Physician, Inpatient Denials Management (FT/M-F/REMOTE)

As a Medical Director, Denials Management, you will evaluate hospitalizations across the country, utilizing your medical knowledge and gaining experience as an expert advisor to client hospitals. You will perform clinical case reviews and provide recommendations to establish the appropriate admission status. This opportunity allows for a predictable schedule and work/life balance while expanding your knowledge base in Utilization Review.

Requirements

• MD or DO degree with strong clinical knowledge
• Active unrestricted medical license in at least one state within the United States
• Required specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, HEM/ONC, General Surgery, Family Practice, Critical Care or Infectious Disease; Board certification (preferred)
• At a minimum, 1 year of acute care adult hospital experience in a US hospital within the past 5 years or recent relevant physician advisor experience
• Working knowledge of hospitals' EMR
• Computer proficient
• Excellent verbal and written communication skills
• Team Player

Benefits

• Quality of life with a remote predictable, full-time schedule
• Comprehensive training and education program
• Opportunities for career growth within the organization
• Salary plus bonus opportunities
• Medical, Dental, Vision coverage, 401K
• Holidays, paid time off, long-term disability insurance, and life insurance
• Allowance for CME and/or license renewals