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Insurance Medical Director Jobs in Portland, ME (NOW HIRING)

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Insurance Medical Director information

See Portland, ME salary details

$13.5K

$241.1K

$370.4K

How much do insurance medical director jobs pay per year?

As of Aug 22, 2026, the average yearly pay for insurance medical director in Portland, ME is $241,109.00, according to ZipRecruiter salary data. Most workers in this role earn between $205,400.00 and $295,200.00 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.

What job categories do people searching Insurance Medical Director jobs in Portland, ME look for?

The top searched job categories for Insurance Medical Director jobs in Portland, ME are:

Insurance Medical Director jobs near you
Infographic showing various Insurance Medical Director job openings in Portland, ME as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $241,109 per year, or $115.9 per hour.

Regional Medical Director

BlueWater Emergency Partners

Brunswick, ME • On-site

Full-time

Medical, Dental, Retirement, PTO

Re-posted 29 days ago

Job description

Full Time: This is a full-time position that combines administrative leadership and clinical work (Leadership + Clinical)
  • Are you passionate about the continuous improvement of patient care and quality of care?
  • Are you a collaborative leader who thrives developing partnerships across disciplines and specialties?
  • Do you believe there is a better way to keep EM providers engaged and on path for long, healthy and sustainable careers in EM where agency is preserved and where physicians continue to have a voice?
  • Are you Interested in joining a dynamic, physician owned, and physician led Acute Care medicine group? (Emergency Medicine, Hospital Medicine, Urgent Care).

BlueWater Health is seeking an experienced Emergency Medicine Physician Leader to act as a Southern Regional Medical Director and clinical smokejumper!
About the Position:
The provider in this role will be the Regional Medical Director for the 5 locations in BlueWater's Southern Region. They will act as the leader over the Emergency Departments in these sites, with each site-based Medical Director reporting directly to them. Additionally, they will supplement their administrative FTE as a clinical Smokejumper within their region, allocating their clinical time based on need. This position will report directly to the BlueWater Chief Medical Officer.
Specific accountabilities of the leader include but are not limited to the following:
  • Mentorship and leadership support to direct reports.
    • Direct reports are all clinical leaders assigned to Emergency Departments within the region.
    • The Southern Region Director of APPs report Directly to the Regional Medical Director.
    • Smokejumper physicians within the region will report directly to the Regional Medical Director.
  • Department meeting prep support and attendance.
  • Hospital CNO/CMO relations
  • Involvement in local ACEP and state medical society work
  • Quality bundle compliance
  • Staffing management (high level)
  • HR management (high level)
  • Support of sales efforts at potential new sites
  • New site implementation support
  • Interim site-based Medical Director leadership (when applicable)
  • Will collaborate directly with BW Hospitalist Medicine clinical leadership within the region

We offer:
  • Partnership track
  • Stipend is based upon number of Emergency Departments and total ED volume within the region.
  • Generous Compensation including strong Smokejumper incentives for clinical shifts and Benefits Package (Fully Covered Family Health, Dental, Disability Insurance)
  • Generous company-direct Health Savings Account (HSA) contributions
  • 401k contributions and Guaranteed Profit Sharing
  • Malpractice Insurance
  • Generous CME Allowance
  • Travel Allowance
  • Lodging support when needed.
  • 1440 hours (clinical + admin) is full-time.
  • Paid Time Off

About BlueWater Health:
BlueWater Health (BWH) is a growing, independent physician-owned medical group practice. BWH employs over 175 physicians and APPs in 11 facilities (and growing) across 4 states in New England.
We are guided by our Mission Statement:
  • Deliver outstanding clinical care with thoughtfulness, respect, and compassion
  • Provide collaborative management and leadership
  • Develop partnerships that foster engagement and preserve (respect) local culture and values
  • Support individual autonomy, professional growth, and fulfillment

BWH operates in a fast-paced, entrepreneurial-driven environment, where everyone contributes to getting the job done. Employees are flexible, realizing that each position, top to bottom, requires cooperative individuals focused on team success. The underlying culture is one of accountability and challenging work, coupled with a rewarding work environment.
BlueWater Health is an Equal Opportunity Employer

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