Physical Health Medical Director Location:

Primarily Remote (North Carolina preferred)

Organization Type:

Healthcare Managed Care Organization Role Overview The Physical Health Medical Director provides clinical leadership and oversight for physical health utilization management. This role ensures high-quality, compliant, and defensible medical review decisions while collaborating closely with medical, behavioral health, and care management teams. The position supports clinical quality initiatives, regulatory compliance, and operational excellence across utilization management functions. Requirements MD or DO from an accredited medical school Board Certification in Family Medicine (ABFM) or Internal Medicine (ABIM) Active, unrestricted North Carolina medical license Minimum of 2+ years of managed care and utilization management experience Job Duties Review and authorize physical health services and levels of care across inpatient and outpatient settings Conduct initial, concurrent, and appeal utilization management reviews using medical necessity criteria Ensure compliance with regulatory, accreditation, and internal medical management standards Provide clinical guidance and leadership to utilization management and care management teams Participate in clinical and operational committees, including quality and care transition reviews Support consistent, timely, and well-documented medical decision-making within UM platforms Collaborate across departments to address complex cases and improve care delivery processes

Additional Information Schedule:

Full-time, Monday-Friday (8:00 AM - 5:15 PM); occasional evenings, weekends, or holidays may be required

Pay Range:

$215,000 - $269,000/annually Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply.

California residents:

Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/ Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records.

Company Profile:

Founded by industry leaders to set a new standard in search, career placement and flexible staffing, we deliver coordinated staffing solutions with unparalleled service, a commitment to project completion and success and a passion for innovation, creativity and continuous improvement. Our niche brands offer a complete suite of staffing services to emerging growth companies and the Fortune 500 across market sectors, career specialties/disciplines and industries. Over time, office locations, specialty practice areas and service offerings will be added to address ever changing constituent needs. Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com .

Benefits Information:

Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings. We look forward to working with you! Beacon Hill. 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