Medical Director (remote)

Availity

Remote, United States
Competitive salary; bonus structure available; ben...
Fully remote
Md/do degree with 8 years clinical experience
5 years healthcare revenue cycle experience
Utilization management and prior authorization expertise
The Medical Director will lead a team of UM RN Analysts responsible for producing Availity's Auth AI platform

Job Summary

  • The Medical Director will lead a team of UM RN Analysts responsible for producing Availity's Auth AI platform.
  • This role requires in-depth knowledge of utilization management principles, medical necessity guidelines, and prior authorization adjudication practices.
  • Availity offers competitive salary, unlimited PTO, generous HSA contributions, and education reimbursement as part of its benefits package.

Matching Summary

The Medical Director will lead a team of UM RN Analysts responsible for producing Availity's Auth AI platform.

Salary

Competitive salary; Bonus structure available; Benefits include HSA, 401k match, unlimited PTO

Skills & Requirements

Must-have

  • MD/DO degree with 8 years clinical experience
  • 5 years healthcare revenue cycle experience
  • Utilization Management and prior authorization expertise
  • Knowledge of payer medical policy guidelines
  • Experience with NLP/AI attestation tree construction

Nice-to-have

  • Healthcare information technology background
  • Peer-to-peer conversation experience
  • Medical policy committee participation
  • Strong critical thinking and reasoning skills
  • Passion for fixing broken healthcare systems

Key Requirements

  • MD or DO degree required
  • Minimum 8 years of clinical experience
  • At least 5 years in revenue cycle roles
  • US work authorization required
  • Sponsorship not available

Work Rights

Must have US work authorization

Tailored Resume

Cover Letter