For our client, we are seeking a Medical Director - Priority Health to join the team of a leader in the Hospitals & Medical Centers space.
This remote leadership role will focus on guiding medical management activities and supporting clinical decision-making across managed care operations. The Medical Director will partner closely with nurse case management, utilization management, and quality teams to advance patient-centered care and evidence-based practices. This position will also contribute to clinical guidelines, peer-to-peer discussions, and denial management processes that support sound, consistent outcomes.
Location: Remote - US based candidates only, no visa sponsorship available
Compensation: $210,000 – $250,000 annually
Responsibilities
- Understand and support the organization's mission and strategic goals
- Participate in medical management initiatives
- Provide clinical oversight to nurse case management and utilization management teams
- Advocate for patient-centered care and evidence-based medicine
- Collaborate on clinical utilization guidelines and quality programs
- Engage in peer-to-peer clinical discussions and denial management
Qualifications
- Doctoral degree required (MD or DO)
- 3+ years of experience in a clinical setting required
- 3+ years of experience in managed care required
- Proven success in physician communication and education preferred
- Active Michigan medical license required within 90 days
- Board certification in a relevant specialty required
- Working knowledge of national utilization management tools preferred
Benefits
- Comprehensive benefits package for financial and health needs
- On-demand pay program for flexible financing
- Discounts on various services and products
- Optional identity theft protection and insurance options
- Traditional and Roth retirement plans with contributions and matches
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.
