Medical Director - Florida (3)

Ladders • Full-time • Remote (United States) • $174.07k - $374.92k / year • 18h ago

For our client, we are seeking a Medical Director - Florida (3) to join the team of a leader in the Healthcare space.

This physician leadership role will focus on medical management oversight, clinical program development, and utilization review within a health plan environment. The position partners closely with medical management staff, network providers, and facilities to support timely, high-quality decisions for members and providers. In this role, you will apply clinical judgment, coding knowledge, and reimbursement expertise to strengthen care delivery, improve operational execution, and support quality outcomes.

Location: Remote

Compensation: $174,070 – $374,920 annually

Responsibilities

Oversee medical policy implementation and clinical program development
Evaluate and expand medical management programs to meet member needs
Support Medical Management staff with timely responses to members and providers
Manage utilization review and quality assurance processes
Conduct predetermination reviews and claims determinations
Provide clinical, coding, and reimbursement expertise as needed
Act as liaison to network providers and facilities for effective medical services execution

Qualifications

5+ years of experience in Health Care Delivery System, including clinical practice and health care industry
Active and current state medical license; Florida preferred
M.D. or D.O. with Board Certification in an ABMS or AOA recognized specialty
Post-graduate direct patient care experience
Preferred: previous utilization management experience with a health plan or payor

Benefits

Comprehensive medical, dental, and vision coverage
Paid time off for work-life balance
Retirement savings options to secure your future
Wellness programs to support overall health
Additional resources for physical, emotional, and financial well-being

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.