Medical Director

Title: Medical Director Location: Remote Duration: 6 Months with possible extension/Conversion FTE We’re hiring a board-certified physician to support the Medicare Inpatient Pod. This role partners with the Chief Medical Director to lead utilization management, quality improvement, credentialing, and appeals for high-volume inpatient and post-acute care reviews. You’ll drive medical necessity decisions using InterQual/MCG, support discharge planning, mentor provider relationships, and help reduce readmissions while meeting productivity and audit targets. Base pay range $110.00/hr - $130.00/hr Key responsibilities Provide medical leadership for utilization management, cost-containment, and quality improvement. Perform concurrent inpatient and post-acute reviews, and review complex/controversial services and claims appeals. Support physician committee functions and implement performance improvement initiatives. Conduct rounds for high-risk members and collaborate with care management. Develop physician education and provider relationships; represent the business unit as needed. Consult on SUD policy and MCM cases when required. Qualifications Active board certification: Internal Medicine or Family Medicine. Active, unrestricted medical licenses in FL and TX. Hands-on experience with InterQual and/or MCG. Inpatient clinical background or prior physician advisor experience. Nice to have Multi-state licenses (MI, MS, NJ, NC, CA, KS, AR). Performance expectations Productivity target: ~45+ cases/day. Job function and seniority Job function: Management and Health Care Provider Industries: Hospitals and Health Care and Insurance #J-18808-Ljbffr