Physician Reviewer (UM Medical Director)

MRIoA • Dallas, TX

31d • Remote

About The Position

Medical Review Institute of America (MRIoA) is a nationally established organization specializing in utilization management and clinical review services. With more than four decades of industry leadership, MRIoA partners with clients nationwide to deliver consistent, evidence‑based medical determinations. We are currently seeking a full‑time Associate Medical Director (Physician Advisor) to support our expanding remote physician team. (Physicians interested in PRN opportunities may contact [email protected].) Role Summary The Associate Medical Director serves as a clinical expert responsible for reviewing requests for medical services and rendering coverage determinations in accordance with benefit plans, medical policies, and clinical guidelines. This role requires sound clinical judgment, clear and defensible documentation, and the ability to collaborate with physicians across multiple specialties. Peer‑to‑peer discussions with treating providers may be conducted as part of the review process.

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.
• Highly skilled with a variety of computer software programs (will be trained on many)
• 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.
• 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.
• A hard‑wired Ethernet internet connection is required ; Wi‑Fi connections are not permitted due to security standards

Responsibilities

• Conduct utilization and medical necessity reviews using benefit language, medical policies, and evidence‑based guidelines
• Apply benefit interpretation to ensure accurate, compliant, and well‑supported determinations
• Prepare detailed documentation that meets regulatory, accreditation, and internal quality standards
• Participate in peer‑to‑peer conversations with treating clinicians when required
• Work collaboratively with Medical Directors across regions and specialties to support consistent clinical decision‑making

Benefits

• Full‑time, salaried position with 100% remote work environment
• Robust benefits package including: Medical, dental, and vision insurance
• 401(k) plan with generous employer matching
• 35 days of paid time off annually
• All required computer equipment provided
• Opportunity to join a stable, well‑established organization with long‑standing industry credibility

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed