Part-Time Medical Director (Remote)

MRIoA • Mountain View, CA

9h • $115 • Remote

About The Position

We are currently seeking a Part-Time Associate Medical Director to join our growing, fully remote team. 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.
• Possess a minimum of 5 years of direct patient care experience, most recent experience no less than 6 months ago
• High level of computer proficiency and comfort with multiple software programs
• Ability to be fully dedicated during scheduled work hours is required, productivity standards requirements must be met.

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

What This Job Offers

• Job Type: Part-time
• Career Level: Director
• Education Level: Ph.D. or professional degree
• Number of Employees: 101-250 employees