Sr. Medical Director

Integrated Home • Miramar, FL

5d

About The Position

Who we are: IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1 Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services. We currently serve over 2 million lives throughout the nation and the Commonwealth of Puerto Rico. Join our team as we strive for excellence through teamwork delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care. Offering a competitive compensation package, including but not limited to; Medical, Vision, Dental, Short- and Long-term insurance 6+ Days of Holidays Pay 15+ days of PTO Employer paid life insurance 401K with employer contribution Wellness program with reward incentives Employee recognition and reward programs What will you be doing: The Medical Director – Home Health and DME Services is responsible for providing clinical oversight and performing medical necessity reviews for home health and durable medical equipment (DME) prior authorization and other coverage requests. This role supports the provision of timely, evidence-based decisions aligned with payer policy, regulatory requirements, and best clinical practices. The ideal candidate will closely collaborate with utilization management, care coordination, and provider-network engagement teams to support high-quality, cost-effective care delivery in the home setting. What you need to succeed: Medical Degree (MD or DO) from an accredited institution. Board Certification in a relevant specialty (e.g., Internal Medicine, Family Medicine, Geriatrics, Physical Medicine & Rehabilitation). Active, unrestricted medical license in at least one state and willingness to get licensure in other states to meet business needs. Residency in a U.S. state is required to meet compliance standards Minimum of 5 years of clinical practice experience involving patient care Experience in home health, DME, or post-acute care preferred. Experience in utilization management or health plan medical review is highly desirable. Familiarity with NCQA standards as well as CMS Clinical Guidelines preferred. Strong communication skills and ability to interact with physicians, providers, and health plan teams. Experience with electronic health records (EHRs), authorization platforms, and documentation systems preferred. Join our team as we strive for excellence through teamwork, where our patients are #1! IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Requirements

• Medical Degree (MD or DO) from an accredited institution.
• Board Certification in a relevant specialty (e.g., Internal Medicine, Family Medicine, Geriatrics, Physical Medicine & Rehabilitation).
• Active, unrestricted medical license in at least one state and willingness to get licensure in other states to meet business needs.
• Residency in a U.S. state is required to meet compliance standards
• Minimum of 5 years of clinical practice experience involving patient care

Nice To Haves

• Experience in home health, DME, or post-acute care preferred.
• Experience in utilization management or health plan medical review is highly desirable.
• Familiarity with NCQA standards as well as CMS Clinical Guidelines preferred.
• Strong communication skills and ability to interact with physicians, providers, and health plan teams.
• Experience with electronic health records (EHRs), authorization platforms, and documentation systems preferred.

Responsibilities

• providing clinical oversight
• performing medical necessity reviews for home health and durable medical equipment (DME) prior authorization and other coverage requests
• supports the provision of timely, evidence-based decisions aligned with payer policy, regulatory requirements, and best clinical practices
• collaborate with utilization management, care coordination, and provider-network engagement teams to support high-quality, cost-effective care delivery in the home setting

Benefits

• Medical
• Vision
• Dental
• Short- and Long-term insurance
• 6+ Days of Holidays Pay
• 15+ days of PTO
• Employer paid life insurance
• 401K with employer contribution
• Wellness program with reward incentives
• Employee recognition and reward programs

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: Ph.D. or professional degree