Career Center

Full Time Medical Review Opportunity - Remote position

Medical Review Institute of America (MRIoA) is the market leader for technology-enabled utilization management (UM) and Clinical Review solutions – touching over 35M lives.  For almost 40 years, MRIoA has perfected the utilization and clinical review process for payers of healthcare costs.  We offer the largest, most extensive review network in the industry.  

Our Medical Director opportunity provides our physicians with the advantage of working from the comfort of their own home. Utilizing a desktop computer provided for them, they will be responsible for performing clinical utilization management and peer review activities as well as clinical quality management activities.

It is important to note, that due to the short turn-around-time frames of the cases completed by our Medical Directors, (typically within a couple of hours), a set work schedule of 40 hours per week is required.

The Schedule will vary, working 5 8-hour days per week, between the hours of 7am to 7pm MOUNTIAN TIME ZONE.  This may include a weekend rotation – 1 or 2 weekends a month 7am – 7pm Mtn.

Role:

1. Provide an informed, objective voice to the review of coverage decision, and provide recommendations for improving the quality of care, and help shape health plan coverage policy to be consistent with current literature and standard of practice.
2. Participate in the clinical quality management activities of the corporation.

Qualifications (Skills, Experience, Educational Requirements):

• Only applicants interested in FULL TIME work will be considered.
• MD or DO degree, with a Primary Care specialization (Family Medicine or Internal Medicine only).
• Less than 1-year lapse in current direct patient care responsibilities.
• Flexibility – you must be willing and able to be flexible with changes as needed and work additional hours when needed
• Ability to easily navigate through several computer programs/portals simultaneously.
• Current, unrestricted medical license as required for clinical practice in any state of the United States.
• The ability and desire to obtain additional state licenses as required for the position.  
• Current Board Certification by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA) is required.
• Be credentialed and privileged by the Company's Credentialing Committee.
• Thorough understanding of the Company’s clients, products, departments, workflows, and applicable regulatory requirements and accreditation standards.

For more information, please contact: 

Holly Benson

Medical Recruitment Manager

Medical Review Institute of America, LLC

holly.benson@mrioa.com