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Surgical Associate Medical Director or Medical Director (dependent on experience) Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For: Every day, Cambia's dedicated team of Physicians are living our mission to make health care easier and lives better. As a member of the physician review team, our Medical Directors participate in utilization management and provide clinical leadership and support to clinical teams to ensure our members receive quality, cost effective care yielding optimal outcomes - all in service of creating a person-focused health care experience. Are you a physician passionate about delivering high-quality, patient-centered care? Do you want to be part of a team that's shaping the future of healthcare? Then this role may be the perfect fit. What You Bring to Cambia: Qualifications: * Associate Medical Director would have a MD or DO degree, at least 3 years clinical experience, or equivalent combination of education and experience * Medical Director would have a MD or DO degree, at least 5 years clinical experience, plus at least 2 years medical utilization management and/or case management experience (prefer health insurance experience and additional MHA or MBA training), or an equivalent combination of education and experience. * Licensed Physician with an MD or DO degree. Active, unrestricted license to practice medicine in one or more states or territories of the United States, with one of these licenses in our four-state area (OR, WA, ID, UT). Applicant must also live in four state area. Board Certification required. Qualification by training and experience to render clinical opinions about medical conditions, procedures and treatments under review. Skills and Attributes: * Demonstrated competency working with hospitals, provider groups or integrated delivery systems to effectively manage patient care to improve outcomes. * Strong communication and facilitation skills with internal staff and external stakeholders, including the ability to resolve issues and seek optimal outcomes. * Proven ability to develop and maintain positive working relationships with community and provider partners. * Knowledge of the health insurance industry, state and federal regulations, provider reimbursement methods and evolving accountable care and payment models. * General business acumen including understanding of market dynamics, financial/budget management, data analysis and decision making. * Strong orientation to the application of data in managing health and quality. * Proven ability to develop creative strategies to accomplish goals and objectives, plan and execute complex projects and programs and drive results across internal teams and/or external partners. * Demonstrated ability to effectively lead and engage in a constructive manner with others. What You Will Do at Cambia: * Provides clinical leadership for staff to ensure members receive safe, effective, and cost-efficient services, and ensures ethical decision making in compliance with contractual arrangements, regulations, and legislation. * Contributes to the development of various medical management strategies and tactics to drive results and achieve key performance metrics, and advises Health Care Services Leaders on related key performance metrics and the effectiveness of various efforts, initiatives, policies, and procedures. * Conducts peer clinical review for medical necessity on utilization management authorization requests, and provides clinical input on case management reviews working closely with the CM clinical staff. * Participates on multiple teams to pro To view the full job description,