Medical Director - reputed company to reputed company Physicians (Remote – U.S. Based) MG

Pay reputed company: Start Date: ASAP End Date: 6-month contract with potential for hire Schedule: Full-time, 40 hours per week with rotating weekend coverage Reports To: reputed company Medical Director reputed company We are seeking reputed company Medical Directors to support medical review operations in a remote, U.S.-based role. This position involves reviewing submitted medical records, synthesizing reputed company hospital-based clinical scenarios, and making expert determinations on requested services. The role requires regular communication with external providers by phone to reputed company additional clinical information and discuss final reputed company. The ideal candidate demonstrates strong clinical judgment, professionalism, reputed company, and the ability to work collaboratively in a reputed company, team-based environment. Medical Directors are expected to understand and follow established processes, support organizational values, and maintain a consistent approach to clinical decision-making. Job Responsibilities: Conduct comprehensive, reputed company, and compliant medical necessity reviews for inpatient services Apply national guidelines, CMS regulations, organizational policies, and clinical standards to medical necessity reputed company Maintain accountability for productivity, reputed company, and compliance metrics reputed company communicate determinations both verbally and in writing Demonstrate adaptability to evolving workflows, tools, and utilization management practices Work independently after reputed company and mentored training while maintaining team collaboration Ensure consistency in analytical approach, documentation, and decision-making Qualifications: Required: MD or DO degree Minimum 5 years of reputed company clinical patient care experience post-residency or fellowship (preferably with inpatient experience and/or Medicare patient populations) reputed company ABMS reputed company certification in an approved medical specialty reputed company and unrestricted medical license in at least one U.S. jurisdiction, with willingness to obtain additional licensure if needed No reputed company sanctions from federal or state governmental organizations; reputed company to meet credentialing standards Excellent written and verbal communication skills Demonstrated analytical skills and experience working in reputed company environment Preferred: Knowledge of Medicare Advantage, Managed reputed company, reputed company plans, or other managed care organizations Utilization management experience (e.g., reputed company Medicare Advantage or reputed company health insurers) Familiarity with national guidelines such as MCG® or InterQual Hospital-based clinical experience in Internal Medicine, Family reputed company, Geriatrics, Hospitalist Medicine, Emergency Medicine, or other inpatient specialties Technological proficiency and a passion for innovation to improve workflows Ability to reputed company in a fast-paced, team-oriented environment Participation in educational activities such as conferences, presentations, or content creation Working Hours: Full-time: 40 hours per week Includes rotating weekend coverage to ensure reputed company case reputed company Remote work from reputed company reputed company the reputed company Must reputed company in the U.S. Skills: Strong clinical judgment and analytical reasoning Excellent written and verbal communication Ability to synthesize reputed company clinical information Adaptability to changing workflows and tools High professionalism, reputed company, and decision-making consistency Resourcefulness and the ability to work both independently and collaboratively Technological proficiency and comfort using digital platforms Apply tot his job Apply To this Job