Medical Director (Physician Advisor)

Medical Director (Physician Advisor)

Full-Time | Remote (U.S.-Based)

Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions for more than 43 years. We are currently seeking a full-time Associate Medical Director (sometimes referred to as a Physician Advisor) to join our growing, fully remote team. (Contact Medical.Opportunities@mrioa.com for PRN opportunities)

Position Overview

In this role, you will apply your clinical expertise to evaluate requests for medical services, interpret benefit language and medical policies, and make sound coverage determinations. You may also engage in peer-to-peer discussions with treating providers. This position emphasizes independent clinical judgment, thorough documentation, and collaboration with a nationwide team of Medical Directors.

Core Responsibilities

• Perform clinical coverage reviews using member benefits, medical policies, and established clinical guidelines
• Interpret benefit language to support accurate and compliant determinations
• Document review outcomes in alignment with regulatory, accreditation, and internal standards
• Participate in peer-to-peer discussions with treating providers as needed
• Collaboration with Medical Directors across multiple specialties and regions

Compensation & Benefits

• Fully remote, full-time salaried position
• Comprehensive benefits package, including:
• Medical, dental, and vision insurance
• 401(k) with generous employer match
• 35 days of paid time off annually
• All required computer equipment provided
• Employment with a stable, well-established organization with long-term industry leadership

Work Schedule

• 40 hours per week
• Five 8-hour shifts, or four 10-hour shifts (available after training)
• Shifts scheduled between 6:00 a.m.–7:00 p.m. MST (8:00 a.m.–9:00 p.m. EST)
• Includes 2–3 weekend shifts per month
• Schedules are released 60 days in advance
• Schedules are fixed; dedication during scheduled hours is required
• Internet connection must be hard-wired via Ethernet (Wi-Fi not permitted for security purposes)

Requirements

To be eligible for this position, candidates must meet the following criteria:

• Hold an active, unencumbered state licensure as a Medical Doctor (MD/DO), any state. 
• Hold current board certification in either Family Medicine or Internal Medicine (no other board-certified specialty is currently needed).
• Possess a minimum of 5 years of direct patient care experience, with the most recent experience no less than 6 months ago (recent clinical care is essential).
• Have recently (within the past 2 years) work in an inpatient/hospital setting.
• Be willing to obtain up to 20 additional state licenses (MRIoA covers the cost of licenses and CME requirements to maintain them).
• Have a clean background, without prior licensure issues, pending malpractice cases or legal issues.
• Possess excellent verbal and written communication skills.
• Excellent interpretation skills, divergent/creative thinking skills.
• Excellent interpretation skills, divergent/creative thinking skills are essential!

Additionally:

• Must be fully dedicated to the job during your scheduled hours. This is a busy position and does not allow for caregiving responsibilities during scheduled work hours.
• Malpractice insurance is not required, as physicians do not provide direct patient care. Reviewers are covered under MRIoA's Errors and Omissions policy.

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

 This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

California Consumer Privacy Act (CCPA) Information:

• Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.

Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.