Medical Director - REMOTE

Job Title: Medical Director - REMOTE
Job ID: 88424
Location: Remote - USA (Approved Work States)


Overview:
Our client is seeking a Medical Director to provide utilization management, medical necessity review, appeals review, and physician leadership support. Candidates should possess strong managed care, health plan, utilization review, peer-to-peer, and clinical decision-making experience. The ideal candidate will have experience reviewing surgical, orthopedic, rehabilitation, women's health, and specialty care services while collaborating with interdisciplinary teams and operational leadership.


What you must have:

• MD or DO

• Active unrestricted medical license

• Board Certified

• Medical Director, Associate Medical Director, Physician Advisor, or Physician Reviewer experience preferred

• Managed Care, Health Plan, Medicare Advantage, Medicaid, Commercial Insurance, VA, DoD, TRICARE, or Utilization Management experience

• Medical Necessity Review experience

• Appeals Review experience

• Peer-to-Peer Review experience

• Strong clinical documentation review experience

• Experience making coverage determinations based upon evidence-based guidelines

• Strong communication and physician leadership skills

Highly preferred:

• Orthopedic Surgery

• General Surgery

• OB/GYN

• PM&R

Salary/Rate Range: $140.00 - $145.00 / hour


Thank you for your interest in this opportunity. If you are selected to move forward in the process, we will contact you directly. If you do not hear from us, we encourage you to continue visiting our website for other roles that may be a good fit.


For more information about TEEMA and to consider other career opportunities, please visit our website at www.teemagroup.com