Corporate Medical Director G&A

Location: Fully remote, must live 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 people with Medicare, Medicaid, families, individuals, military service personnel, and communities.

What you will do

• Provide medical interpretation and clinical judgment on the appropriateness, necessity, and quality of healthcare services.
• Perform or oversee clinical reviews of grievance and appeal cases across Medicare, Medicaid, and Commercial products.
• Make independent decisions on complex cases involving incomplete information or competing clinical considerations.
• Serve as a clinical subject matter expert for home health, rehabilitation, inpatient, outpatient, and transitional care matters.
• Partner with cross-functional teams to improve consistency, turnaround times, compliance, and member-centered decision-making.
• Support holiday or after-hours coverage and monitor regulatory, accreditation, and medical policy changes.

Requirements

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

Nice to have

• Medical utilization management experience in Medicare Advantage grievances and appeals.
• Experience with health insurance organizations, hospitals, healthcare providers, or patient interaction.
• Specialization in Internal Medicine, Family Practice, Geriatrics, Hospital Medicine, Anesthesiology, Physical Medicine and Rehabilitation, Emergency Medicine, Neurology, or General Surgery.

Culture & Benefits

• Fully remote work from a dedicated space that protects member PHI and HIPAA information.
• Typical schedule is Monday through Friday, 8 hours per day and 5 days per week, with some flexibility based on business needs.
• Holidays and weekends may be required based on business needs; minimal travel may be needed for training, meetings, or conferences.
• Benefits include medical, dental and vision coverage, 401(k), paid time off, company and personal holidays, paid parental and caregiver leave, disability coverage, and life insurance.
• Home internet must provide at least 25 Mbps download and 10 Mbps upload speeds.

Hiring process

• Selected applicants complete a 10–15-minute on-demand assessment with predetermined questions through HireVue.
• Applicants who advance from the assessment proceed to additional interviews.
• Formal employment offers include an SSN submission request through Workday for duplicate-profile screening.