Virtix
Medical Director, Prior Authorization
US - Remote · Director · Full-time
Sponsorship not specifiedDetected 5 days ago
Data AnalysisEHR/EMRICD-10LeadershipCommunicationOrganizational Skills
About the role
- Seeking a highly skilled and detail oriented Medical Director to join our team.
- The ideal candidate works closely with multidisciplinary teams to provide insights and feedback on clinical cases and improvement opportunities.
- ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties.
Responsibilities
- This position may perform all or most of the primary duties listed below.
- Documentation: Maintain accurate and up to date records of all clinical reviews, audits and quality improvement efforts.
- Maintain accurate and up to date records of all clinical reviews, audits and quality improvement efforts.
- Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.
Requirements
- Board certified for at least 3 years
- Regular eye-hand coordination and manual dexterity is required to operate office equipment.
- The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required.
- Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs.
- Team Member must be able to lift and move material weighing up to 20 lbs.
Nice to have
- State of Washington license to practice medicine preferred or willingness to obtain.
- Utilization management experience preferred.
Skills
- non-clinical careers
- Physician Advisor
- Medical Director
- Prior Authorizations
- Utilization Management
- Utilization Review
- Case Management
- work from home
- anesthesiology
- pmr, neurology, pulmonary, urology, orthopedics
Compensation
- KEYWORDS: Physician; MD; DO; non-clinical careers; Physician Advisor; Medical Director; Prior Authorizations; Utilization Management; Utilization Review; Case Management; UR; UM; remote; work from home; anesthesiology; pmr, neurology, pulmo
Benefits
- Virtix Health partners with health plans across the country to drive clinical, financial, and operational results.
- Training & Education: Assist in the training and development of clinical teams on CMS NCD/LCD guidelines, clinical documentation and compliance.
- Your Schedule: Training & Onboarding (First 2-3 Weeks) Training will occur Monday-Friday from 8:00 AM to 5:00 PM CT and will include onboarding, shadowing, workflow education, and hands-on case review training.
- Must not be excluded from participating in Medicare, Medicaid or the Children's Health Insurance Program.
Company info
- Our purpose is to help clients exceed their financial health goals.
- Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs.
- Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
- We build long-term careers by investing in YOU.
- We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
- The company has reviewed this job description to ensure that the essential functions and basic duties have been included.
- A job description is only intended as a guideline and is only part of the
This listing is sourced directly from Virtix's careers page and normalized into a canonical job model.