For our client, we are seeking a Medical Director Medical Management to join the team of a leader in the Finance & Insurance space. This role will support financial strategy, forecasting, and performance management initiatives that strengthen business visibility and decision-making. You will partner with executive leadership and cross-functional stakeholders to improve planning processes, financial discipline, controls, and resource allocation. The position offers the opportunity to influence enterprise performance and scalable financial operations within a regulated financial services environment.
Location: Remote - US based candidates only, no visa sponsorship available
Compensation: $227,600 – $385,000 annually
Responsibilities
- Review cases electronically against medical policy criteria and determine medical necessity
- Advise multidisciplinary teams on high-risk cases during team meetings
- Participate in the development of protocols and guidelines for consistency in reviews
- Manage or participate in projects requiring physician expertise
- Complete reviews and compose clear rationales for member and provider notifications
Qualifications
- MD or DO degree required
- 5 years in clinical direct patient care required
- Board Certification in a recognized specialty required
- Active medical state licensure required
- 1 year in medical management preferred
Benefits
- Opportunity to lead and advise multidisciplinary teams
- Engagement in special projects to improve member care
- Work within compliance standards of various health organizations
- Office-based role with minimal travel requirements
- Collaborative work environment focusing on high clinical standards
Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.
