This position has been filled.

Vice President and Medical Director for Utilization Management

Somatus

  • Location: Washington, DC

Somatus is seeking transformational, dynamic physician leader to serve as Vice President and Medical Director for Utilization Management. Somatus is seeking transformational, dynamic physician leader to serve as Vice President and Medical Director for Utilization Management.

Somatus treats patients with chronic kidney disease (CKD) and end-stage kidney disease (ESKD). The company partners with leading health plans, health systems, nephrology and primary care groups to provide integrated care for patients with or at risk of developing kidney disease. Somatus’ vertically integrated clinical services and technology delay or prevent disease progression, improve quality and care coordination, and increase the use of home dialysis modalities and rates of kidney transplantation. Somatus is focused on patient outcomes and convenience, with a goal to increase home dialysis to 50%.

The company is headquartered in McLean, Virginia, and founded by a team of world-class healthcare operators, successful entrepreneurs, and leading clinicians treating kidney disease.

Reporting to the Chief Medical Officer, the Vice President and Medical Director of Utilization Management will have responsibility for managing member medical costs and assuring appropriate healthcare delivery for the assigned health plan members.

Qualifications

The ideal candidate will offer:

  • MD with license to practice required.
  • Master’s degree strongly preferred.
  • 3-5 years of clinical practice in a primary care setting and progressively responsible medical administrative experience preferred.
  • A thorough understanding of all aspects of managed care, including HMOs, PHOs, risk arrangements, capitation, peer review, performance profiling, outcome management, care coordination, pharmacy management, and patient centered medical home concepts.