Medical Director

Medical Director Inpatient Health Services

One of our key clients in the managed care sector is seeking a physician leader to serve as a Medical Director for their inpatient marketplace division. This is a remote position that offers the opportunity to drive clinical strategy and improve health outcomes for a diverse member population.

In this role you will work closely with the Senior Medical Leadership team to oversee clinical operations, quality improvement, and credentialing. You will provide essential medical oversight for utilization management and cost control initiatives while ensuring all clinical decisions meet the highest standards of accuracy and timeliness.

Key responsibilities include

Leading medical reviews for complex or experimental clinical services

Collaborating with care management teams through regular rounds to coordinate care for high risk patients

Evaluating clinical trends to identify opportunities for reducing practice variation

Supporting the development of physician education and clinical policies

Acting as a clinical liaison between the organization and the provider network

Participating in physician committees and representing the business unit at state level meetings

Reviewing claims for medical necessity regarding unusual or new medical technologies

Candidate Requirements

Medical Doctor or Doctor of Osteopathy degree

Current and unrestricted state medical license

Board Certification in a specialty recognized by ABMS or AOA with a preference for Internal Medicine or Family Medicine

Active experience in clinical practice

Strong background in utilization management and knowledge of accreditation standards

Previous experience managing care for culturally diverse populations is highly valued

Additional education in Health Administration or Insurance Management is a plus

Availability to support business operations on weekends or holidays when necessary

Compensation and Benefits

The annual salary range for this position is between 215,000 and 408,500 dollars. Our client provides a robust benefits package that includes comprehensive health coverage, a 401k plan with company matching, stock purchase options, and tuition assistance. They support a flexible work environment designed to promote professional growth and work life balance.

Our client is an equal opportunity employer and values a diverse workforce. All qualified individuals are encouraged to apply.