinical tasks
  • Ability to lift up to 25 pounds occasionally
  • Adequate vision for clinical and administrative work

Why Join Us
Join a mission-driven organization committed to equitable access, integrated care, and continuous improvement. As Medical Director, you will shape clinical excellence across multiple sites and support teams serving diverse and underserved communities
Why You'll Love Working Here
  • Purpose-driven work that directly impacts access to care across our communities
  • Robust benefits package (medical, dental, vision) designed to support you and your family
  • Generous PTO because we believe caring for others starts with caring for yourself
  • 401(k) with employer contribution to help you plan for what's ahead
  • Life and disability coverage for peace of mind

Here, you are not just filling a role-you are helping shape healthier communities and advancing equitable care every day!

What Jane Pauley Community Health Center employees say

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