Physician Utilization Reviewer (Medical Director) - Remote

Overview

The Physician Utilization Reviewer (Medical Director) at MRIoA plays a critical role in ensuring accurate and timely clinical determinations for utilization reviews, utilizing clinical knowledge in conjunction with healthcare plan criteria.

In Short

• Work as a Physician Reviewer at MRIoA
• Ensure accurate clinical determinations for clients
• Utilize clinical knowledge and medical guidelines
• Evaluate clinical service requests
• Engage in peer-to-peer outreach with providers
• Work 40 hours per week with variable schedules
• Weekend rotation required (2-3 days/month)
• Must be board certified in Internal or Family Medicine
• 5 years of direct patient care experience required
• Flexible with schedule changes and additional hours

Requirements

• MD or DO degree required
• Current board certification in Family or Internal Medicine
• Unencumbered medical license required
• Ability to obtain additional state licenses
• Pass credentialing by the company’s committee

Benefits

• Medical, Dental, and Vision insurance
• Generous 401(k) company match
• 31 days of PTO per year
• Drug-free workplace with background screening