Medical Director (Physician Advisor)

MRIoA • Orlando, FL

1d • Remote

About The Position

Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering evidence-based solutions for more than 43 years. We are currently seeking a full-time Associate Medical Director (sometimes referred to as a Physician Advisor) to join our growing, fully remote team. (Contact [email protected] for PRN opportunities) Position Overview In this role, you will apply your clinical expertise to evaluate requests for medical services, interpret benefit language and medical policies, and make sound coverage determinations. You may also engage in peer-to-peer discussions with treating providers. This position emphasizes independent clinical judgment, thorough documentation, and collaboration with a nationwide team of Medical Directors.

Requirements

• Hold an active, unencumbered state licensure as a Medical Doctor (MD/DO), any state.
• Hold current board certification in either Family Medicine or Internal Medicine (no other board-certified specialty is currently needed).
• Possess a minimum of 5 years of direct patient care experience, with the most recent experience no less than 6 months ago (recent clinical care is essential).
• Have recently (within the past 2 years) work in an inpatient/hospital setting.
• Be willing to obtain up to 20 additional state licenses (MRIoA covers the cost of licenses and CME requirements to maintain them).
• Have a clean background, without prior licensure issues, pending malpractice cases or legal issues.
• Possess excellent verbal and written communication skills.
• Excellent interpretation skills, divergent/creative thinking skills.
• Excellent interpretation skills, divergent/creative thinking skills are essential!
• Must be fully dedicated to the job during your scheduled hours. This is a busy position and does not allow for caregiving responsibilities during scheduled work hours.
• Internet connection must be hard-wired via Ethernet (Wi-Fi not permitted for security purposes)

Responsibilities

• Perform clinical coverage reviews using member benefits, medical policies, and established clinical guidelines
• Interpret benefit language to support accurate and compliant determinations
• Document review outcomes in alignment with regulatory, accreditation, and internal standards
• Participate in peer-to-peer discussions with treating providers as needed
• Collaboration with Medical Directors across multiple specialties and regions

Benefits

• Fully remote, full-time salaried position
• Comprehensive benefits package, including:
• Medical, dental, and vision insurance
• 401(k) with generous employer match
• 35 days of paid time off annually
• All required computer equipment provided
• Employment with a stable, well-established organization with long-term industry leadership

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: Ph.D. or professional degree
• Number of Employees: 251-500 employees