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

Remote Medical Director, Clinical Review & Utilization

$248.5k - $373k

Council of State and Territorial Epidemiologists

Boston, MA
  • Remote job

The Council of State and Territorial Epidemiologists is seeking a Medical Director to provide support for Enterprise Clinical Services. This role involves conducting clinical coverage and medical claims reviews to improve health outcomes. Prefer candidates with a M.D or D.O. and significant clinical practice experience. The position allows flexibility to work remotely from anywhere in the U.S. The compensation ranges from $248,500 to $373,000, depending on experience and productivity. A comprehensive benefits package is also included. #J-18808-Ljbffr Council of State and Territorial Epidemiologists

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Medical Director, Clinical Review & Utilization in Boston, MA vacancy
  •  ...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
  •  ...healthcare company in Washington, D.C. is seeking a Medical Director to oversee inpatient medical necessity reviews and utilization management. This role requires strong...  ...communication skills, as well as 5+ years of clinical experience post-residency. Ideal candidates will... 
    Remote work

    Humana

    Washington DC
    1 day ago
  •  ...national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with healthcare...  ...skills. Responsibilities include performing clinical reviews, providing utilization management determinations, and ensuring... 
    Remote work
    Monday to Friday

    Humana, Inc.

    Nashville, TN
    1 day ago
  • $135 - $150 per hour

     ...Job Posting: Medical Director (Utilization Review / Peer-to-Peer) Location: Position is Remote (anywhere in the U.S.) Department: Utilization Review – Medical Director Employment...  ...-effective care. You will serve as a vital clinical advisor, lead programs that improve... 
    Remote work
    Hourly pay
    Full time
    Contract work

    The Judge Group, LLC

    New York, NY
    3 days ago
  •  ...Association Inc is seeking a Medical Director to enhance health outcomes via effective clinical reviews and provider collaboration. This...  ...M.D or D.O. with a focus on utilizing evidence-based medicine to...  ...skills. Enjoy the flexibility of remote work across the U.S. while... 
    Remote job

    Wisconsin Psychiatric Association Inc

    Boston, MA
    2 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
  • 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 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
  •  ...A leading healthcare company is seeking a Medical Director to join their team in Montpelier, Vermont. This role involves performing clinical reviews of inpatient medical records to assess medical necessity and collaborate with physicians to improve healthcare quality.... 
    Remote work

    Humana

    Montpelier, VT
    2 days ago
  •  ...A leading healthcare provider is seeking a Medical Director to review health claims and ensure compliance with clinical standards. The ideal candidate will have a strong...  ...is based in Sacramento, CA, with standard hours and some remote work flexibility. #J-18808-Ljbffr... 
    Remote work

    Humana

    Sacramento, CA
    2 days ago
  • $223.8k - $313.1k

     ...A leading U.S. healthcare company seeks a Medical Director to enhance inpatient care quality. This role involves performing expert clinical reviews, analyzing hospital cases for necessity, and collaborating in a structured team environment. Candidates should have an MD... 
    Remote work

    Humana

    Maryland
    1 day ago
  • A leading healthcare company in the United States seeks a Medical Director to oversee clinical reviews of inpatient care. This involves analyzing medical necessity based on various guidelines and collaborating with external providers. Candidates should hold an MD or DO... 
    Remote work

    Humana

    Madison, WI
    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...  ...should have an MD or DO, a minimum of 5 years of clinical experience, and a current board certification. The role... 
    Remote work

    Humana

    Springfield, IL
    3 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
  •  ...healthcare company is seeking a Medical Director to join their team. This...  ...inpatient medical necessity reviews and analyzing complex hospital...  ...and have over five years of clinical experience. The position...  ...with the opportunity to work remotely while occasionally traveling... 
    Remote work

    Humana

    Des Moines, IA
    2 days ago
  •  ...A leading U.S. healthcare company seeks a Medical Director in Tallahassee, Florida. The role includes clinical reviews and analysis of inpatient cases, requiring MD or DO credentials and 5+ years of experience. Ideal candidates possess strong analytical skills and can... 
    Remote work

    Humana

    Tallahassee, FL
    2 days ago
  •  ...leading healthcare provider seeks a Medical Director to oversee inpatient medical reviews and collaborate with healthcare...  ...an MD or DO with over 5 years of clinical experience and a strong ability...  ...medical cases. This position is remote, emphasizing teamwork in decision... 
    Remote work

    Humana

    Augusta, ME
    2 days ago
  •  ...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 of clinical experience and an active medical...  ...support continuous improvement. This remote position offers a competitive... 
    Remote work

    Humana

    Boise, ID
    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...  ...a minimum of five years post-residency clinical experience. This remote opportunity allows for a significant impact... 
    Remote work

    Humana

    Oklahoma City, OK
    2 days ago
  • $223.8k - $313.1k

    A leading healthcare organization is seeking a Medical Director to oversee clinical reviews, analyze hospital cases, and collaborate within a team-oriented environment. This position allows for impactful patient care decisions without the demands of bedside work. Required... 
    Remote work

    Humana

    Pierre, SD
    1 day ago
  •  ....S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews and analyze complex hospital cases...  ...candidate will have extensive clinical experience, excellent...  ...commitment to patient outcomes. This remote position offers a competitive salary... 
    Remote work

    Humana

    Olympia, WA
    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
  • $223.8k - $313.1k

    A leading healthcare company in New Jersey seeks a Medical Director to perform clinical reviews of inpatient medical records and assess medical necessity...  ...work within a supportive team environment. This is a remote role with standard hours and occasional travel, offering... 
    Remote work

    Humana

    Ewing, NJ
    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
  • $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
  • $223.8k - $313.1k

    A leading healthcare company is seeking a Medical Director to perform expert clinical reviews and ensure high-quality decision-making. The role involves collaboration...  ..., and adherence to regulatory standards in a remote setting with occasional travel. A competitive salary... 
    Remote work

    Humana

    Richmond, VA
    2 days ago
  • $223.8k - $313.1k

    A leading U.S. healthcare company is seeking a Medical Director to perform clinical reviews of inpatient medical records and ensure compliance with regulatory...  ...quality initiatives. This role is primarily remote with a salary range of $223,800 to $313,100 per year,... 
    Remote work

    Humana

    Carson City, NV
    1 day ago
  • A leading healthcare company is seeking a Medical Director to perform expert clinical reviews of inpatient medical records and support high-quality decision-making. This role requires an MD or DO with at least 5 years of clinical experience. Responsibilities include conducting... 
    Remote work

    Humana

    Little Rock, AR
    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

Do you want to receive more vacancies?

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