Medix

Must hold an active license in NC or FL or have the IMLC We are seeking a Board-Certified Physician to support utilization management activities by reviewing clinical documentation and determining the medical appropriateness of inpatient, outpatient, and pharmacy services. This role plays a critical part in ensuring evidence-based, high-quality, and cost-effective care decisions. The ideal candidate brings strong clinical judgment, experience within managed care, and the ability to apply nationally recognized medical guidelines in a fast-paced, collaborative environment. Key Responsibilities Review and assess medical necessity for inpatient, outpatient, and pharmacy services Apply evidence-based guidelines and medical policy to utilization review determinations Provide peer-to-peer consultations when required Collaborate with care management and clinical teams to support appropriate care delivery Ensure compliance with regulatory, accreditation, and internal quality standards Accurately document decisions within established systems and turnaround times Required Qualifications MD or DO with active Board Certification Active medical license in FL or NC , and/or participation in the Interstate Medical Licensure Compact (IMLC) or eligibility to apply Minimum 6 years of clinical practice experience At least 1 year of utilization review experience within a managed care or health plan environment Preferred Qualifications Licensure in multiple states Board Certification in Cardiology, Radiation Oncology, or Neurology Experience with care management within the health insurance industry Willingness and ability to obtain additional state licenses as needed Schedule & Call Hours: 8:00 AM 5:00 PM (local time zone) Call Rotation: 1 weekend every 16 weeks

Must have NC or FL license or IMLC We are seeking a Board-Certified Physician to support utilization management activities by reviewing clinical documentation and determining the medical appropriateness of inpatient, outpatient, and pharmacy services. This role plays a critical part in ensuring evidence-based, high-quality, and cost-effective care decisions. The ideal candidate brings strong clinical judgment, experience within managed care, and the ability to apply nationally recognized medical guidelines in a fast-paced, collaborative environment.

Must have NC or FL license or IMLC We are seeking a Board-Certified Physician to support utilization management activities by reviewing clinical documentation and determining the medical appropriateness of inpatient, outpatient, and pharmacy services. This role plays a critical part in ensuring evidence-based, high-quality, and cost-effective care decisions. The ideal candidate brings strong clinical judgment, experience within managed care, and the ability to apply nationally recognized medical guidelines in a fast-paced, collaborative environment. Key Responsibilities Review and assess medical necessity for inpatient, outpatient, and pharmacy services Apply evidence-based guidelines and medical policy to utilization review determinations Provide peer-to-peer consultations when required Collaborate with care management and clinical teams to support appropriate care delivery Ensure compliance with regulatory, accreditation, and internal quality standards Accurately document decisions within established systems and turnaround times Required Qualifications MD or DO with active Board Certification Active medical license in FL or NC , and/or participation in the Interstate Medical Licensure Compact (IMLC) or eligibility to apply Minimum 6 years of clinical practice experience At least 1 year of utilization review experience within a managed care or health plan environment Preferred Qualifications Licensure in multiple states Board Certification in Cardiology, Radiation Oncology, or Neurology Experience with care management within the health insurance industry Willingness and ability to obtain additional state licenses as needed Schedule & Call Hours: 8:00 AM 5:00 PM (local time zone) Call Rotation: 1 weekend every 16 weeks (only 3 times per year!)

We are looking for a physician with experience as a principal investigator to join a new clinical research site network conducting industry sponsored clinical trials in the areas of weight loss, diabetes, and other cardio metabolic diseases. This is a full time, onsite, direct hire opportunity and a great chance to get in on the ground floor of a quickly growing organization

We are looking for a physician with experience as a principal investigator to join a new clinical research site network conducting industry sponsored clinical trials in the areas of weight loss, diabetes, and other cardio metabolic diseases. This is a full time, onsite, direct hire opportunity and a great chance to get in on the ground floor of a quickly growing organization

Physician Reviewer Utilization Management (Remote) Must have NC or FL license or IMLC Overview We are seeking a Board-Certified Physician to support utilization management activities by reviewing clinical documentation and determining the medical appropriateness of inpatient, outpatient, and pharmacy services. This role plays a critical part in ensuring evidence-based, high-quality, and cost-effective care decisions. The ideal candidate brings strong clinical judgment, experience within managed care, and the ability to apply nationally recognized medical guidelines in a fast-paced, collaborative environment.

This is an opportunity to work as a principal investigator (clinical research physician) at a clinical research site in Birmingham AL. At this site they perform industry sponsored clinical research trials on a variety of conditions diabetes, heart failure, and weight loss for obesity among others. Currently open to both full time and part time applicants Open to a variety of specialties including neurology, psychiatry, cardiology, and endocrinology On-site opportunity, standard business hours Mon - Fri Previous principal investigator experience is required

This is an opportunity to work as a principal investigator (clinical research physician) at a clinical research site in Charleston SC. At this site they perform industry sponsored clinical research trials on a variety of conditions ADHD, migraines, hypertension, and vaccines among others Currently open to both full time and part time applicants Open to a variety of specialties including neurology, psychiatry, cardiology, and endocrinology On-site opportunity, standard business hours Mon - Fri Previous principal investigator experience is required