Medical Review Institute of America, LLC

Medical Director

Medical Review Institute of America, LLC

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $240,000 per year

Job Level

Lead

About the role

  • Perform utilization management case reviews.
  • Maintain productivity score per company standard.
  • Maintain annual quality score per company standard.
  • Complete annual inter-rater reliability testing.
  • Train across all queues as requested by MRIoA leadership.
  • Complete all client specific training as requested by MRIoA leadership.
  • Maintain up-to-date records of case completion if required.
  • Consistently show willingness to take cases as requested.
  • Demonstrate respect in interactions across the company.
  • Consistently submit scheduling requests at least three months in advance.
  • Consistently work scheduled hours.
  • Provide ideas for promotion and growth of the company as requested (i.e. contribute to the vision of the company).
  • Respond appropriately and in a timely manner to licensing/CME requests from the Senior Medical Directors, Vice President of Medical Affairs, or Chief Medical Officer and/or administrative team.
  • Actively participate in the MRIoA evaluation process (both company and individual).
  • Participate in all company meetings and committees as requested.
  • Complete other duties as requested or approved by the CEO and/or chief medical officer.
  • Thorough understanding of the Company’s clients, products, departments, workflows, and applicable regulatory requirements and accreditation standards.

Requirements

  • Minimum of five years’ full-time equivalent experience providing direct clinical care to patients
  • Minimum of five years’ experience administering utilization management and peer review programs preferred
  • Credentialed and privileged by the Company's Credentialing Committee
  • Obtain additional state licensure as required for the position
  • Education: MD/DO degree
  • Current, unrestricted medical license as required for clinical practice in a state of the United States
  • Board certification by a medical specialty board approved by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) or other board recognized by URAC preferred
Benefits
  • healthcare, vision and dental insurance
  • a generous 401k match
  • paid vacation
  • personal time
  • holidays
  • Growth and training opportunities
  • A team atmosphere with fun events and prizes scheduled throughout the year.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
utilization managementcase reviewsinter-rater reliability testingclinical carepeer review programsstate licensuremedical practiceboard certification
Soft Skills
productivity maintenancequality score maintenancetrainingtimelinessrespectful communicationparticipation in meetingscontribution to company vision
Certifications
MD degreeDO degreecurrent medical licenseboard certification by ABMSboard certification by AOA