Remote Medical Director — Utilization & Care Oversight

Medix™; United States; Remote; USD 210,000 - 269,000; Full time

Benefits offered by this job

Fully remote work environment

On-site training in Raleigh, NC

Comprehensive equipment provided

40-hour work week with EST flexibility

Job summary

Medix seeks a physician leader to oversee utilization management, authorize services, and determine appropriate levels of care for inpatient and outpatient settings.

The candidate must hold an MD or DO, current board certification, and an active, unrestricted NC license. The role offers fully remote work with on-site training in Raleigh, NC, a stable 40-hour week, and a flexible schedule within EST.

Qualifications

• Medical Degree (MD or DO) from an accredited program.
• Current Board Certification in a recognized clinical specialty.
• Active, unrestricted medical license in North Carolina.

Responsibilities

• Provide expert guidance and oversight for health service requests including authorization and level of care decisions.
• Ensure integrity of utilization management across initial, concurrent reviews, appeals, and level of care determinations.
• Participate in internal reviews of inpatient and outpatient clinical case types to ensure regulatory and organizational standards.
• Apply medical necessity criteria using review hierarchy for level of care and services; complete expected case volume.

Education

MD/DO degree

Board Certification in clinical specialty

Active, unrestricted medical license (North Carolina)

Job description

Medix seeks a physician leader to oversee utilization management, authorize services, and determine appropriate levels of care for inpatient and outpatient settings.

The candidate must hold an MD or DO, current board certification, and an active, unrestricted NC license. The role offers fully remote work with on-site training in Raleigh, NC, a stable 40-hour week, and a flexible schedule within EST.