Innovative Care Management, Inc.

Medical Director

• Guide Clinical Teams & Leaders Provide daily leadership to UM and CM teams, supporting clinical managers in fostering consistency, engagement, and accountability.
• Champion ICM’s culture and values, ensuring teams feel supported, equipped, and inspired.
• Strengthen Operational Excellence Design and refine workflows for efficiency, timeliness, and regulatory compliance.
• Partner cross-functionally with Precertification, Member Engagement, Client Services, and others to ensure a seamless experience across the clinical continuum.
• Establish and track KPIs, leading teams toward measurable improvement.
• Advance Quality & Regulatory Compliance Maintain rigorous oversight of policies, procedures, and documentation.
• Collaborate with the Quality Department on audits, performance trends, and targeted interventions.
• Ensure alignment with accreditation standards and evolving regulatory requirements.
• Drive Innovation & Strategic Growth Transform clinical strategy into operational practice in partnership with executive leadership.
• Evaluate new tools, processes, and clinical models that improve quality, efficiency, and member outcomes.
• Support program evolution to meet emerging market and client needs.
• Serve as a Clinical Partner to Clients Represent clinical operations in client meetings, audits, and implementations.
• Ensure clinical deliverables meet contractual expectations and elevate the client experience.

Director of Clinical Operations