Part-Time Medical Director (Remote)

 Posted 2 months ago
     
5-10 years experience
Apply Now

Please mention DailyRemote when applying

AI Summary

Perform clinical coverage reviews by interpreting benefit language, medical policies, and established clinical guidelines. Collaborate with a nationwide team of Medical Directors and engage in peer-to-peer discussions with treating providers.


Who We Are - Motivated by Purpose. Powered by Clinical Expertise.


Founded in 1983, we’re a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.


Excellence starts with our people.


POSITION OVERVIEW

We are currently seeking a Part-Time Associate Medical Director to join our growing, fully remote team. 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


Work Schedule

  • 16-28 hour per week requirement 
  • Flexible (but prescheduled) shifts between the hours of 6AM - 7PM MT. Strong preference for shifts to be scheduled in 4-hour or 8-hour blocks.
  • Week on / week off scheduling permitted for those working Hospitalist shifts elsewhere
  • Must commit to 2 weekend shifts per month (4 hour shifts minimum)
  • Schedules are determined by physician and fixed 2 months in advance
  • Dedication during scheduled hours is required with adherence to established minimum case volume expectations.


 Compensation 

  • Hourly pay rate is $115.00
  • W2, non-benefited position

Requirements



Skills and Experience

  • 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.
  • Possess a minimum of 5 years of direct patient care experience, most recent experience no less than 6 months ago
  • High level of computer proficiency and comfort with multiple software programs
  • Ability to be fully dedicated during scheduled work hours is required, productivity standards requirements must be met.


Additionally:

  • Malpractice insurance is not required, as physicians do not provide direct patient care. Reviewers are covered under MRIoA's Errors and Omissions policy.


Work Environment:

Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).


Diversity Statement:

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.



Drug-Free Workplace:

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.  Employees 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 (California Residents Only):

  • 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. 

Similar Jobs

See all Remote Healthcare jobs →

Personalize your Remote Job Search in 3 Easy Steps!

Discover remote opportunities in Medical Director

Answer easy questions

Answer easy questions

200,000+ jobs across 15+ categories

Get your best job matches

Get your best job matches

Only hand-screened, legit jobs

Find a remote job faster

Find a remote job faster

No ads, scams, or junk

I was the first applicant for a remote marketing position that got listed on the company website the same day I applied. Had an interview within 48 hours!

Sarah J. — Sarah J. · Marketing Manager ★★★★★ Verified