Medical Director; Physician Advisor

Position Overview

In this role, you will apply your clinical expertise to evaluate requests for medical services, interpret benefit language and medical policies, and make sound coverage determinations. You may also engage in peer-to-peer discussions with treating providers. This position emphasizes independent clinical judgment, thorough documentation, and collaboration with a nationwide team of Medical Directors.

• Perform clinical coverage reviews using member benefits, medical policies, and established clinical guidelines
• Interpret benefit language to support accurate and compliant determinations
• Document review outcomes in alignment with regulatory, accreditation, and internal standards
• Participate in peer-to-peer discussions with treating providers as needed
• Collaborate with Medical Directors across multiple specialties and regions

• Fully remote, full-time salaried position
• Comprehensive benefits package, including healthcare, dental, vision insurance, 401(k) with generous employer match, 35 days of paid time off annually, required computer equipment provided
• Employment with a stable, well-established organization with long-term industry leadership

• 40 hours per week
• Five 8-hour shifts, or four 10-hour shifts (available after training)
• Shifts scheduled between 6:00 a.m.–7:00 p.m. MST (8:00 a.m.–9:00 p.m. EST)
• Includes 2–3 weekend shifts per month
• Schedules released 60 days in advance
• Schedules fixed; dedication during scheduled hours required
• Internet connection must be hard-wired via Ethernet (Wi-Fi not permitted for security purposes)

• Active, unencumbered state licensure as a Medical Doctor (MD/DO), any state
• Current board certification in Family Medicine or Internal Medicine
• Minimum of 5 years direct patient care experience; most recent experience no less than 6 months ago
• Recent (within the past 2 years) work in an inpatient/hospital setting
• Willingness to obtain up to 20 additional state licenses (costs covered by MRIoA)
• Clean background, no prior licensure issues, pending malpractice cases or legal issues
• Excellent verbal and written communication skills
• Excellent interpretation skills, divergent/creative thinking skills (essential)

• Must be fully dedicated during scheduled hours; caregiving responsibilities during work hours not allowed
• Malpractice insurance not required. Reviewers covered under MRIoA’s Errors and Omissions policy

Diversity creates a healthier atmosphere:
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

This company is a drug‑free workplace. All candidates are required to pass a Background Screen before beginning employment. All newly hired employees will take a Drug Screen, and agree to all necessary Compliance Regulations on their first day of employment. Workers are required to adhere to all applicable HIPAA regulations and company policies regarding confidentiality, privacy, and security of sensitive health information.

• Sensitive Personal Info: real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, IP address, driver’s license number, state r, passport number.
• Applicants can access their data and request corrections. For questions or requests to edit, delete, or correct data, email the Medical Review Institute at