Virtix Health: Physician, Medical Director, Prior Auths (PT/Weekends) (IC to W2) (Remote)
Updated 9/25/26
$125.00
– $125.00
hourly
Seattle, Washington, United States
Physician
Internal Medicine
By applying you agree to our Terms of Service
Job at a glance
Degree Required
MD/DO
Position Type
Part-Time/Contract
Work Environment
Corporate/Non-Clinical
Visa Sponsorship
No
Experience Level
1 year
Job description
Job description
Virtix Health is seeking a highly skilled and detail-oriented Internist Physician to join our team. This Medical Director will play a critical role in assessing the quality of clinical services provided to Medicare beneficiaries ensuring compliance with clinical guidelines and regulations while helping to drive improvements in care delivery. After completion of mentored training, daily work includes reviewing and analyzing clinical records, charts and case files to ensure that all clinical practices, treatments and services provided to Medicare beneficiaries meet the highest standards of care and adhere to CMS regulations, policies and procedures. The ideal candidate works closely with multidisciplinary teams to provide insights and feedback on clinical cases and improvement opportunities.
Job Responsibilities
Fast Facts:
$125 per hour
Conduct Prior Authorizations for High-Risk procedures performed on patients of advanced age
Immediate Start (~2-3 weeks)
Likely transition from Independent Contractor to Full-Time Employee over time
Work from Home/Company provides PC/Laptop
8-12 hours between Fri-Sun (Flexible) is highly preferred
Must be Board Certified for 3+ years (ABPMR or ABPN) OR (ABIM or ABFM)
All Licenses must be free of disciplinary actions
Must have or be willing to acquire a WA state license (reimbursed)
Initial training is 2 consecutive M-F workweeks prior to weekend schedule
Candidates will undergo a proctored basic computer skills assessment post pre-screen
Key Responsibilities:
Case Review: Conduct regular reviews to monitor the appropriateness of care provided to beneficiaries and recommend any necessary interventions or adjustments need to align with CMS National and Local Coverage Determinations (NCD/LCD)
Training & Education: Assist in the training and development of clinical teams on CMS NCD/LCD guidelines, clinical documentation and compliance.
Clinical Guidance: Provide recommendations for improvements in clinical practices based on findings from record reviews, data analysis, and best practices in the field.
Quality Improvement: Participate in the development and implementation of quality improvement initiatives to enhance care delivery and achieve CMS performance goals.
Documentation: Maintain accurate and up to date records of all clinical reviews, audits and quality improvement efforts.
Qualifications
Be a board-certified in Internal Medicine OR PMR, including a Doctor of Medicine or a Doctor of Osteopathy identified by an individual NPI in a specialty recognized by the American Board of Medical Specialties
Board certified for at least 3 years;
Currently hold an active, valid and unrestricted license to practice medicine in at least one U.S. state or the District of Columbia. Must not be excluded from participating in Medicare, Medicaid or the Children’s Health Insurance Program.
State of Washington license to practice medicine preferred or willingness to obtain.
Be associated with a primary specialty designation that aligns with PMR, neurology, pulmonology, urology, or orthopedics.
Utilization management experience preferred.
Skills:
Excellent communication skills (both verbal and written) with the ability to collaborate effectively with diverse healthcare teams.
Familiarity with electronic health records (EHR) and documentation and coding practices (ICD-10, CPT)
Knowledge of CMS regulations and Medicare requirements.
Strong attention to detail and organizational skills to manage multiple tasks and priorities
Ability to work in a fast paced, deadline driven environment
Note:
This position will require weekend shifts
Primarily remote with occasional on-site requirements. This will not occur right away if at all.
Occasional travel may be required for team meetings and onsite reviews.
We Offer:
Flexible hours on weekends
Comprehensive training and education program
Opportunities for career growth within the organization
Working Hours
Skills
By applying you agree to our Terms of Service