Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Medical Director, Denials & Utilization Review

United Cerebral Palsy of Georgia

Plano, TX
  • Remote job

United Cerebral Palsy of Georgia is seeking a Medical Director for Denials Management to evaluate hospitalizations nationwide. This role allows clinical expertise to guide hospitals in compliance and payment processes while maintaining a predictable remote schedule. The ideal candidate will possess an MD or DO degree with a strong clinical background, an active medical license, and experience in acute care settings. Comprehensive training, bonuses, and benefits such as medical coverage are offered, alongside opportunities for career growth. #J-18808-Ljbffr United Cerebral Palsy of Georgia

Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Medical Director, Denials & Utilization Review in Plano, TX vacancy
  •  ...Medical Director Opportunity At Curative Curative is building the future...  ...overseeing and performing utilization reviews, prior authorizations, and...  ...discussions. This is a remote position requiring a "roll...  ...Issue medical necessity denials when warranted, providing comprehensive... 
    Remote work
    Full time
    Flexible hours

    Curative

    Austin, TX
    11 hours ago
  •  ...A health insurance startup is looking for an experienced Medical Director to oversee utilization reviews and prior authorizations. This remote position demands a strong clinical background with a doctorate in medicine and board certification. The ideal candidate will have... 
    Remote work
    Flexible hours

    VALID8 Financial

    Austin, TX
    21 hours ago
  • $250k

     ...Integra Partners is seeking a full-time Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. The...  ...guidelines, and maintaining high productivity standards in a remote setting. The position offers a competitive salary of $25... 
    Remote work
    Full time

    Integra Partners

    New York, NY
    21 hours ago
  •  ...S. healthcare organization is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in inpatient care. The role...  ...clinical experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient... 
    Remote work

    Humana

    Columbus, OH
    2 days ago
  • $250k

     ...A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment...  ...salary of $250,000 annually and various benefits, with remote work opportunities available in Michigan and other states... 
    Remote work
    Full time

    Integra Partners

    Troy, MI
    21 hours ago
  •  ...JOB TITLE : Physician Reviewer Duration : 24 months of contract Location : Fully Remote (WFH) Schedule : 20 - 40 hours/week...  ...Units' appeal process of service denials. Participates in the...  ...Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D.... 
    Remote work
    Contract work
    Work from home
    Weekend work

    AppCast

    Santa Fe, NM
    7 days ago
  • A leading healthcare company in Washington, D.C. is seeking a Medical Director to oversee inpatient medical necessity reviews and utilization management. This role requires strong analytical and communication skills, as well as 5+ years of clinical experience post-residency... 
    Remote job

    Humana Inc

    Washington DC
    4 days ago
  • A national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with healthcare providers. This...  ...include performing clinical reviews, providing utilization management determinations, and ensuring... 
    Remote job
    Monday to Friday

    Humana Inc

    Nashville, TN
    4 days ago
  •  ...Optum is seeking a Medical Director Oncology in Houston, Texas, to lead utilization review determinations and support case management teams. This role offers the opportunity to work remotely from anywhere within the U.S. and plays a vital part in improving health outcomes... 
    Remote work

    Optum

    Houston, TX
    4 days ago
  • $223.8k - $313.1k

     ...leading healthcare company is seeking a Medical Director to provide expert clinical reviews and advance patient outcomes. This remote position emphasizes collaboration and structured...  ...a dedicated team focused on effective utilization management while enjoying a competitive... 
    Remote work

    Humana

    Springfield, IL
    2 days ago
  • $250k

     ...divh2Utilization Review Medical Director/h2pThe Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment...  ...Conditions and Additional Expectations:/pulliFull-time remote role requiring consistent availability during standard... 
    Remote work
    Full time
    Temporary work

    Integra Partners

    Troy, MI
    4 days ago
  • $250k

    The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support...  ...Conditions and Additional Expectations Full-time remote role requiring consistent availability during standard business... 
    Remote work
    Full time
    Temporary work
    Local area

    Integra Partners

    Troy, MI
    21 hours ago
  •  ...A leading healthcare company is seeking a Medical Director to perform clinical reviews and assess medical necessity for inpatient cases. This role offers the chance to collaborate with a team of physicians, making a significant impact on patient care. Requires an MD/DO... 
    Remote work
    Work from home

    Humana

    Providence, RI
    2 days ago
  • $223.8k - $313.1k

     ...A leading U.S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews. This role requires an MD or DO with over 5 years of clinical experience. Responsibilities include performing clinical assessments, collaborating with a multidisciplinary... 
    Remote work
    Work from home

    Humana

    Dover, DE
    2 days ago
  •  ...A leading U.S. healthcare company is hiring a Medical Director in Baton Rouge, Louisiana. This role involves expert clinical review of inpatient medical records and requires a minimum of 5 years of post-residency experience. The ideal candidate will have an MD or DO, an... 
    Remote work

