Medical Director Spine Surgery in New York at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Medical Director, Spine Surgery based in United States.

This is a senior clinical role for an orthopedic or neurosurgical spine specialist supporting musculoskeletal and orthopedic care programs. You will assess the medical appropriateness of services using clinical expertise, evidence-based guidelines, and established medical necessity criteria. Working within a collaborative clinical review team, you will help ensure timely, accurate, and well-documented decisions that support patients and providers. The role offers the opportunity to contribute to clinical quality, operational improvements, and provider experience within a rapidly scaling healthcare environment. Success requires adaptability, strong judgment, and the ability to communicate clearly across clinical and non-clinical teams. This is a fully remote opportunity with limited travel and significant responsibility for shaping high-quality clinical review processes.

• Conduct timely medical reviews of orthopedic and spine-related services while meeting established quality and turnaround-time standards.
• Make clinical determinations using evidence-based guidelines, medical necessity criteria, and independent clinical judgment.
• Accurately document clinical reviews, communications, and decision-making in designated workflow systems so decisions are clear and accessible to members and providers.
• Apply appropriate documentation templates and workflows throughout the case review process.
• Conduct timely peer-to-peer discussions with treating providers to clarify clinical information, communicate review outcomes, and discuss alternative treatments supported by medical necessity criteria and evidence-based research.
• Maintain a high standard of professionalism, accountability, responsiveness, and service when working with providers and internal teams.
• Contribute to initiatives designed to strengthen clinical expertise, improve review efficiency, and enhance operational processes.
• Support projects focused on improving member and provider experiences related to clinical review activities, as assigned.

Requirements:

• Completion of a U.S.-based residency in Orthopedic Surgery or Neurosurgery and a fellowship in Spine Surgery.
• MD or DO degree with board certification and a current, unrestricted state medical license; all required credentials must be maintained throughout employment.
• At least 5 years of clinical practice experience following residency and fellowship training.
• At least 1 year of experience in managed care utilization review.
• Membership in national and/or regional specialty societies.
• Licensure in Arizona, Georgia, Mississippi, North Carolina, North Dakota, Oklahoma, Oregon, or Texas is highly desirable.
• Willingness to obtain additional state medical licenses, with organizational support provided where applicable.
• Strong clinical judgment, attention to detail, written documentation, and verbal communication skills.
• Ability to work effectively in a fast-paced environment, adapt quickly, navigate ambiguity, and collaborate with professionals from diverse backgrounds and perspectives.

Benefits:

• Annual salary range of $260,000–$280,000, plus bonus and comprehensive benefits.
• Fully remote work opportunity with approximately 5% travel.
• Medical, dental, vision, life, and disability insurance.
• Employee Assistance Program (EAP).
• 401(k) retirement plan with company match.
• Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
• Flexible Time Off and company holidays.
• Up to 14 weeks of paid parental leave.
• Pet insurance.
• This role is not eligible for hire in Alaska, California, Colorado, Hawaii, New York, or Washington.
• Compensation decisions may vary based on qualifications, experience, skills, and internal considerations.