Remote Medical Director, DME & Utilization
$248.5k - $373kCrains Cleveland
Crains Cleveland is looking for a Medical Director to oversee clinical operations and support the Enterprise Clinical Services. This role emphasizes improving health outcomes through effective management of medical benefits and collaboration with healthcare providers. Successful candidates will hold an M.D. or D.O., with extensive clinical experience and skills in Evidence Based Medicine. The position offers competitive compensation ranging from $248,500 to $373,000, along with a comprehensive benefits package. #J-18808-Ljbffr
$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 workFull time- ...Stryker Corporation is seeking a Medical Director to provide essential physician support for clinical... ...to members while engaging in various utilization management activities. The ideal... ...least 5 years of clinical experience. Remote working options are available across the...Remote work
- ...Texas Health Institute is seeking a Medical Director to provide clinical support for Enterprise Clinical Services operations. In this role... ...ensuring cost-effective and quality care. The position allows remote work from anywhere in the U.S., collaborating with a multidisciplinary...Remote work
$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra’s Utilization Management (... ...Additional Expectations: Full-time remote role requiring consistent...Remote workFull timeTemporary workLocal area$250k
...divh2Utilization Review Medical Director/h2pThe Utilization Review Medical Director is responsible for conducting... ...of Durable Medical Equipment (DME) and related requests to support Integras... ...Additional Expectations:/pulliFull-time remote role requiring consistent...Remote workFull timeTemporary work$250k - $325k
...Medical Director - Utilization Management (Part Time) The Part-Time Medical Director – Utilization Management... ...referrals, diagnostics, imaging, DME, therapies, and procedures. Support... ...and Working Conditions This is a Remote - US based position. The national...Remote workPart time$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...knowledge in various utilization management activities with a... ...enjoy the flexibility to work remotely from anywhere within the U.S... ...the coverage reviews will be DME requests and therapy services...Remote workMinimum wageWork experience placementLocal area- ...A health care organization is looking for a Medical Director for its National Utilization Management Team. This remote position requires reviewing medical records and making clinical determinations, requiring at least 5 years of clinical experience post-residency. The...Remote workWeekend work
- ...leading U.S. healthcare organization is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in... ...clinical experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient outcomes...Remote work
$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 workFull time$79.8k - $126k
...Judi Health is seeking a Medical Director (Texas Licensed) for a remote position. The role will involve overseeing clinical support for Capital Rx's utilization management programs and making clinical determinations for patient care. Qualified candidates must have an active...Remote work- ...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 work
$223.8k - $313.1k
...A leading healthcare organization is seeking a Medical Director in Jefferson City, Missouri. The role involves conducting clinical reviews of inpatient records and making utilization management determinations. Candidates should possess an MD or DO, an active medical license...Remote work- ...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 workFlexible hours
- ...A national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with... ...Responsibilities include performing clinical reviews, providing utilization management determinations, and ensuring compliance with...Remote workMonday to Friday
$240.12k - $315.16k
...Overview Oscar is hiring an Associate Medical Director to join the Utilization Management Team. This role determines the medical appropriateness of inpatient... ...the Senior Medical Director. Work Location This is a remote position, open to candidates with an active medical...Remote workImmediate startWork from home- ...seeking an enthusiastic and highly skilled Medical Director to join our growing team. This pivotal... ...for overseeing and performing utilization reviews, prior authorizations, and making... ...effective peer-to-peer discussions. This is a remote position requiring a "roll up your...Remote workFull timeFlexible hours
- ...A healthcare organization is seeking a Medical Director for Utilization Management to ensure compliant care decisions for Medicare Advantage members. This remote position requires expertise in clinical decision-making, particularly with MCG guidelines and utilization...Remote work
- ...Humana Inc. is seeking a Medical Director National OP Medicare located in Washington, D.C. This... ...compliance with regulatory standards, and utilizing extensive medical judgment and... ...of post-residency experience. This is a remote position with competitive pay and benefits...Remote work
$275k - $300k
...The Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California, Nevada, Arizona, Oregon, or Florida. This role involves conducting medical reviews of oncology treatment plans and collaborating...Remote work- ...Humana Inc in Columbus, Ohio is seeking a Medical Director for National OP Medicare to leverage... ...expertise for service authorization and utilization management. This role requires strong... ...operates in a structured environment and may involve remote work. #J-18808-Ljbffr...Remote work
- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team,... ...communication, analytic reasoning, and leadership skills. This remote role offers a competitive salary, benefits including...Remote work
- ...Crains Cleveland is seeking a Cardiovascular Utilization Management Reviewer to join their Utilization Management team. This role allows you to leverage your expertise in cardiology in a fully remote setting, contributing to case reviews and patient care improvement....Remote workFull timePart timeFlexible hours
- ...Humana Inc. is seeking a Medical Director for a remote position based in the United States. This role involves utilizing medical expertise to authorize rehabilitation services, collaborating with team members, and ensuring compliance with national clinical guidelines....Remote work
- ...Medix™ is looking for experienced Utilization Management Medical Directors for a remote contract opportunity. This role is ideal for physicians with strong payer-side utilization management experience who can thrive in a high-volume review environment. The position offers...Remote workFull timeContract workFlexible hours
$84k - $105k
...Transformcap is seeking a Medical Director to provide clinical support for its clinical utilization management programs. This position involves completing medication utilization... ...Medicine are required. The position offers remote work with a salary range of $84,000 — $105,000...Remote work- ...Humana Inc is seeking a Medical Director National OP Medicare to utilize clinical expertise and medical judgment in determining the authorization for services... ...and effective resource utilization. Humana offers a remote work model with competitive salary and benefits. #J-1...Remote work
$248.5k - $373k
...Stryker Corporation is seeking a Medical Director to provide physician support for Enterprise... ...focuses on applying clinical knowledge in utilization management activities, conducting... ...experience. This position allows for remote work from anywhere in the U.S., offering...Remote work$110.88 - $124.74 per hour
...A community-based healthcare organization is seeking a Medical Director of Utilization Management to oversee and coordinate clinical management,... ...experience and a current NY Physician license. The position is remote, allowing for a flexible schedule, and involves...Remote workHourly payDaily paidFlexible hours$130 - $140 per hour
...Remote Medical Director - Utilization Management (6-12 month contract, potential for long-term hire!) Must hold MD license in PA, NY or WV. Job Summary Medix is partnering with a premier national health plan to identify an experienced Medical Director for a Utilization...Remote workHourly payContract workFlexible hours
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