Executive Medical Director

A large, complex healthcare organization in the New York metropolitan area is seeking a seasoned physician leader to oversee key medical management functions, guide strategic initiatives, and support utilization and clinical decision-making across multiple lines of business.

This highly confidential executive search is ideal for a forward-thinking physician with deep managed care expertise and a passion for building data-driven, high-performing clinical programs.

About the Role (High-Level Overview)

This senior medical executive will play a central role in shaping medical policy, supporting clinical operations, and strengthening the alignment between quality, utilization management, regulatory affairs, and organizational strategy.

The role oversees a team of medical directors and collaborates closely with cross-functional leaders on initiatives that impact member care, operational performance, and compliance.

This is a non-clinical, strategic leadership role with significant visibility and succession potential.

• Provide leadership and oversight for medical management functions
• Guide utilization review strategy and ensure appropriate, high-quality care delivery
• Support clinical decision-making processes and medical necessity determinations
• Collaborate with internal and external stakeholders on policy development
• Apply health informatics and analytics to drive program improvement
• Contribute to planning, regulatory readiness, and organizational growth initiatives
• Represent the organization in select professional or regulatory settings
• Lead and mentor a team of medical directors

Ideal Background

• Physician (MD or DO) with board certification
• Experience in medical leadership within a managed care or health plan environment
• Depth of knowledge in utilization management, quality, and regulatory compliance
• Strong analytical skills and comfort working with data and informatics
• Understanding of New York healthcare regulations (preferred)
• Collaborative leadership style and ability to influence across departments

Highly competitive executive compensation package, inclusive of strong retirement benefits.

If you are an innovative medical leader seeking a strategic, systems-level role within a large healthcare organization, this opportunity offers both influence and long-term growth potential.