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Medical Director, Medical Affairs

$174.07k - $374.92k

LADDERS

For our client, we are seeking a Medical Director, Medical Affairs to join the team of a leader in the Healthcare space. This physician leadership role will provide clinical oversight for utilization management, specialty medication reviews, and coverage determination support across a broad healthcare environment. The position will partner closely with internal clinical teams and contribute to policy refinement, quality review, and medically informed decision-making. It also requires peer-to-peer dialogue, case review, and mentorship that help ensure consistency, medical necessity, and high-quality clinical outcomes. Location: Remote - US based candidates only, no visa sponsorship available Compensation: $174,070 – $374,920 annually Responsibilities Review clinical cases and coverage requests for specialty medications and oncology therapies Provide clinical oversight and mentorship for clinical programs and internal departments Conduct medication utilization reviews and medical necessity appeals for various client segments Engage in peer-to-peer conversations regarding clinical decisions and coverage determinations Participate in inter-rater review and quality oversight for clinical decisions made by other directorsOversee selected clinical programs and contribute to clinical policy revisions and reviews Conduct specialized clinical investigations and research as directed by senior management Qualifications Family Medicine or Internal Medicine Board Certification required; subspecialty board certification preferred Minimum of 5 years of clinical experience in direct patient care At least 2 years of experience in clinical outcomes with knowledge of medical statistics and regulatory agencies Unrestricted medical license in the state of residence Graduate of an accredited Medical School and Residency Program Benefits Comprehensive medical, dental, and vision coverage Paid time off and retirement savings options Wellness programs promoting physical and emotional health Additional resources tailored to support employee well-being Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs. #J-18808-Ljbffr Ladders

Vacancy posted 2 days ago
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