Medical Director, Medical Affairs

About the role

For our client, we are seeking a Medical Director, Medical Affairs to join the team of a leader in the Healthcare space. This physician leadership role will provide clinical oversight for utilization management, specialty medication reviews, and coverage determination support across a broad healthcare environment. The position will partner closely with internal clinical teams and contribute to policy refinement, quality review, and medically informed decision-making. It also requires peer-to-peer dialogue, case review, and mentorship that help ensure consistency, medical necessity, and high-quality clinical outcomes. Location: Remote - US based candidates only, no visa sponsorship available.

Responsibilities

• Review clinical cases and coverage requests for specialty medications and oncology therapies
• Provide clinical oversight and mentorship for clinical programs and internal departments
• Conduct medication utilization reviews and medical necessity appeals for various client segments
• Engage in peer-to-peer conversations regarding clinical decisions and coverage determinations
• Participate in inter-rater review and quality oversight for clinical decisions made by other directors
• Oversee selected clinical programs and contribute to clinical policy revisions and reviews
• Conduct specialized clinical investigations and research as directed by senior management

Qualifications

• Family Medicine or Internal Medicine Board Certification required; subspecialty board certification preferred
• Minimum of 5 years of clinical experience in direct patient care
• At least 2 years of experience in clinical outcomes with knowledge of medical statistics and regulatory agencies
• Unrestricted medical license in the state of residence
• Graduate of an accredited Medical School and Residency Program

Pay

Compensation: $174,070 – $374,920 annually

Benefits

• Comprehensive medical, dental, and vision coverage
• Paid time off and retirement savings options
• Wellness programs promoting physical and emotional health
• Additional resources tailored to support employee well-being