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Infographic showing various job openings at Smartdocs Direct in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Physical job distribution.

Administrative Physician - Physicians Only Apply - Perm

SmartDocs Direct

Linthicum Heights, MD • On-site

Full-time

Re-posted 7 days ago

Job description

Medical Doctors Only Apply. A Administrative Physician practice is seeking a qualified physician for Linthicum Heights, MD. This and other physician jobs brought to you by ExactMD.
Chief Medical Director Opportunity in Maryland:

Job description

Position Purpose: Direct and coordinate the medical management, quality improvement and credentialing functions for the assigned business unit based on, and in support of the strategic plan, establishing the strategic vision and attendant policies and procedures.
  • Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations.
  • Oversees internal medical review guidelines to ensure clinical integrity and compliance and acts as a resource for staff members throughout the operation.
  • Coordinates with other departments, the responses needed to address regulatory accreditation concerns pertaining to medical management issues
  • Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services.
  • Facilitates the achievement of the Medical Management Program goals through an effective health services delivery system.
  • Responsible for physician review and oversight of all potential adverse determinations including pre-certifications/prior authorizations, concurrent review and appeals/retrospective review.
  • Responsible for HEDIS improvement and strategy.
  • Actively participates in the auditing process of medical management processes and corrective action team projects for medical management
  • Achieves utilization, cost management and quality goals.
  • Participates and advises in the development of corporate medical policies for UM, pharmacy, and new technology
    For Home State Health Plan only – responsible for the sufficiency and supervision of the health plan provider network

  • Education/Experience: Medical Doctor or Doctor of Osteopathy, board certified in a specialty recognized by the American Board of Medical Specialists. Volunteer patient care required. Previous experience as Medical Director is preferred. Master’s degree in Business Administration, Public Health, Healthcare Administration or related field preferred.

  • For Immediate Consideration, Please Inquire Within

    • Apply