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

Establish the founding baselines: avoidable emergency visits, preventable admissions, thirty day readmissions, skilled nursing length of stay, specialist utilization, One hundred days ago this organization became independent, backed by a private equity firm with a long track record in health care.

Regional Medical Director, Utilization Management
Florida, statewide · Value Based Senior Primary Care · Private Equity Backed
Most startups begin with an idea. This one began with ninety four clinics.
One hundred days ago this organization became independent, backed by a private equity firm with a long track record in health care. Ninety four primary care clinics across Florida came with it. Patients, physicians, revenue, and scale, all present on day one.

• Ninety four clinics across Florida
• One hundred days independent
• Two hundred people hired since
• First physician to hold this seat

What happened next is the part physicians wait a whole career to see. Two hundred people hired in one hundred days. New infrastructure rising across compliance, technology, and clinical operations. A leadership bench being built seat by seat.

And utilization management, the function that shapes how care moves through all ninety four clinics, is still waiting for the physician who wants to author it. That is this role. You are the first, and the blueprint is yours.
Startup speed. Health system scale.
Most startups hand you a blank page and ask you to go find customers. This one hands you the blank page along with ninety four clinics, a full statewide footprint, and a patient population already through the door. Private equity backing means the capital is committed and the timeline is real. Decisions land in days.

You report directly to the Chief Medical Officer, a practicing physician who still sees patients and still shows up in the clinics. You work in a true dyad with an operational partner, and together the two of you hold the decisions.

Yours to decide: referral policy, specialist and hospital tiering, skilled nursing network, and prior authorization criteria. You set them, you own them, and you carry them into the markets yourself.
The first year, in three moves Crawl. You build.
Sit down with information technology and design artificial intelligence supported referral review from the ground up. Author the policy set. Establish the founding baselines: avoidable emergency visits, preventable admissions, thirty day readmissions, skilled nursing length of stay, specialist utilization,