Medical Director Scientific Affairs (Health Insurance)

Location: Fully remote, open only to candidates residing in Atlanta, Georgia, United States. Future hybrid presence at the associated metro-area hub may be possible.

Salary: $237,719–$312,006 per year, plus equity grants and annual performance bonuses.

Company

hirify.global is a health insurance company built around a full-stack technology platform and focused on member-centered care.

What you will do

• Lead the research, development, revision, and clinical accuracy of medical, utilization management, and pharmacy coverage policies.
• Translate clinical research, specialty society guidelines, and population health data into evidence-based policies and care-quality strategies.
• Advise executive leadership on emerging therapies, clinical trends, and utilization patterns.
• Direct clinical publishing efforts and develop research for clinical and lifestyle products.
• Lead clinical advisory subcommittees, present evidence packages, and drive multidisciplinary expert consensus.
• Partner with Pharmacy Services, Legal, Compliance, and regulatory bodies to align policies with NCQA standards and state and federal requirements.

Requirements

• Medical Degree (MD or DO) from an accredited medical or osteopathic school.
• Active board certification recognized by the ABMS or AOA.
• 10+ years of experience in relevant fields, including 6+ years in clinical policy and 4+ years in clinical policy drafting and development.
• 4+ years leading or facilitating multidisciplinary clinical committees and 4+ years publishing in relevant fields.
• 3+ years communicating with executives and 3+ years of people-management experience.
• 1+ year of experience with HCPCS, CPT, and ICD-10 medical coding terminologies.

Nice to have

• Experience analyzing clinical trials and medical literature.
• Peer-reviewed clinical journal publications or experience serving on an IRB or clinical practice guideline panel.
• PhD or master’s degree in clinical research.

Culture & Benefits

• Fully remote work for eligible Atlanta-based candidates, with the work model subject to future changes.
• Unlimited vacation program, paid holidays, paid sick time, and paid parental leave.
• Medical, dental, vision, life, and disability insurance.
• 401(k) participation, paid wellness time, reimbursements, equity grants, and annual performance bonuses.
• Equal-opportunity environment focused on belonging, authenticity, and support.