Remote Medical Director - Utilization & Quality Leader

SPECTRAFORCE; Town of Texas (WI); Remote; USD 151,536 - 179,088; Full time

Job summary

A healthcare staffing company is seeking a Medical Director to lead utilization management and quality improvement for Medicare inpatient care. This remote role requires board-certified physicians with active medical licenses in FL and TX. Key responsibilities include performing reviews of inpatient and post-acute services, mentoring provider relationships, and driving medical necessity decisions. Competitive pay is offered at $110.00/hr - $130.00/hr.

Qualifications

• Must have hands-on experience with InterQual and/or MCG.
• Inpatient clinical background or prior physician advisor experience.

Responsibilities

• Provide medical leadership for utilization management.
• Perform concurrent inpatient and post-acute reviews.
• Support physician committee functions.
• Conduct rounds for high-risk members.
• Develop physician education and provider relationships.

Skills

Leadership in utilization management

Quality improvement

Credentialing

InterQual/MCG experience

Mentoring provider relationships

Education

Board certification in Internal Medicine or Family Medicine

Active, unrestricted medical licenses in FL and TX

Job description

A healthcare staffing company is seeking a Medical Director to lead utilization management and quality improvement for Medicare inpatient care. This remote role requires board-certified physicians with active medical licenses in FL and TX. Key responsibilities include performing reviews of inpatient and post-acute services, mentoring provider relationships, and driving medical necessity decisions. Competitive pay is offered at $110.00/hr - $130.00/hr.