Sign In
 [New User? Sign Up]
Mobile Version

Medical Director

Company Confidential

Remote, Michigan
Work Type:
Job Status:
Full Time
  • Physician Executive
  • Public Health/Preventive Med
Company Confidential
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details


Provide clinical and quality improvement leadership pertaining to the application of medical practice processes and incorporate changes in the current health care continuum that focuses on all health care providers. Support the development and implementation of all corporate projects and consequent analyses for appropriate reporting formats to clients. Assist in the development of new business, presentations and publications.


  • Provides clinical support for beneficiary protection, medical utilization, and quality of care reviews.
  • Participates in the review of complex, controversial and/or unique cases as required. Solicits and evaluates advice of external medical and allied health consultants with respect to said reviews as needed.
  • Recruits and leads a team of physician reviewers
  • Establishes and maintains effective communication with executive leadership and with external collaborators, partners, and stakeholders.
  • Facilitates the recruitment of clinical consultants; reviews and approves all credentialing and re-credentialing applications of clinical consultants; makes recommendations to the Clinical Quality Management Council for de-credentialing of clinical consultants, as needed.
  • Ensures the organization has qualified clinicians accountable to the organization for decisions affecting consumers.
  • Maintains current literature knowledge regarding health care quality improvement, health care reform and changes affecting health care systems (inpatient, ambulatory care, managed care), federal and state-based regulations, and CMS policy/procedures.
  • Represents company as a speaker and physician liaison at medical society, provider and hospital medical staff meetings.
  • Adheres to all relevant compliance regulations (HIPAA, URAC, FISMA, CMS).


  • MD or DO degree with current licensure in the State of Michigan. Additional Quality Improvement training preferred.
  • Current board certification in a medical specialty recognized by the American Board of Medical Specialties.

  • Previous experience as a Medical Director within a payer or hospital

  • Experience with InterQual Physician Documentation

  • Knowledgeable in current evidence-based practice guidelines.

  • Knowledgeable in Continuous Quality Improvement methods.

  • Conceptual understanding of statistical analysis and ability to communicate concepts clearly both verbally and in writing.

  • Candidates can work a majority of this position remotely with occasional travel to Metro Detroit, MI.

Powered ByLogo

Job Seeker Login

My Career Center

With an account, you can save your CV and search alerts in one place, then apply to positions of interest as soon as they become available.

Create An Account