Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values every single day. Aspirus Health Plan is seeking a Director - Medical Director to join our team in Wausau, WI . The Medical Director is responsible for conducting day-to-day medical management and leading ongoing improvement initiatives in collaboration with the Director of Operations, Quality Improvement Specialist, and Utilization Management. The role involves providing support and consultation for utilization management (medical and pharmacy), appeals, medical policy (development and maintenance), and quality improvement (Medicare Stars, NCQA). The Medical Director ensures that Aspirus Health Plan members receive care that is safe, timely, effective, efficient, patient-centered, and equitable. Support and help to lead aspects of regulatory compliance that relate to clinical functions and programs. Provide clinical support as needed to staff throughout Aspirus Inc., e.g., complex case management, disease management vendors, and delegates. Experience/Qualifications: Current MD or DO degree with an unencumbered and unrestricted license to practice medicine in Wisconsin and Michigan. Current Board Certification in a specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association. Minimum of five years of clinical experience post-residency. Experience in internal medicine, family medicine, or emergency medicine required. Experience in specialty areas such as oncology, rehabilitation, and physical medicine preferred. Minimum of five years of healthcare administration, including utilization management. Employee Benefits Full benefits packages available for part- and full-time status. PTO accrual from day one! Generous retirement plan with match available. Wellness program for employees and their families. Aspirus Wausau Hospital is the flagship of the Aspirus system that serves patients in 14 counties across northern and central Wisconsin, as well as the Upper Peninsula of Michigan. It is a licensed private/not-for-profit facility with 325 beds and staffed by 350 physicians in 35 specialties. Aspirus Wausau Hospital is a Level II trauma center that provides primary, secondary, and tertiary care services as a regional referral center. Specialty referral service emphasis exists in cardiology and cardiothoracic surgery, orthopedics, and cancer. The hospital has an average daily inpatient census of 220 with approximately 15,000 admissions per year. Outpatient visits exceed 50,000, and there are also more than 24,000 annual emergency department visits. To learn more about Wausau, click here . Best known for its world-class cardiovascular program, Aspirus Wausau Hospital also provides leading-edge cancer, trauma, women's health, and spine and neurological care. Our Mission We heal people, promote health, and strengthen communities. Our Vision Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others. As an Aspirus team, we demonstrate caring, plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference, and improve the health of our communities. About Aspirus Aspirus is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin, and the Upper Peninsula of Michigan. The health system operates 19 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information, visit . Click here to learn more. #J-18808-Ljbffr