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Lancesoft INC

Medical Director Physician

Lancesoft INC, Louisville, KY, US, 40201

Duration: Full Time

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Job Snapshot

  • Degree Required: MD/DO

  • Position Type: Locum/Travel, Part-Time/Contract

  • Work Setting: Fully Remote

  • Availability: Must reside in the U.S.

  • Open Positions: 80

Position Overview

A large national healthcare organization is seeking skilled Medical Directors to support clinical decision-making in a structured, remote environment. In this role, you will evaluate clinical information, determine medical necessity, and collaborate closely with external providers to ensure timely and accurate case determinations.

Successful candidates thrive in a team-oriented setting, value precision and consistency, and bring a high level of professionalism to every interaction.

Key Responsibilities

  • Perform timely, compliant medical necessity reviews for inpatient services

  • Ensure determinations follow CMS regulations, national guidelines, and internal standards

  • Communicate clinical decisions clearly both verbally and in written format

  • Meet established productivity, quality, and compliance goals

  • Work collaboratively with internal teams and external providers

  • Adapt to evolving utilization management processes, tools, and workflows

  • Participate in required educational or training activities

Required Qualifications

  • MD or DO degree

  • Minimum of 5 years of post-residency/fellowship direct patient care (inpatient or Medicare-type population preferred)

  • Active Board Certification in an ABMS-recognized specialty

  • Unrestricted medical license in at least one U.S. state (willing to obtain additional licenses as needed)

  • Strong communication skills, both written and verbal

  • Proven analytical and clinical interpretation abilities

  • Experience working in a collaborative team environment

Preferred Qualifications

  • Background in managed care (Medicare Advantage, Managed Medicaid, Commercial)

  • Prior experience in Utilization Management

  • Familiarity with MCG or InterQual guidelines

  • Clinical experience in IM, FM, Geriatrics, Hospitalist, Emergency Medicine, or related specialties

  • Tech-forward mindset with adaptability to new tools and workflows

  • Commitment to innovation and positive team culture

Interview Process

  • All interviews conducted virtually via Zoom

  • Single interview with the Lead Medical Director

  • Quick decision process