Remote Medical Director & Physician Advisor

Medical Review Institute of America; United States; Remote; USD 216,000 - 264,000; Full time

Benefits offered by this job

Remote work environment

Health insurance

Dental and vision insurance

Paid time off

Holidays and sick leave

Life and disability insurance

Job summary

Medical Review Institute of America is hiring a Medical Director/Physician Advisor for remote clinical utilization management and quality oversight. The role emphasizes leadership in peer review, clinical guidance, and regulatory compliance within a flexible, award-winning remote workplace.

Applicants must have an active medical license in the United States, board certification, and at least five years of direct clinical care experience combined with utilization management exposure.

Qualifications

• Minimum of five years’ full-time equivalent experience providing direct clinical care to patients.
• Minimum of five years’ experience administering utilization management and peer review programs preferred.
• Credentialed and privileged by the Company's Credentialing Committee.
• Obtain additional state licensure as required for the position.

Responsibilities

• Perform clinical utilization management, peer review activities, and clinical quality management activities.
• Maintain productivity score per company standard; maintain annual quality score; complete annual inter-rater reliability testing.
• Train across all queues and complete client-specific training as requested by MRIoA leadership.
• Maintain up-to-date records of case completion; ensure scheduling and availability align with company policies.
• Contribute to the promotion and growth of MRIoA and respond to licensing/CME requests from senior leadership.
• Participate in company meetings and committees; support regulatory requirements and accreditation standards.

Skills

Clinical care

Utilization management

Peer review

Licensure

Education

Medical license

Board certification

Job description

Medical Review Institute of America is hiring a Medical Director/Physician Advisor for remote clinical utilization management and quality oversight. The role emphasizes leadership in peer review, clinical guidance, and regulatory compliance within a flexible, award-winning remote workplace.

Applicants must have an active medical license in the United States, board certification, and at least five years of direct clinical care experience combined with utilization management exposure.