Medical Director

IntePros; Philadelphia (Philadelphia County); Remote; USD 192,864 - 199,752; Part time

Job summary

A leading technology staffing company is seeking a Senior Healthcare Recruiter. This fully remote position requires strong clinical judgment and collaborative leadership. The role involves providing physician leadership, rendering payment determinations, and supporting quality improvement initiatives in healthcare delivery. The ideal candidate will possess an MD or DO, a valid Pennsylvania medical license, and board certification. Join a dynamic team dedicated to enhancing healthcare outcomes within the Tri-State Area.

Qualifications

• Unrestricted and active Pennsylvania medical or osteopathic license.
• Ability to complete organizational credentialing requirements.
• Strong clinical judgment and collaborative leadership.

Responsibilities

• Provide leadership and guidance to Utilization and Care Management functions.
• Render payment determinations per health plan benefits.
• Apply clinical guidelines to support quality decision-making.

Skills

Knowledge of Utilization Management

Healthcare delivery systems

Medical decision-making

Education

Medical Doctor (MD) or Doctor of Osteopathy (DO)

Current board certification through ABMS or AOBMS

Job description

4 days ago Be among the first 25 applicants

This range is provided by IntePros. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$140.00/hr - $145.00/hr

Senior Healthcare Recruiter @ IntePros | Technology Staffing

Position Overview

The Medical Director plays a key role in ensuring coverage and payment determinations are clinically appropriate, compliant, and aligned with plan benefits and contractual agreements with participating provider networks. This position requires sound clinical judgment, collaborative leadership, and a strong understanding of healthcare delivery, population health, and payer operations.

Key Responsibilities

• Provide physician leadership and clinical guidance to Utilization Management and Care Management functions
• Render coverage and payment determinations in accordance with health plan benefits, medical policies, and provider contracts
• Apply evidence-based clinical guidelines and best practices to support consistent, high-quality decision‑making
• Exercise informed medical judgment grounded in clinical medicine, patient safety, quality management, and population health principles
• Collaborate effectively with clinical teams, operational leaders, senior management, and external partners
• Promote efficient, cost‑effective care delivery across all lines of business
• Support organizational initiatives related to quality improvement, compliance, and healthcare outcomes

Required Qualifications & Experience

• Medical Doctor (MD) or Doctor of Osteopathy (DO) from an accredited medical or osteopathic medical school recognized by AAMC, AOA, or WHO
• Unrestricted and active Pennsylvania medical or osteopathic license
• Current board certification through ABMS or AOBMS (Family Medicine or Internal Medicine preferred)
• Ability to successfully complete organizational credentialing requirements
• Strong knowledge of Utilization Management, healthcare delivery systems, and payer‑based medical decision‑making

Work Location

• Fully Remote: This position is designated as fully remote
• Work must be performed within the Tri‑State Area (Pennsylvania, New Jersey, or Delaware)

Seniority level

Director

Employment type

Contract

Job function

Health Care Provider

Industries

Hospitals and Health Care