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.

• 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

Our Medical Director, also known as a Physician Advisor, is responsible for performing clinical utilization management, peer review activities, and clinical quality management activities.

• 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

• 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

• Base salary: $240,000 per year
• 20 days of Paid Time Off per year
• 6 company Holidays (New Year’s, Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas) and 1 Floating Holiday
• 8 days of Paid Sick Leave
• Medical and Prescription Benefits administered by Aetna
• Dental and Vision benefits
• Basic Life and Accidental Death and Dismemberment (AD&D) Insurance
• Short-Term & Long-term Disability insurance

• Minimum of five years’ full-time equivalent experience providing direct clinical care to patients
• Minimum of five years’ experience administering utilization management and peer review programs preferred
• Credentialed and privileged by the Company's Credentialing Committee
• Obtain additional state licensure as required for the position

• MD/DO degree
• Current, unrestricted medical license as required for clinical practice in a state of the United States
• Board certification by a medical specialty board approved by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) or other board recognized by URAC preferred

• Malpractice insurance is not required, as physicians do not provide direct patient care. Reviewers are covered under MRIoA's Errors and Omissions policy.

Ability to sit at a desk, utilize a computer, telephone, and other basic office equipment is required. This role is designed to be a remote position (work-from-home).