Job Posting (Client & Location Confidential):

Job Title: Medical Director
Location: 100% Remote (Must reside in the U.S.)
Openings: 80
Start Date: ASAP
Schedule: Full-time, 40 hours/week with rotating weekend coverage
Assignment Length: 6 months with potential for permanent hire
Reports To: Lead Medical Director

We are seeking experienced Medical Directors to join a large national healthcare organization in a fully remote capacity. The role includes comprehensive review of medical records, decisioning on requested services, and consistent communication with external providers to ensure timely determinations. Ideal candidates are highly professional, resourceful, and comfortable working in a structured, team-oriented environment.

• Conduct compliant and timely medical necessity reviews for inpatient services

• Ensure all determinations align with national guidelines, CMS requirements, internal policies, and clinical standards

• Communicate decisions effectively both verbally and in writing

• Maintain productivity, accuracy, and compliance metrics

• Collaborate with internal teams and external providers

• Adapt to evolving workflows, tools, and utilization management processes

• Participate in educational activities as needed

• MD or DO degree

• 5+ years of direct clinical patient care post residency/fellowship (preferably inpatient or Medicare-type population experience)

• Board Certification (ABMS-approved specialty)

• Active, unrestricted medical license in at least one U.S. state (willing to obtain more if required)

• No sanctions; must meet credentialing requirements

• Excellent written and verbal communication

• Strong analytical and interpretation skills

• Ability to work effectively in a team-driven environment

• Knowledge of Medicare Advantage, Managed Medicaid, Commercial plans, or managed care

• Experience with Utilization Management

• Familiarity with guidelines such as MCG or InterQual

• Background in Internal Medicine, Family Medicine, Geriatrics, Hospitalist, Emergency Medicine, or other hospital-based specialties

• Comfort working with technology and adapting to change

• Enthusiastic about innovation and team culture

• All interviews conducted virtually via Zoom

• Single interview with Lead Medical Director

• Fast decision turnaround