Role Description
Our Medical Director, also known as a Physician Advisor, is responsible for performing clinical utilization management, peer review activities, and clinical quality management activities.
Key Responsibilities
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Perform utilization management case reviews.
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Maintain productivity score per company standard.
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Maintain annual quality score per company standard.
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Complete annual inter-rater reliability testing.
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Train across all queues as requested by MRIoA leadership.
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Complete all client specific training as requested by MRIoA leadership.
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Maintain up-to-date records of case completion if required.
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Consistently show willingness to take cases as requested.
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Demonstrate respect in interactions across the company.
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Consistently submit scheduling requests at least three months in advance.
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Consistently work scheduled hours.
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Provide ideas for promotion and growth of the company as requested.
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Respond appropriately and in a timely manner to licensing/CME requests from the Senior Medical Directors, Vice President of Medical Affairs, or Chief Medical Officer and/or administrative team.
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Actively participate in the MRIoA evaluation process (both company and individual).
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Participate in all company meetings and committees as requested.
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Complete other duties as requested or approved by the CEO and/or chief medical officer.
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Thorough understanding of the Companyโs clients, products, departments, workflows, and applicable regulatory requirements and accreditation standards.
Work Schedule
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40 hours per week.
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Five 8-hour shifts or four 10-hour shifts (available after training).
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Shifts scheduled between 6:00 AM โ 7:00 PM MST.
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Includes 2โ3 weekend rotating shifts per month.
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Schedules are fixed and released 60 days in advance.
Qualifications
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Minimum of five yearsโ full-time equivalent experience providing direct clinical care to patients.
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Minimum of five yearsโ experience administering utilization management and peer review programs preferred.
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Credentialed and privileged by the Company's Credentialing Committee.
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Obtain additional state licensure as required for the position.
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MD/DO degree.
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Current, unrestricted medical license as required for clinical practice in a state of the United States.
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Board certification by a medical specialty board approved by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) or other board recognized by URAC preferred.
Requirements
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Malpractice insurance is not required, as physicians do not provide direct patient care. Reviewers are covered under MRIoA's Errors and Omissions policy.
Benefits
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A competitive compensation package.
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Benefits include healthcare, vision, and dental insurance.
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A generous 401(k) match.
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Paid vacation, PTO, and holidays.
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Growth and training opportunities.
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An award-winning remote work environment.
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Base salary: $240,000 per year.
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20 days of Paid Time Off per year.
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6 company Holidays (New Yearโs, Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas) and 1 Floating Holiday.
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8 days of Paid Sick Leave.
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Medical and Prescription Benefits administered by Aetna.
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Dental and Vision benefits.
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Basic Life and Accidental Death and Dismemberment (AD&D) Insurance.
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Short-Term & Long-Term Disability insurance.