Assistant Medical Director

Sacramento, CA

Part Time to Full Time

Medical Management

Executive

Assistant Medical Director

Location: Sacramento, CA (Hybrid)
Job Type: Part-Time/Full-Time
Salary: $275,000 - $300,000 annually

"Our purpose is strong, our impact is lasting, join us on the journey"
Western Health Advantage

Position Summary

Western Health Advantage (WHA) is seeking an experienced Assistant Medical Director to support high-quality, cost-effective care for our members through clinical leadership in Utilization Management, Quality Improvement, Population Health, Delegated Oversight, and Regulatory Compliance. This role partners across departments, provider organizations, and vendors to improve member outcomes and support strategic clinical initiatives.

Key Responsibilities

Review complex medical cases and medical necessity determinations using evidence-based criteria (InterQual, MCG, CMS).
Conduct peer-to-peer reviews and provide clinical consultation on utilization management decisions.
Support delegated medical group oversight, audits, regulatory readiness, and performance improvement initiatives.
Collaborate with Quality and Population Health teams to improve HEDIS measures, care gap closure, health equity, and member outcomes.
Participate in NCQA, DMHC, and CMS compliance activities.
Provide clinical guidance on benefit interpretation, policy development, and emerging healthcare technologies.
Support vendor oversight and evaluation for utilization management, behavioral health, and population health programs.
Serve as a clinical resource for internal departments, providers, and external partners.
Participate in key organizational committees and support special projects assigned by the Chief Medical Officer.

Qualifications

MD or DO with an active, unrestricted California medical license.
Current Board Certification (ABMS or AOA).
Minimum 5 years of clinical experience in primary care or hospital medicine.
Minimum 3 years of experience working with capitated HMO populations.
Minimum 2 years of medical administrative or managed care experience.
Knowledge of NCQA, DMHC, CMS, Utilization Management, and Quality Improvement programs.
Strong communication, analytical, and relationship-management skills.

Why Join WHA?

Join a mission-driven organization dedicated to improving healthcare quality, advancing health equity, and delivering exceptional value to members throughout Northern California.

Equal Employment Opportunity

Western Health Advantage is committed to providing equal employment opportunities to employees and applicants based on merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis protected by federal or state law.

Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with top talent creates a dynamic and fulfilling work environment while enabling exceptional service for our members.

Apply for this position

Required*

First Name*

Last Name*

Email Address*

Phone*

Address

Resume*

We've received your resume. Click here to update it.

Attach resume or Paste resume

Attach resume as .pdf, .doc, .docx, .odt, .txt, or .rtf (limit 5MB) or Paste resume

Paste your resume here or Attach resume file

Western Health Advantage does not offer employment visa sponsorship for this position. Are you legally authorized to work in the United States without requiring employer sponsorship now or in the future?”*

Are you a MD. or DO. with a valid license to practice medicine without restriction, in the state of California.*

This position is not fully remote. WHA is a hybrid organization, and staff are required to work onsite at least 2 days per week. Are you able to work onsite from your date of hire, if selected?*

Are you a Diplomate with American Board of Medical Specialties or American Board of Osteopathic Medicine with current/updated certification.*

This position requires candidates to attend in-person interviews. Are you able to travel to and attend interviews onsite at your own expense?*

Human Check*

Submit Application

Thanks for visiting our Career Page. Please review our open positions and apply to the positions that match your qualifications.