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Regional Medical Director, Utilization Management - FM/IM/Geri - Florida

Medical Edge Recruitment · Recruiter

Family Medicine Tampa, FL Full-time
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<p>Regional Medical Director of Utilization Management leading a statewide primary care platform across 94 clinics in Florida. This is a founding physician leadership role at a newly independent, private-equity-backed organization that launched 100 days ago with full operational scale, patient population, and revenue on day one. You report directly to the Chief Medical Officer and hold joint decision authority with an operational partner to architect utilization management, referral policy, specialist tiering, and prior authorization criteria across the entire Florida footprint. This is the first physician to hold this seat — the blueprint is yours to write.</p>

<h3>Perks and Benefits</h3> <ul> <li>Founding physician leadership role with direct CMO reporting and joint operational decision authority</li> <li>Private equity backing with committed capital and rapid decision cycles (decisions land in days)</li> <li>Opportunity to architect utilization management infrastructure, referral policy, and clinical operations from the ground up</li> <li>Statewide scope across 94 primary care clinics with established patient population and revenue base</li> <li>Compensation and benefits package commensurate with regional medical director role (specific terms to be discussed)</li> </ul>

<h3>Practice Highlights</h3> <ul> <li>94 primary care clinics across Florida statewide footprint</li> <li>Value-based care model with focus on avoidable emergency visits, preventable admissions, 30-day readmissions, skilled nursing length of stay, and specialist utilization optimization</li> <li>Authority to establish referral policy, specialist and hospital tiering, skilled nursing network, and prior authorization criteria</li> <li>New infrastructure across compliance, technology, and clinical operations actively being built</li> <li>AI-supported referral review system to be designed and implemented in partnership with information technology</li> <li>Direct engagement with clinic network to implement and refine utilization management policies</li> <li>Established patient population and revenue base present at launch; no startup ramp-up period</li> </ul>

<h3>Qualifications</h3> <ul> <li>Board certification or board eligibility in Family Medicine, Internal Medicine, or Geriatric Medicine</li> <li>Active Florida medical license or eligibility to obtain</li> <li>Demonstrated experience in utilization management, care coordination, value-based care, or health system operations</li> <li>Leadership experience and comfort with policy development and implementation at scale</li> <li>Ability to work collaboratively with clinical and operational teams across multiple sites</li> </ul>

<h3>About the Community</h3> <p>Tampa and the broader Florida statewide footprint offer a dynamic healthcare market with year-round warm climate, diverse patient populations, and strong quality-of-life amenities. The region provides access to major urban centers, coastal recreation, and a robust healthcare ecosystem — an ideal setting for a physician leader building a new care delivery model.</p>