Medical Director – Physician Advisor
Medical Review Institute of America, LLC
full-time
Posted on:
Location Type: Remote
Location: United States
Visit company websiteExplore more
Job Level
About the role
- Apply your clinical expertise to evaluate requests for medical services
- Interpret benefit language and medical policies
- Make sound coverage determinations
- Engage in peer-to-peer discussions with treating providers
- Perform clinical coverage reviews using member benefits, medical policies, and established clinical guidelines
- Document review outcomes in alignment with regulatory, accreditation, and internal standards
- Participate in peer-to-peer discussions with treating providers as needed
- Collaborate with Medical Directors across multiple specialties and regions
Requirements
- 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) worked 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 are essential!
Benefits
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical coverage reviewsmedical policies interpretationcoverage determinationsdirect patient careinpatient care experienceclinical guidelines application
Soft skills
verbal communicationwritten communicationinterpretation skillsdivergent thinkingcreative thinkingcollaboration
Certifications
Medical Doctor (MD)Doctor of Osteopathy (DO)board certification in Family Medicineboard certification in Internal Medicine