Associate Medical Director – Market Access
Precision Medicine Group
Medical Director
Mosaic
full-time
Posted on:
Location Type: Remote
Location: Remote • California, Connecticut, District of Columbia, Montana • 🇺🇸 United States
Visit company websiteSalary
💰 $263,488 - $329,360 per year
Job Level
Lead
About the role
- Lead the development, implementation, and periodic review of UM policies and clinical criteria
- Provide physician oversight for concurrent and retrospective review activities
- Approve and interpret clinical guidelines, pathways, and criteria for admission, continued stay, and discharge
- Serve as the primary clinical liaison with payers, providers, and regulatory bodies
- Mentor and educate UM nurses, physician reviewers, and other staff on best practices
- Analyze utilization data and quality metrics to identify trends and areas for improvement
- Participate in appeals and peer-to-peer discussions to resolve clinical disputes
- Maintain compliance with NCQA, URAC, CMS, state regulations, and organizational standards
Requirements
- Medical degree (MD or DO) from an accredited institution
- Active, unrestricted medical license in [State/Region]
- Board certification in an acute-care specialty (e.g., Internal Medicine, Family Medicine, Pediatrics)
- Minimum of 5 years clinical practice experience, with 2+ years in utilization management or managed care
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
- Bonuses
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical criteria developmentutilization managementdata analysisquality metrics analysisclinical guidelines interpretationpeer-to-peer discussionsdispute resolution
Soft skills
leadershipmentoringcommunicationcollaboration
Certifications
medical degree (MD or DO)active medical licenseboard certification in acute-care specialty
