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Medical Review Institute of America, LLC logo
Medical Review Institute of America, LLC

Quality, Innovation, and Experience: Setting Us Apart

Utilization Review Medical Director

Medical DirectorMedical DirectorFull TimeRemoteLeadTeam 501-1,000Since 1983H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

75 days ago

Salary

$240K / year

Seniority

Lead

Postgraduate Degree5 yrs expEnglish

Job Description

Utilization Review Medical Director

Medical Review Institute of America, LLC

• Conduct coverage reviews using critical thinking and clinical expertise. • Interpret benefit language and policies to guide clinical coverage determinations. • Document clinical review findings and outcomes in compliance with organizational standards. • Engage in peer-to-peer consultations with prescribing providers. • Collaborate and communicate effectively with fellow Medical Directors. • Schedule 40 hours per week, either 5 shifts of 8 hours or 4 shifts of 10 hours.

Job Requirements

  • 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.
  • Possess a minimum of 5 years of direct patient care experience, with the most recent experience no less than 6 months ago.
  • Be willing to obtain up to 20 additional state licenses.
  • Have a clean background, without prior licensure issues or legal issues.
  • Possess excellent verbal and written communication skills.
  • Excellent interpretation skills, divergent/creative thinking skills.

Benefits

  • Full benefits package

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Job Closed