Florida Licensed Medical Director

Job Summary

To support a growing healthcare practice, the part-time Florida Licensed Medical Director will manage utilization management decision-making, oversee clinical documentation education, and engage with payers to improve authorization outcomes in a remote setting.

Key responsibilities

• Serve as the primary physician resource for utilization management decision-making and complex case reviews
• Conduct peer-to-peer reviews with payers to support authorization approvals and improve communication strategies
• Educate providers on documentation best practices and implement corrective guidance for recurring gaps

Required qualifications

• MD or DO with an active, unrestricted medical license
• Board Certified in a relevant specialty
• Prior experience in Utilization Management, Physician Advisory, or Medical Review
• Strong understanding of medical necessity and payer criteria
• Ability to communicate effectively with clinicians and non-clinical leaders