Remote Medical Director, Utilization & Quality Oversight

Medical Review Institute of America; Salt Lake City (UT); Remoto; USD 216.000 - 264.000; Tempo pieno

Vantaggi offerti da questo lavoro

Base salary: $240,000 per year

Health, vision and dental insurance

401(k) match

Paid vacation, PTO, and holidays

Growth and training opportunities

Award-winning remote work environment

Descrizione del lavoro

Medical Review Institute of America is seeking a Medical Director (Physician Advisor) to lead clinical utilization management, peer review activities, and clinical quality management. This remote role reports to MRIoA leadership and offers a comprehensive compensation package.

Requirements include an MD/DO with an unrestricted medical license in the United States and ABD/board-certified status preferred, plus at least five years of direct clinical care and utilization management experience.

Competenze

• Minimum of five years’ full-time clinical care experience.
• Minimum of five years’ experience administering utilization management and peer review programs preferred.
• Credentialed and privileged by MRIoA Credentialing Committee.
• Obtain additional state licensure as required for the position.

Mansioni

• Perform utilization management case reviews.
• Maintain productivity score per company standard.
• Maintain annual quality score per company standard.
• Complete annual inter-rater reliability testing.
• Train across all queues as requested by MRIoA leadership.
• Complete all client specific training as requested by MRIoA leadership.
• Maintain up-to-date records of case completion if required.
• Consistently show willingness to take cases as requested.
• Demonstrate respect in interactions across the company.
• Submit scheduling requests at least three months in advance and work scheduled hours.
• Provide ideas for promotion and growth of the company as requested.
• Respond to licensing/CME requests from senior leadership.
• Actively participate in MRIoA evaluation processes.
• Participate in all company meetings and committees as requested.
• Complete other duties as requested by leadership.
• Understand company clients, products, departments, workflows, and regulatory standards.

Conoscenze

Clinical care

Utilization management

Peer review

Licensure

Formazione

MD/DO degree

Medical license in US

Board certification preferred ABMS/AOA

Descrizione del lavoro

Medical Review Institute of America is seeking a Medical Director (Physician Advisor) to lead clinical utilization management, peer review activities, and clinical quality management. This remote role reports to MRIoA leadership and offers a comprehensive compensation package.

Requirements include an MD/DO with an unrestricted medical license in the United States and ABD/board-certified status preferred, plus at least five years of direct clinical care and utilization management experience.