Medical Review Institute of America, LLC

Quality, Innovation, and Experience: Setting Us Apart

Medical Director – Physician Advisor

Medical DirectorMedical DirectorFull TimeRemoteTeam 501-1,000Since 1983H1B No SponsorCompany Site LinkedIn

Location

United States

Posted

62 days ago

Salary

Not specified

Professional Certificate5 yrs expEnglish

Job Description

• 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

Job 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