Corporate Medical Director G&A (Managed Care)

Location: Fully remote while living in the USA; occasional travel to hirify.global offices for training or meetings may be required.

Salary: $246,100–$344,200 per year, plus eligibility for a bonus incentive plan.

Company

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

What you will do

• Provide clinical interpretation and independent judgment on the appropriateness, necessity, and quality of healthcare services.
• Perform or oversee grievance and appeal reviews for assigned markets, member populations, and clinical conditions.
• Ensure determinations comply with medical policies, regulatory requirements, accreditation standards, and internal procedures.
• Serve as a clinical subject matter expert for Medicare, Medicaid, and Commercial products.
• Provide expertise on home health, rehabilitation, inpatient, outpatient, and transitional care services.
• Partner with cross-functional teams to improve consistency, turnaround times, compliance, member experience, and decision-making.

Requirements

• MD or DO degree and board certification in an approved ABMS medical specialty.
• Current and unrestricted medical license in at least one jurisdiction, with willingness and ability to obtain additional unrestricted state licenses as required.
• At least 5 years of clinical experience after residency.
• Knowledge of managed care operations, including Medicare, Medicaid, and Commercial products.
• No current sanctions from federal or state governmental organizations and ability to pass credentialing requirements.
• Professional written and verbal communication skills.

Nice to have

• Medical utilization management experience, especially with Medicare Advantage grievances and appeals.
• Experience with health insurance organizations, hospitals, healthcare providers, or patient interaction.
• Clinical background in internal medicine, family practice, geriatrics, hospital medicine, anesthesiology, physical medicine and rehabilitation, emergency medicine, neurology, or general surgery.

Culture & Benefits

• Fully remote work with a dedicated workspace and internet service meeting minimum speeds of 25 Mbps download and 10 Mbps upload.
• Typical schedule is Monday through Friday, 8 hours per day and 40 hours per week, with flexibility based on business needs.
• Holiday, weekend, and limited after-hours coverage may be required to meet regulatory and operational timelines.
• Benefits include medical, dental and vision coverage, 401(k), paid time off, paid holidays, parental and caregiver leave, disability coverage, and life insurance.
• Occasional travel may be required for training, meetings, or conferences.

Hiring process

• Selected candidates complete a 10–15 minute on-demand assessment through HireVue.
• Candidates who advance are invited to subsequent interview rounds.
• After a formal offer, SSN entry in Workday is required for duplicate-profile screening.