Medical Director

IPRO • US,

4d • $145 - $150 • Remote

About The Position

The Medical Director provides clinical oversight and signed authorization of case review reports and final decisions for state, federal, and international contracts, including the Veterans Health Administration (VHA), Ohio IRO, and Abu Dhabi Department of Health. The role oversees the physician reviewer panel and provides input on credentialing and specialty recruitment decisions, working closely with departments responsible for external appeal and independent review operations. This is a part-time remote position, and all work must be performed within the United States.

The Medical Director reviews decisions to ensure cases were evaluated by physicians with appropriate specialty matches, and that decisions are clear, properly supported, documented, and signed before release. The position supports IRO leadership, reviews reporting metrics and contract deliverables, reports on physician activities and contractor communications, leads project activities and implementation, and coordinates training compliance with Directors.

Requirements

• Hold a current, active, unrestricted U.S. professional license in a recognized discipline and maintain it in good standing without active sanctions or disciplinary restrictions.
• Be currently in active practice, providing direct patient care for at least 20 hours per month in a board-certified specialty.
• Have a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.
• Have board certification in a designated specialty.
• Have five years of clinical experience in direct patient care or clinical practice after licensure.
• Ability to solve problems and collaborate with peers and medical, analytical, and administrative support staff.
• Strong interpersonal skills and ability to write and communicate effectively across all media.
• Ability to work independently in a remote setting with minimal supervision.
• Ability to meet time-sensitive deadlines and provide off-hours coverage.

Responsibilities

• Review decisions to verify that each case was evaluated by an appropriately matched physician specialty.
• Ensure decisions are clear, supported by appropriate references and documentation, and signed before release.
• Communicate case concerns to department leadership and Clinical Reviewers.
• Consult with physicians about rendered decisions and related concerns.
• Provide hands-on guidance and support to IRO Leadership, including reviewing reporting metrics and contract deliverables.
• Routinely report to the Vice President and Associate Vice President (FSHCA) on physician activities, physician development, and contractor communications.
• Provide subject matter expertise and adaptive leadership to complete current project activities and implement new ones.
• Coordinate with Directors to maintain compliance with URAC / ISO training requirements.
• Oversee the physician reviewer panel and provide input on credentialing and specialty recruitment decisions.

What This Job Offers

• Job Type: Part-time
• Career Level: Senior
• Education Level: Ph.D. or professional degree