Remote Medical Director -Physical Health
Job Description
Physical Health Medical Director (Remote/Hybrid)
North Carolina (Remote with Occasional On-Site Meetings)
Are you a physician leader with managed care and utilization management experience who is passionate about improving healthcare quality and outcomes? Join a mission-driven organization as a Physical Health Medical Director, where you'll play a critical leadership role in ensuring evidence-based, high-quality medical management services while collaborating with multidisciplinary teams to improve member care.
This position is primarily remote, with occasional on-site attendance as needed. Candidates residing in North Carolina or willing to relocate are strongly preferred.
Position Highlights
As the Physical Health Medical Director, you will provide clinical leadership and oversight for utilization management and medical review activities by:
Qualifications
If you're an experienced physician leader looking to make a meaningful impact in managed care while maintaining an excellent work-life balance, we'd love to hear from you. Please apply on-line or email CV/resume to Cheryl@PsychPros.com
IND123
North Carolina (Remote with Occasional On-Site Meetings)
Are you a physician leader with managed care and utilization management experience who is passionate about improving healthcare quality and outcomes? Join a mission-driven organization as a Physical Health Medical Director, where you'll play a critical leadership role in ensuring evidence-based, high-quality medical management services while collaborating with multidisciplinary teams to improve member care.
This position is primarily remote, with occasional on-site attendance as needed. Candidates residing in North Carolina or willing to relocate are strongly preferred.
Position Highlights
- Primarily remote work environment
- Competitive salary: $211,172 - $269,245 annually
- Comprehensive medical, dental, vision, life, and disability insurance
- Generous retirement savings plan
- Flexible work schedule
- Excellent paid time off package including vacation, sick leave, holidays, and management leave
- Professional, collaborative culture with dress flexibility
As the Physical Health Medical Director, you will provide clinical leadership and oversight for utilization management and medical review activities by:
- Reviewing and authorizing physical health services using evidence-based medical necessity criteria
- Determining appropriate levels of care for inpatient and outpatient services
- Conducting utilization reviews, appeals, concurrent reviews, and case evaluations
- Ensuring compliance with regulatory, accreditation, and organizational standards
- Participating in Clinical Quality Review, Transition of Care, Overturn Committee, and other interdisciplinary meetings
- Providing medical consultation and guidance to care management, clinical operations, and behavioral health teams
- Supporting mediation activities and Office of Administrative Hearing (OAH) proceedings when needed
- Identifying opportunities to improve clinical quality, operational efficiency, and member outcomes
- Mentoring Medical Directors and supporting onboarding of new physician leaders
- Promoting a positive, collaborative, diverse, and inclusive workplace culture
Qualifications
- Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO)
- Board Certification in Family Medicine or Internal Medicine
- Current, unrestricted North Carolina medical license, or eligibility to obtain one
- Minimum of four (4) years of clinical practice experience
- At least two (2) years of managed care and utilization management experience
- Extensive knowledge of utilization management and medical necessity review
- Strong understanding of managed care principles
- Excellent clinical judgment and decision-making skills
- Ability to collaborate effectively with physicians, care managers, and interdisciplinary teams
- Strong communication and leadership abilities
- Proficiency with Microsoft Office applications
If you're an experienced physician leader looking to make a meaningful impact in managed care while maintaining an excellent work-life balance, we'd love to hear from you. Please apply on-line or email CV/resume to Cheryl@PsychPros.com
IND123
Meet Your Recruiter
Cheryl Rapier
Senior Recruiting Manager
I enjoy the linking process - making good matches. My job is to listen to the needs of my clients and find the candidate who most closely matches what they are looking for.
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