Medical Director – Medical Management and Client Partnerships (Payer / Health Plan Experience Required)

Description

Location : This position may work remotely anywhere in the United States of America with significant business travel to and from prospect / client sites and / or the Quantum Health home office in Dublin, OH.

Who we are

Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.

We’re committed to building diverse and inclusive teams – more than 2,000 of us and counting – so if you’re excited about this position, we encourage you to apply – even if your experience doesn’t match every requirement.

About the role

The Medical Director – Medical Management and Client Partnerships role offers a unique and dynamic opportunity to blend deep expertise in Utilization and Case / Care Management with strategic clinical partnership. This position serves as a key clinical resource for our account management teams, providing expert insights that reinforce Quantum’s clinical model and support client engagement efforts. In addition to delivering strategic guidance, the Account Management Medical Director collaborates closely with our clinical team to conduct daily reviews, ensuring alignment with best practices and optimal member outcomes.

The ideal candidate will bring :

• Proven subject matter expertise in Utilization Management and Case Management
• Strong knowledge of the healthcare market
• Experience in client-facing roles
• A passion for improving health outcomes and driving clinical excellence

What you’ll do

What you’ll bring

Licensure / Certifications : Current, unrestricted license to practice medicine required and the ability to become multistate licensed . Board certification in primary specialty required .

Strong administrative / technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM / video conferencing (Teams & Zoom), and telephones efficiently.

A high degree of personal accountability and trustworthiness, a commitment to working within Quantum Health’s policies, values and ethics, and to protecting the sensitive data entrusted to us.

#LI-HW1 #LI-Remote

What’s in it for you

Compensation : Competitive base and incentive compensation

Coverage : Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.

Retirement : 401(k) plan with up to 4% employer match and full vesting on day one.

Balance : Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.

Development : Tuition reimbursement up to $5,250 annually, certification / continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.

Culture : Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision.

Environment : A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24 / 7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more!

What you should know

Internal Associates : Already a Healthcare Warrior? Apply internally through Jobvite.

Process : Application >

Phone Screen >

Online Assessment(s) >

Interview(s) >

Offer >

Background Check.

Diversity, Equity and Inclusion : Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an equal opportunity employer .

Tobacco-Free Campus : To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.

Compensation Ranges : Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate’s unique combination of experience and qualifications related to the position.

Sponsorship : Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.

Agencies : Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request / approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party.

Reasonable Accommodation : Should you require reasonable accommodation(s) to participate in the application / interview / selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request.

Recruiting Scams : Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantum-health.com. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking / direct / tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you’ve encountered a recruiting scam, report it to the Federal Trade Commission and your state’s Attorney General .