Quality, Innovation, and Experience: Setting Us Apart
Medical Director – Utilization Management
Location
United States
Posted
10 days ago
Salary
$240K / year
Seniority
Lead
Job Description
Medical Director – Utilization Management
Medical Review Institute of America, LLC
• Perform 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 required. • Consistently 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 standards
Job Requirements
- Minimum of five years’ full-time equivalent experience providing direct clinical care to patients
- Minimum of five years’ experience administering utilization management and peer review programs preferred
- Credentialed and privileged by the Company's Credentialing Committee
- Obtain additional state licensure as required for the position
- Education: MD/DO degree
- Current, unrestricted medical license as required for clinical practice in a state of the United States
- Board 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 preferred
Benefits
- healthcare, vision, and dental insurance
- A generous 401(k) match
- Paid vacation, PTO, and holidays
- Growth and training opportunities
- An award-winning remote work environment
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