Medical Director - Inpatient Review (Healthcare)

Location: Remote nationwide within the United States; occasional travel to hirify.global offices for training or meetings may be required. Standard hours are Monday through Friday, 8am–5pm local time, with rotational weekend and holiday coverage.

Salary: $223,800–$313,100 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and insurance company serving Medicare, Medicaid, families, individuals, military personnel, and communities through hirify.global and CenterWell services.

What you will do

• Review inpatient medical records and assess medical necessity using national guidelines, CMS regulations, hirify.global policies, and recognized clinical standards.
• Analyze complex hospital cases and issue clear, well-reasoned utilization management determinations.
• Communicate with external providers by phone to obtain clinical information and discuss review outcomes.
• Complete reviews accurately, productively, and within regulatory and operational timeframes.
• Adapt to changing workflows, clinical systems, and utilization management procedures.
• Participate in organizational committees or special project teams as needed.

Requirements

• MD or DO with at least 5 years of post-residency clinical experience.
• Active, unrestricted medical license in at least one U.S. state and willingness to obtain additional licenses as needed.
• Current board certification in an AOABPS- or ABMS-recognized medical specialty.
• Completion of all credentialing requirements with no state or federal sanctions.
• Strong analytical, communication, and documentation skills.
• Ability to work effectively in a structured, multidisciplinary environment.

Nice to have

• Inpatient experience at hospitalist-level acuity, in emergency or intensive care, or in hospital-based family or internal medicine.
• Utilization management or inpatient review experience involving Medicare Advantage, Managed Medicaid, or Commercial lines.
• Familiarity with MCG or InterQual guidelines and clinical technology platforms.
• Experience with Medicare populations, hospitals, integrated delivery networks, or medical management organizations.
• Interest in educational content, team teaching, or professional development initiatives.

Culture & Benefits

• Structured, team-oriented environment emphasizing integrity, professionalism, and collegiality.
• Dedicated workspace required to protect member PHI and HIPAA information.
• Home internet must provide at least 25 Mbps download and 10 Mbps upload speeds.
• Benefits include medical, dental and vision coverage, 401(k), paid time off, holidays, parental and caregiver leave, disability coverage, and life insurance.
• hirify.global provides appropriate telephone equipment for home or hybrid home/office work.