How much do insurance medical director jobs pay per year?

As of Aug 21, 2026, the average yearly pay for insurance medical director in Wisconsin is $234,542.00, according to ZipRecruiter salary data. Most workers in this role earn between $199,900.00 and $287,200.00 per year, depending on experience, location, and employer.

What does an Insurance Medical Director do?

An Insurance Medical Director is a physician who reviews medical claims, evaluates policyholder cases, and ensures treatments align with insurance guidelines. They analyze complex medical information to determine coverage eligibility and assess the necessity of procedures. They also collaborate with claims adjusters, underwriters, and other medical professionals to ensure fair and accurate decision-making. Their role helps insurance companies manage risk while maintaining compliance with healthcare regulations.

What are the typical daily responsibilities of an Insurance Medical Director?

Insurance Medical Directors typically review medical claims, assess prior authorization requests, and provide clinical guidance on complex cases to ensure that coverage decisions comply with current medical standards and company policies. They also collaborate closely with underwriters, case managers, and other healthcare professionals, participating in multidisciplinary meetings and developing policies for medical management. Additionally, Insurance Medical Directors may engage in quality improvement initiatives, conduct peer reviews, and assist in training staff on clinical procedures and regulatory changes. The role requires a balance of high-level decision-making, medical expertise, and effective communication with both internal teams and external providers.

What are the key skills and qualifications needed to thrive in the Insurance Medical Director position?

To thrive as an Insurance Medical Director, you need a medical degree (MD or DO), board certification, clinical expertise, and experience with healthcare regulations and utilization review. Familiarity with claims management systems, ICD-10 coding, and tools like Milliman or InterQual guidelines is often required. Strong analytical skills, clear written and verbal communication, and the ability to make objective decisions are essential soft skills. These competencies are crucial for ensuring ethical, evidence-based determinations that balance patient care with organizational and regulatory requirements.

$199k-$300k Insurance Medical Director Jobs in Wisconsin

FCS, Inc.

Physician Medical Director - Competitive Salary

Milwaukee, WI

$400K/yr

Medical Director, Psychiatry - Milwaukee, WI Area Milwaukee area facility is seeking a full-time ... Insurance, medical, dental, vision insurances, matching 401k, PTO, Paid Holidays, CME + financial ...

FCS, Inc.

Physician Medical Director - Competitive Salary

Milwaukee, WI

$400K/yr

Medical Director, Psychiatry - Milwaukee, WI Area Milwaukee area facility is seeking a full-time ... Insurance, medical, dental, vision insurances, matching 401k, PTO, Paid Holidays, CME + financial ...