Medical Director Physician

Job Snapshot Degree Required: MD/DO Position Type: Locum/Travel, Part-Time/Contract Work Setting: Fully Remote Availability: Must reside in the U.S. Open Positions: 80 Position Overview A large national healthcare organization is seeking skilled Medical Directors to support clinical decision-making in a structured, remote environment. In this role, you will evaluate clinical information, determine medical necessity, and collaborate closely with external providers to ensure timely and accurate case determinations. Successful candidates thrive in a team-oriented setting, value precision and consistency, and bring a high level of professionalism to every interaction. Key Responsibilities Perform timely, compliant medical necessity reviews for inpatient services Ensure determinations follow CMS regulations, national guidelines, and internal standards Communicate clinical decisions clearly both verbally and in written format Meet established productivity, quality, and compliance goals Work collaboratively with internal teams and external providers Adapt to evolving utilization management processes, tools, and workflows Participate in required educational or training activities Required Qualifications MD or DO degree Minimum of 5 years of post-residency/fellowship direct patient care (inpatient or Medicare-type population preferred) Active Board Certification in an ABMS-recognized specialty Unrestricted medical license in at least one U.S. state (willing to obtain additional licenses as needed) Strong communication skills, both written and verbal Proven analytical and clinical interpretation abilities Experience working in a collaborative team environment Preferred Qualifications Background in managed care (Medicare Advantage, Managed Medicaid, Commercial) Prior experience in Utilization Management Familiarity with MCG or InterQual guidelines Clinical experience in IM, FM, Geriatrics, Hospitalist, Emergency Medicine, or related specialties Tech-forward mindset with adaptability to new tools and workflows Commitment to innovation and positive team culture Interview Process All interviews conducted virtually via Zoom Single interview with the Lead Medical Director Quick decision process

Created: 2026-03-10