State Licensed Medical Director

Job Summary

A company is looking for a VP & Medical Director to shape medical policy and oversee case reviews while guiding strategic decisions.

Key Responsibilities

• Lead and oversee medical review operations supporting underwriting and claims
• Develop and maintain medical policies, protocols, and guidelines
• Review complex medical cases and provide final-level medical consultation

Required Qualifications

• Medical degree (MD or DO) with an unrestricted license to practice medicine
• Clinical background in internal medicine, family medicine, or primary care
• Experience reviewing medical cases within insurance underwriting and/or claims environments
• Demonstrated leadership experience managing medical teams or programs
• Able to work remotely with access to a high-speed internet connection