For our client, we are seeking a Supervisory Medical Director National Physical Health Appeals Outpatient UM to join the team of a leader in the Hospitals & Medical Centers space. This role will support clinical priorities focused on quality, patient-centered outcomes, and effective care delivery. You will collaborate with clinical leaders, operational teams, and cross-functional stakeholders to improve standards, workflows, and execution. The position offers the opportunity to strengthen care quality, team performance, and measurable outcomes within a healthcare environment.
Location: Remote - US based candidates only, no visa sponsorship available
Compensation: $236,500 – $449,300 annually
Responsibilities
- Provide operational leadership and mentorship for front-line medical directors
- Participate in creating and updating medical director training programs
- Support strategic clinical initiatives led by the CMO and Sr. Medical Director
- Engage in utilization review studies and performance management
- Handle complex utilization management cases for timely decision-making
- Conduct case escalation reviews and resolve disputes with providers
- Oversee the appeals process ensuring compliance with regulations
Qualifications
- Medical Doctor (MD) from an accredited medical school required
- Master's Degree (MBA, MPH, or epidemiologist degree) preferred
- 5+ years of managed care/clinical experience required
- 1+ years of supervisory/management experience preferred
- Board certification in a recognized medical specialty required
- Current state license as a MD or DO without restrictions
Benefits
- Comprehensive health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible work schedules (remote, hybrid, field or office)
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.
