Associate Medical Director

Cambia Health Solutions

. Apply medical expertise within the Physician Review team to help ensure members receive quality, cost-effective clinical care .

Posted 10/9/2026part-timeRemote • United StatesLead💰 $106 - $143 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in clinical care management, medical policy development, and peer-to-peer consultations, with a strong focus on enhancing healthcare outcomes and organizational reputation. Possesses a deep understanding of the health insurance industry, population health, and healthcare transformation.

Highest-signal resume keywords

Licensed Physician (MD or DO)Board CertificationClinical Experience (3+ Years)Knowledge of Health Insurance IndustryExperience with AI Tools and Technologies

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Clinical Case ManagementMedical Policy DevelopmentPeer-to-Peer ConsultationsUtilization ManagementData Application to Health OutcomesPopulation Health KnowledgeHealthcare Transformation Knowledge

Soft Skills

Strong Communication SkillsInfluencing SkillsFacilitation SkillsEmpathyTeam Collaboration

Tools & Technologies

AI Tools and TechnologiesHealthcare Systems

Certifications & Qualifications

Active Medical LicenseBoard Certification

Industry Keywords

Clinical CareQuality ProgramsProvider Reimbursement MethodsAccountable Care ModelsState and Federal Regulations

About the role

Key responsibilities & impact

Apply medical expertise within the Physician Review team to help ensure members receive quality, cost-effective clinical care
Support development and communication of medical policies and clinical programs
Work with clinical staff on case management reviews
Provide peer-to-peer consultations with providers
Participate on clinical project teams
Provide clinical consulting to staff on member cases and broader clinical trends
Conduct member case reviews and peer-to-peer consultations
Communicate with internal and external stakeholders about care management, utilization management, and quality programs
Provide clinical input on medical policy reviews and development
Participate on committees developing clinical intervention, utilization management, and case management programs
Monitor industry, medical, and technology trends
Identify and communicate opportunities to enhance outcomes and organizational reputation

Requirements

What you’ll need

Licensed Physician with an MD or DO degree
Minimum 3 years clinical experience, or equivalent combination of education and experience
Active, unrestricted license to practice medicine in one or more states or territories of the United States
At least one active license in Oregon, Washington, Idaho, or Utah
Applicant must live in Oregon, Washington, Idaho, or Utah
Board Certification required
Qualification by training and experience to render clinical opinions about medical conditions, procedures, and treatments under review
Experience working with hospitals, provider groups, or integrated delivery systems
Knowledge of population health and healthcare transformation
Strong communication, influencing, and facilitation skills
Knowledge of health insurance industry, state and federal regulations, provider reimbursement methods, and accountable care and payment models
Ability to apply data to health and quality outcomes
Ability to effectively utilize systems and technology
Ability to build relationships, demonstrate empathy, and work as part of a team
Experience with AI tools and technologies highly desired
Wired internet connection that is not satellite or cellular, with minimum 5 Mb upload and 10 Mb download speeds
Personal mobile device required for MFA
Successful background check required

Benefits

Comp & perks

Competitive base pay
Bonus opportunities
Market-leading 401(k) with a significant company match
Potential discretionary 401(k) contribution based on company performance, with no vesting period
Medical, dental and vision coverage for employees and eligible family members, including mental health benefits
Annual employer contribution to a health savings account
Generous paid time off varying by role and tenure
10 company-paid holidays
Up to 12 weeks of paid parental time off, subject to 12 months of continuous service
Award-winning wellness programs that reward participation
Employee Assistance Fund
Commute and parking benefits
Work-from-home options for most roles
Flexible work option with required wired internet connection
Employee resource groups
Cambia-supported community outreach programs