SPECTRAFORCE
Title: Medical Director
Location: Remote
Duration: 6 Months with possible extension/Conversion FTE
We’re hiring a board-certified physician to support the Medicare Inpatient Pod. This role partners with the Chief Medical Director to lead utilization management, quality improvement, credentialing, and appeals for high-volume inpatient and post-acute care reviews. You’ll drive medical necessity decisions using InterQual/MCG, support discharge planning, mentor provider relationships, and help reduce readmissions while meeting productivity and audit targets.
Base pay range
$110.00/hr - $130.00/hr
Key responsibilities
- Provide medical leadership for utilization management, cost-containment, and quality improvement.
- Perform concurrent inpatient and post-acute reviews, and review complex/controversial services and claims appeals.
- Support physician committee functions and implement performance improvement initiatives.
- Conduct rounds for high-risk members and collaborate with care management.
- Develop physician education and provider relationships; represent the business unit as needed.
- Consult on SUD policy and MCM cases when required.
Qualifications
- Active board certification: Internal Medicine or Family Medicine.
- Active, unrestricted medical licenses in FL and TX.
- Hands-on experience with InterQual and/or MCG.
- Inpatient clinical background or prior physician advisor experience.
Nice to have
- Multi-state licenses (MI, MS, NJ, NC, CA, KS, AR).
Performance expectations
- Productivity target: ~45+ cases/day.
Job function and seniority
- Job function: Management and Health Care Provider
- Industries: Hospitals and Health Care and Insurance