Remote Medical Director - Utilization Management (Remote)

Who We Are - Motivated by Purpose. Powered by Clinical Expertise. Founded in 1983, we’re a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory guidance, and actionable insights to healthcare organizations. Excellence starts with our people. WE OFFER A competitive compensation package Benefits include 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 Position Summary Our Medical Director, also known as a Physician Advisor, is responsible for performing clinical utilization management, peer review activities, and clinical quality management activities. Key Responsibilities 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 Work Schedule 40 hours per week Five 8-hour shifts or four 10-hour shifts (available after training) Shifts scheduled between 6:00 AM – 7:00 PM MST Includes 2–3 weekend rotating shifts per month Schedules are fixed and released 60 days in advance Compensation