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Job description
Title: Medical Director
Location: Remote
Duration: 6 Months with possible extension/Conversion FTE
We’re hiring a board-certified physician to support the Medicare Inpatient Pod. This role partners with the Chief Medical Director to lead utilization management, quality improvement, credentialing, and appeals for high-volume inpatient and post-acute care reviews. You’ll drive medical necessity decisions using InterQual/MCG, support discharge planning, mentor provider relationships, and help reduce readmissions while meeting productivity and audit targets.
Base pay range
$110.00/hr - $130.00/hr
Key responsibilities
Provide medical leadership for utilization management, cost-containment, and quality improvement.
Perform concurrent inpatient and post-acute reviews, and review complex/controversial services and claims appeals.
Support physician committee functions and implement performance improvement initiatives.
Conduct rounds for high-risk members and collaborate with care management.
Develop physician education and provider relationships; represent the business unit as needed.
Consult on SUD policy and MCM cases when required.
Qualifications
Active board certification: Internal Medicine or Family Medicine.
Active, unrestricted medical licenses in FL and TX.
Hands-on experience with InterQual and/or MCG.
Inpatient clinical background or prior physician advisor experience.
Nice to have
Multi-state licenses (MI, MS, NJ, NC, CA, KS, AR).
Performance expectations
Productivity target: ~45+ cases/day.
Job function and seniority
Job function: Management and Health Care Provider
Industries: Hospitals and Health Care and Insurance
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.