Physician Reviewer (UM Medical Director)
Who We Are - Motivated by Purpose. Powered by Clinical Expertise.
Founded in 1983, we’re a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER
A competitive compensation package.
Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays.
Growth and training opportunities.
A team atmosphere with fun events and prizes scheduled throughout the year.
Position Overview
We are currently seeking a full‑time Associate Medical Director (Physician Advisor) to support our expanding remote physician team. The Associate Medical Director serves as a clinical expert responsible for reviewing requests for medical services and rendering coverage determinations in accordance with benefit plans, medical policies, and clinical guidelines. This role requires sound clinical judgment, clear and defensible documentation, and the ability to collaborate with physicians across multiple specialties. Peer‑to‑peer discussions with treating providers may be conducted as part of the review process.
Key Duties and Responsibilities
Conduct utilization and medical necessity reviews using benefit language, medical policies, and evidence‑based guidelines
Apply benefit interpretation to ensure accurate, compliant, and well‑supported determinations
Prepare detailed documentation that meets regulatory, accreditation, and internal quality standards
Participate in peer‑to‑peer conversations with treating clinicians when required
Work collaboratively with Medical Directors across regions and specialties to support consistent clinical decision‑making
Schedule and Work Requirements
Standard 40‑hour workweek
Schedule options include five 8‑hour shifts or four 10‑hour shifts (available following completion of training)
NOTE: The schedule is not flexible, we set the schedule requirements
Work hours scheduled between 6:00 AM - 7:00 PM MST (8:00 a.m. to 9:00 p.m. EST)
Expectation of 2–3 weekend shifts per month
Schedules are finalized and released 60 days in advance
Assigned schedules are fixed and require full availability during scheduled hours
Compensation & Additional Information
The permanent starting salary for this position is $240,000 annually and includes a full benefits package. Candidates with previous leadership or Utilization Review experience may qualify for a higher starting salary.
Requirements:
To be eligible for this position, candidates must meet the following criteria:
Hold an active, unencumbered state licensure as a Medical Doctor (MD/DO), any state.
Hold current board certification in either Family Medicine or Internal Medicine (no other board-certified specialty is currently needed).
Possess a minimum of 5 years of direct patient care experience, with the most recent experience no less than 6 months ago (recent clinical care is essential).
Have recently (within the past 2 years) work in an inpatient/hospital setting.
Highly skilled with a variety of computer software programs (will be trained on many)
Be willing to obtain up to 20 additional state licenses (MRIoA covers the cost of licenses and CME requirements to maintain them).
Have a clean background, without prior licensure issues, pending malpractice cases or legal issues.
Possess excellent verbal and written communication skills.
Excellent interpretation skills, divergent/creative thinking skills.
Equipment Requirements
All necessary computer equipment is provided.
A hard-wired Ethernet connection is preferred, but a reliable Wi-Fi connection is also acceptable
Additionally:
Must be fully dedicated to the job during your scheduled hours. This is a busy position and does not allow for caregiving responsibilities during scheduled work hours.
Malpractice insurance is not required, as physicians do not provide direct patient care. Reviewers are covered under MRIoA's Errors and Omissions policy.
(Physicians interested in PRN opportunities may contact [email protected].)
Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity Statement:
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace:
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at [email protected].
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Founded in 1983, we’re a clinically-driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations.
Excellence starts with our people.
WE OFFER
A competitive compensation package.
Benefits include healthcare, vision and dental insurance, a generous 401k match, paid vacation, personal time, and holidays.
Growth and training opportunities.
A team atmosphere with fun events and prizes scheduled throughout the year.
Position Overview
We are currently seeking a full‑time Associate Medical Director (Physician Advisor) to support our expanding remote physician team. The Associate Medical Director serves as a clinical expert responsible for reviewing requests for medical services and rendering coverage determinations in accordance with benefit plans, medical policies, and clinical guidelines. This role requires sound clinical judgment, clear and defensible documentation, and the ability to collaborate with physicians across multiple specialties. Peer‑to‑peer discussions with treating providers may be conducted as part of the review process.
Key Duties and Responsibilities
Conduct utilization and medical necessity reviews using benefit language, medical policies, and evidence‑based guidelines
Apply benefit interpretation to ensure accurate, compliant, and well‑supported determinations
Prepare detailed documentation that meets regulatory, accreditation, and internal quality standards
Participate in peer‑to‑peer conversations with treating clinicians when required
Work collaboratively with Medical Directors across regions and specialties to support consistent clinical decision‑making
Schedule and Work Requirements
Standard 40‑hour workweek
Schedule options include five 8‑hour shifts or four 10‑hour shifts (available following completion of training)
NOTE: The schedule is not flexible, we set the schedule requirements
Work hours scheduled between 6:00 AM - 7:00 PM MST (8:00 a.m. to 9:00 p.m. EST)
Expectation of 2–3 weekend shifts per month
Schedules are finalized and released 60 days in advance
Assigned schedules are fixed and require full availability during scheduled hours
Compensation & Additional Information
The permanent starting salary for this position is $240,000 annually and includes a full benefits package. Candidates with previous leadership or Utilization Review experience may qualify for a higher starting salary.
Requirements:
To be eligible for this position, candidates must meet the following criteria:
Hold an active, unencumbered state licensure as a Medical Doctor (MD/DO), any state.
Hold current board certification in either Family Medicine or Internal Medicine (no other board-certified specialty is currently needed).
Possess a minimum of 5 years of direct patient care experience, with the most recent experience no less than 6 months ago (recent clinical care is essential).
Have recently (within the past 2 years) work in an inpatient/hospital setting.
Highly skilled with a variety of computer software programs (will be trained on many)
Be willing to obtain up to 20 additional state licenses (MRIoA covers the cost of licenses and CME requirements to maintain them).
Have a clean background, without prior licensure issues, pending malpractice cases or legal issues.
Possess excellent verbal and written communication skills.
Excellent interpretation skills, divergent/creative thinking skills.
Equipment Requirements
All necessary computer equipment is provided.
A hard-wired Ethernet connection is preferred, but a reliable Wi-Fi connection is also acceptable
Additionally:
Must be fully dedicated to the job during your scheduled hours. This is a busy position and does not allow for caregiving responsibilities during scheduled work hours.
Malpractice insurance is not required, as physicians do not provide direct patient care. Reviewers are covered under MRIoA's Errors and Omissions policy.
(Physicians interested in PRN opportunities may contact [email protected].)
Work Environment:
Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).
Diversity Statement:
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
Drug-Free Workplace:
This company is a drug-free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, as well as agreeing to all necessary Compliance Regulations on their first day of employment. Employees are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver’s license number, or state identification card number, and passport number.
Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at [email protected].
Apply tot his job
Apply To this Job