    Humana

    Baton Rouge, LA
    2 days ago
  • $223.8k - $313.1k

     ...A leading healthcare company is seeking a remote Medical Director for inpatient review. This position requires expertise in assessing medical necessity and involves conducting complex case analyses. Candidates should have an MD or DO, a minimum of 5 years of clinical... 
    Remote work

    Humana

    Springfield, IL
    3 days ago
  •  ...A leading healthcare company is seeking a Medical Director to oversee clinical review processes and ensure adherence to medical necessity guidelines. Candidates...  ...a team-oriented environment. This position allows for remote work, providing flexibility while impacting patient... 
    Remote work

    Humana

    Indianapolis, IN
    2 days ago
  • $223.8k - $313.1k

     ...A leading healthcare company seeks a Medical Director to oversee inpatient medical necessity reviews and collaborate with a dedicated team of physicians. Candidates should hold an MD or DO, with at least 5 years of post-residency clinical experience. This role involves... 
    Remote work

    Humana

    Topeka, KS
    2 days ago
  • $223.8k - $313.1k

     ...A leading healthcare company is seeking a Medical Director to conduct expert clinical reviews and analyze inpatient cases. Ideal candidates will have extensive clinical experience and strong analytical skills. This position offers flexibility without the demands of bedside... 
    Remote work

    Humana

    Cheyenne, WY
    2 days ago
  •  ...A leading healthcare provider is seeking a Medical Director to conduct inpatient medical necessity reviews. This role requires an MD or DO with at least 5 years...  ...patient care and support continuous improvement. This remote position offers a competitive salary and... 
    Remote work

    Humana

    Boise, ID
    2 days ago
  •  ...A leading healthcare provider seeks a Medical Director to oversee inpatient medical reviews and collaborate with healthcare professionals. The ideal candidate...  ...to analyze complex medical cases. This position is remote, emphasizing teamwork in decision-making without the... 
    Remote work

    Humana

    Augusta, ME
    2 days ago
  • $223.8k - $313.1k

     ...A leading U.S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews and collaborate in a team-oriented environment. Candidates...  ...years post-residency clinical experience. This remote opportunity allows for a significant impact on patient... 
    Remote work

    Humana

    Oklahoma City, OK
    2 days ago
  •  ...A leading healthcare organization seeks a Medical Director in Jackson, Mississippi. This role involves conducting clinical reviews of inpatient records and ensuring accurate decision-making based on national guidelines. Candidates should hold an MD or DO and have over... 
    Remote work

    Humana

    Jackson, MS
    2 days ago
  •  ...A leading healthcare company is seeking a Medical Director to conduct clinical reviews of inpatient medical records. The candidate will analyze complex cases and ensure adherence to medical necessity guidelines. This position offers a chance to impact patient care through... 
    Remote work

    Humana

    Boston, MA
    2 days ago
  •  ...A leading healthcare company is seeking a Medical Director in Denver, Colorado. The role involves conducting inpatient medical necessity reviews, ensuring compliance with regulations, and working collaboratively within a structured team. Ideal candidates have substantial... 
    Remote work
    Full time

    Humana

    Denver, CO
    2 days ago
  •  ...A major healthcare organization is seeking a Medical Director to conduct clinical reviews of inpatient medical records and assess medical necessity based...  ...analytical and communication skills. This position allows for remote work while occasionally requiring travel to the... 
    Remote work

    Humana

    Charleston, WV
    2 days ago
  •  ...A leading healthcare firm in Michigan is seeking a Medical Director to oversee clinical reviews and support decision-making in inpatient care. The ideal candidate will have significant post-residency experience, a medical license, and board certification. Responsibilities... 
    Remote work

    Humana

    Lansing, MI
    2 days ago
  • $223.8k - $313.1k

     ...A leading healthcare company is seeking a Medical Director to conduct clinical reviews and assess medical necessity in a remote role. The ideal candidate will have a medical degree, extensive clinical experience, and strong analytical skills. Responsibilities include reviewing... 
    Remote work

    Humana

    Saint Paul, MN
    2 days ago
  •  ...A leading healthcare company is seeking a Medical Director to oversee inpatient care and conduct medical necessity reviews. This remote position allows physicians to leverage their clinical expertise while impacting patient outcomes without irregular hours. Ideal candidates... 
    Remote work

    Humana

    Concord, NH
    2 days ago
  •  ...A leading U.S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews and analyze complex hospital cases. The ideal candidate...  ...and a strong commitment to patient outcomes. This remote position offers a competitive salary range and an... 
    Remote work

    Humana

    Olympia, WA
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Medical Director, Denials & Utilization Review. Be the first to apply!