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Requirements and responsibilities
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 OFFERA competitive compensation packageBenefits include healthcare, vision, and dental insuranceA generous 401(k) matchPaid vacation, PTO, and holidaysGrowth and training opportunitiesAn award-winning remote work environmentPosition SummaryOur Medical Director, also known as a Physician Advisor, is responsible for performing clinical utilization management, peer review activities, and clinical quality management activities.Key ResponsibilitiesPerform 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 requiredConsistently show willingness to take cases as requested.Demonstrate respect in interactions across the company.Consistently submit scheduling requests at least three months in advance. Consistently work scheduled hours.Provide ideas for promotion and growth of the company as requested (i.e. contribute to the vision of the company).Respond appropriately and in a timely manner to licensing/CME requests from the Senior Medical Directors, Vice President of Medical Affairs, or Chief Medical Officer and/or administrative team.Actively participate in the MRIoA evaluation process (both company and individual).Participate in all company meetings and committees as requested.Complete other duties as requested or approved by the CEO and/or chief medical officer.Thorough understanding of the Company’s clients, products, departments, workflows, and applicable regulatory requirements and accreditation standardsWork Schedule40 hours per weekFive 8-hour shifts or four 10-hour shifts (available after training)Shifts scheduled between 6:00 AM – 7:00 PM MSTIncludes 2–3 weekend rotating shifts per monthSchedules are fixed and released 60 days in advanceCompensation & Expanded BenefitsBase salary: $240,000 per year20 days of Paid Time Off per year6 company Holidays (New Year’s, Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas) and 1 Floating Holiday 8 days of Paid Sick LeaveMedical and Prescription Benefits administered by AetnaDental and Vision benefitsBasic Life and Accidental Death and Dismemberment (AD&D) InsuranceShort-Term & Long-term Disability insuranceSkills and ExperienceMinimum of five years’ full-time equivalent experience providing direct clinical care to patientsMinimum of five years’ experience administering utilization management and peer review programs preferredCredentialed and privileged by the Company's Credentialing CommitteeObtain additional state licensure as required for the positionEducation:MD/DO degreeCurrent, unrestricted medical license as required for clinical practice in a state of the United StatesBoard certification by a medical specialty board approved by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) or other board recognized by URAC preferredAdditionally:Malpractice insurance is not required, as physicians do not provide direct patient care. Reviewers are covered under MRIoA's Errors and Omissions policy.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,
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