[Hiring] Medical Director @IPRO

Role Description

As the Medical Director you will provide clinical oversight and signed authorization of case review reports and final decisions for state, federal, and international contracts, including the Veterans Health Administration (VHA), Ohio IRO, and Abu Dhabi Department of Health. You will oversee the physician reviewer panel and provide input on credentialing and specialty recruitment decisions. Working closely with the departments that manage external appeal and independent review operations. This is a part-time remote position (All work must be performed within the United States.)

DUTIES:

• Clinical Oversight and Decision Review:
  • Review decisions to confirm that each case has been evaluated by an appropriate physician with a matching specialty.
  • Ensure that each decision is clear, supported by appropriate references and documentation, and signed before release.
  • Communicate any identified concerns regarding cases to department leadership and Clinical Reviewers.
  • Consult with individual physicians regarding rendered decisions and any related concerns.
• Program Guidance and Support:
  • Provide hands-on guidance and support to IRO Leadership, including review of reporting metrics and contract deliverables.
• Leadership Reporting:
  • Report routinely to the Vice President and Associate Vice President (FSHCA) on physician activities, including physician development, and on contractor communications.
• Project Leadership and Implementation:
  • Provide subject matter expertise and adaptive leadership to ensure completion of current project activities and implementation of new ones.
• Training Compliance:
  • Coordinate with Directors to maintain compliance with URAC / ISO training requirements.

Qualifications

• Hold a current, active, unrestricted U.S. professional license in a recognized discipline.
• Keep licensure in good standing, without active sanctions or disciplinary restrictions.
• Ability to solve problems and collaborate with peers and medical, analytical, and administrative support staff.
• Strong interpersonal skills and the ability to write and communicate effectively across all media.
• Ability to work independently in a remote setting with minimal supervision.
• Ability to meet time-sensitive deadlines and provide off-hours coverage.
• Currently in active practice, providing direct patient care for a minimum of 20 hours per month in a board-certified specialty.

Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree, required.
• Board certification in a designated specialty, required.
• Five (5) years of clinical experience in direct patient care or clinical practice after licensure, required.

Benefits

• The hourly range for this position is $145.00 - $150.00.
• Actual salary and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget.
• The salary range listed does not include other forms of compensation or benefits.

Company Description

IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status.