Medical Director with MD License

Job Summary

Leading medical policy initiatives, the full-time remote VP & Medical Director will oversee complex case reviews, guide strategic decisions for risk management, and ensure high-quality underwriting and claims outcomes.

Key responsibilities

• Lead and manage medical review operations to support underwriting and claims processes
• Develop and maintain medical policies and guidelines for accurate decision-making
• Review complex medical cases and provide final-level consultation as needed

Required qualifications

• Medical degree (MD or DO) with an unrestricted license to practice medicine
• Prior experience in underwriting functions within insurance operations
• Clinical background in internal medicine, family medicine, or primary care
• Experience reviewing medical cases in insurance underwriting and/or claims environments
• Demonstrated leadership experience managing medical teams or programs