Remote Medical Director, Utilization Management
$248.5k - $373kCrains Cleveland
Optum is looking for a qualified physician (M.D or D.O) to conduct coverage reviews for member plan benefits. This fully remote role offers a chance to impact health care positively across the U.S. The ideal candidate will have over 5 years of experience and be proficient in Evidence Based Medicine. Compensation ranges from $248,500 to $373,000 annually, along with a comprehensive benefits package including equity stock purchase and 401k contribution. #J-18808-Ljbffr
$248.5k - $373k
...Horizon Health Care is seeking a Medical Director for Utilization Management to join our team. This position supports WellMed Medical Management, Inc.,... ...and medical necessity determinations within a flexible remote work environment. The ideal candidate holds an M.D. or...Remote workFlexible hours$268k - $414k
...Newark, NJ, who will collaborate with management teams to deliver quality, cost-effective... ...while ensuring compliance with health and utilization management protocols. The ideal... ...certified in Psychiatry. Flexibility to work remotely within the U.S. is provided. The role...Remote work- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team, ensuring... ..., analytic reasoning, and leadership skills. This remote role offers a competitive salary, benefits including...Remote work
$248.5k - $373k
...Stryker Corporation seeks a Medical Director for Utilization Management in San Antonio, Texas. This role supports WellMed Medical Management, involving... ...certification, and over 5 years of clinical practice. Remote work is available, and the position offers a competitive...Remote work$248.5k - $373k
...A national health organization is seeking a Medical Director for Utilization Management to join their team. This role involves overseeing a utilization... ...several years of clinical experience. The position offers remote work flexibility and a salary range of $248,500 to $37...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
$248.5k - $373k
...internal medicine or family medicine physician for their Utilization Management team. This role offers the flexibility to work remotely from anywhere within the U.S. Responsibilities include supporting medical management decisions, ensuring compliance, and conducting...Remote workWork at office$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, ensuring... ...experience and a current NY Physician license. The position is remote, allowing for a flexible schedule, and involves...Remote workHourly payDaily paidFlexible hours$275k
...Medical Director, Hematology/Oncology (Utilization Management & Clinical Strategy) Full-Time Remote (Post-Onboarding) U.S. Licensed MD/DO A nationally recognized healthcare organization is seeking an experienced Hematology/Oncology physician to serve in a high...Remote workFull timeRelocation packageMonday to Friday- ...A leading healthcare organization is seeking a Per Diem Medical Director to oversee Utilization Management. The role involves collaborating with physicians, enhancing care quality, and developing policies within a managed care environment. Candidates should have at least...Remote workHourly payDaily paid
- Humana Inc in Columbus, Ohio is seeking a Medical Director for National OP Medicare to leverage... ...for service authorization and utilization management. This role requires strong clinical judgment... ...a structured environment and may involve remote work. #J-18808-Ljbffr Humana IncRemote 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 job
$248.5k - $373k
...family medicine physician to join our Utilization Management team. Optum is a clinician-led care... ...way clinicians work and live.The Medical Director for Utilization Management will support... ...'ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$248.5k - $373k
...Crains Cleveland is seeking a Medical Director to provide physician support for Enterprise... ...is on applying clinical knowledge in utilization management and effectively communicating with physicians... ...comprehensive benefits package, and remote work options within the U.S. #J-18808...Remote work$190k - $200k
...A healthcare management company is seeking a fully remote Medical Director to support their team in utilization management and clinical oversight for high-volume cases. The ideal candidate will have an MD or DO with board certification in Internal Medicine or Family Practice...Remote work$250k
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... ...to support Integra’s Utilization Management (UM) operations. This full-time,... ...Additional Expectations Full-time remote role requiring consistent availability...Remote workFull timeTemporary workLocal area- Humana Inc. seeks a Medical Director for the National OP Medicare. This role involves using clinical expertise to determine authorization... ...regulations, and support quality, coordination, and resource utilization. Ideal candidates will have an MD or DO degree, extensive...Remote job
$110 - $130 per hour
...A healthcare staffing company is seeking a Medical Director to lead utilization management and quality improvement for Medicare inpatient care. This remote role requires board-certified physicians with active medical licenses in FL and TX. Key responsibilities include...Remote work$225.7k - $428.9k
...leading healthcare organization is seeking a Full-time Medical Director to oversee medical management and quality improvement initiatives. This role... ...a current Louisiana state license and experience in utilization management. Responsibilities include directing medical...Remote jobFull timeFlexible hours$270k
...health information systems. The Medical Management team is at the center of... ...detail-oriented Medical Director with a strong background in... ...Payment Integrity (PI) and Utilization Management (UM). This is a... ...Additionally, we embrace a remote-first culture that supports...Remote workFull timeWork experience placementWork at officeFlexible hours- ...prominent healthcare company is seeking a Medical Director to manage integrated health plans across multiple states. This remote position requires significant clinical and... ...license. Responsibilities include overseeing utilization management, conducting appeals, and...Remote work
$268k - $414k
...Stryker Corporation is seeking a psychiatrist to collaborate with management teams to deliver effective care. The ideal candidate has a... ...coordination and adhering to treatment protocols. With a flexible remote work setup and a compensation range of $268,000 - $414,000,...Remote workFlexible hours$248.5k - $373k
...leading healthcare organization in San Antonio is seeking a Medical Director for Utilization Management to support healthcare services. This role involves... ...bilingual fluency are preferred. The position offers remote work flexibility and a competitive salary range of $24...Remote workWork at office- ...A healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making. This role demands a blend of clinical experience, leadership, and the ability to guide a team while ensuring compliance...Remote workContract workWeekend work
$250k - $325k
...Medical Director - Utilization Management (Part Time) The Part-Time Medical Director – Utilization Management, Outpatient Services provides physician... ...Job Requirements and Working Conditions This is a Remote - US based position. The national target base salary...Remote workPart time- ...Optum is seeking a Medical Director to enhance health outcomes through clinical review and support... ...with leadership and providers to manage medical benefits effectively, ensuring... ...cost efficiency. This position allows for remote work flexibility and requires an M.D. or...Remote work
- ...Stryker Corporation is seeking a Medical Director to provide physician support to Enterprise Clinical Services operations. You will conduct... ...least 5 years of clinical practice experience. The role offers remote work options within the U.S. and a comprehensive benefits...Remote work
$248.5k - $373k
...Texas Health Institute is looking for a Medical Director to oversee physician support for Enterprise Clinical Services. The director will... ...minimum of 5 years of clinical experience. This position supports remote work within MST or PST time zones. The role offers a...Remote work$101.74k - $163.8k
Manager, Clinical Utilization Management & Transitions of Care Requisition Number: RNINP... ...April 28, 2026 Full‑Time Remote Salary range: $101,740 USD... ...management inpatient medical necessity reviews and transitions... .... Collaborate with the Director of Clinical Utilization...Remote workFull timeTemporary workPart timeWork experience placementWork at officeTrial periodFlexible hours- Highmark Health in Denver is seeking a Product Manager for Behavioral Health & Wellness to shape our product vision within the Utilization Management function. This role involves... ...to delivery. With options for hybrid or remote work, you will need to communicate effectively...Remote work
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