Medical Director

Medical Director, Physical Medicine & Rehabilitation (PM&R)Fully Remote | Full-TimeCompensation: $200,000–$250,000 base salary, plus annual bonus

Remote Eligibility: Alabama, Florida, Georgia, Mississippi, South Carolina, Texas

A national healthcare services organization supporting federal healthcare programs is seeking a board-certified Physical Medicine and Rehabilitation physician to step into a non-clinical Medical Director role. This position is designed for a physiatrist ready to transition away from full-time patient care and apply clinical expertise to medical policy, coverage determinations, and regulatory collaboration at a national level.

The Medical Director plays a key role in determining medical necessity for inpatient rehabilitation services, supporting claims review teams, and developing evidence-based coverage guidance.

Key Responsibilities:

• Evaluate complex inpatient rehabilitation claims to determine medical necessity and coverage.
• Provide medical oversight and guidance to nursing and clinical review teams.
• Develop, review, and update coverage policies, including Local Coverage Determinations.
• Author written position papers supporting coverage decisions for administrative law judge hearings.
• Collaborate with interdisciplinary teams and federal agencies on regulatory and policy initiatives.
• Participate in evidentiary reviews and coverage development for new and emerging technologies.
• Contribute to provider education and internal clinical training programs.

Required Qualifications:

• MD or DO with board certification in Physical Medicine and Rehabilitation.
• Experience in medical policy development, utilization management, or coverage determination work.
• Demonstrated involvement in administrative, leadership, or non-clinical medical roles.

Preferred Qualifications:

• Prior experience as a Medical Director or in hospital, department, or service line leadership.
• Experience working with Medicare, CMS contractors, or government healthcare programs.
• Experience reviewing claims and applying medical necessity criteria in regulated environments.
• Experience drafting Local Coverage Determinations, clinical policies, or evidence-based guidelines.
• Background in clinical research, evidentiary review, or guideline development.
• Formal executive or leadership education, such as an MBA or equivalent training.
• Mid to late career physician seeking a long-term, non-clinical career path.
• Ability to maintain limited clinical practice for licensure maintenance only, if desired.
• Strong written communication skills and comfort defending coverage decisions through formal documentation.
• Willingness to support occasional, limited travel as required.

Work Structure:

• Fully remote position with a structured, predictable schedule.
• Two scheduled virtual meetings per day with protected time for focused project work.
• Blend of daily claim review tasks and longer-term policy development projects.
• Highly collaborative environment with interdisciplinary and regulatory exposure.

Why This Role:

This opportunity presents a clear career pivot for physiatrists seeking to transition beyond direct patient care and have a significant impact on rehabilitation services at scale. The role provides long-term stability, predictable hours, and the chance to contribute to national healthcare policy while remaining fully remote and clinically relevant.