Remote National Medical Director for Medicare Care Outcomes
Jobgether
Jobgether is seeking a National Medical Director based in the United States to lead clinical strategy and drive measurable Medicare outcomes in a fully remote, leadership capacity. You will own clinical performance across the patient population, focusing on preventing avoidable hospitalizations, ER visits, falls, and frailty using a geriatric approach. You will collaborate with clinicians, care advocates, operations, and technology teams to translate insights into practical care protocols, #J-18808-Ljbffr
- ...Jobgether is seeking a National Medical Director based in the United States to lead clinical strategy and drive measurable Medicare outcomes in a fully remote, leadership capacity. You will own clinical... ...collaborate with clinicians, care advocates, operations, and technology...Remote work
- MiraMace, Inc. is seeking a National Medical Director to own clinical outcomes for every patient, driving improvements in readmissions, ER visits, and frailty... ...scalable protocols while collaborating with payers, CMS, and Care Advocates. #J-18808-Ljbffr MiraMace, Inc.Remote job
- ...breakthroughs, both in treatments, care solutions and communities... ...and communities. Director, National Medical Value & Outcomes Liaisons (MVOLs) leads a... ...Managed Care, etc. #LI-Remote #LI-ViiV #LI-GSK... ...please visit the Centers for Medicare and Medicaid Services (...Remote workLocal areaNight shift
- ...Location: Remote (U.S.-based) Commitment: Full-time... ...company on a mission to help Medicare patients navigate a... ...patients understand their care, stay connected to their... ...About the Role As National Medical Director, you own clinical outcomes for every Mira patient,...Remote workFull time
- ...Bluestone Physician Services seeks a National Medical Director to lead clinical excellence, quality and strategic growth across primary care programs. This executive role oversees physicians... ...process improvement in a hybrid field/office/remote environment, #J-18808-LjbffrRemote workWork at office
- .... Our partner is looking for a National Medical Director based in the United States.... ...measurable improvements in healthcare outcomes for Medicare patients. In this fully remote, full-time leadership role, you... ...work closely with clinicians, care advocates, operations, and...Remote workPermanent employmentFull time
- ...Humana Inc. is seeking a Medical Director for a fully remote role to oversee medical determinations with an emphasis on Medicare Advantage and related care management. You will interpret clinical... ...data, ensure alignment with national guidelines, and collaborate with...Remote work
$215k - $408.5k
...Assist the Chief Medical Director to direct and coordinate... ...cost-effectiveness of care and service for members... ...management teams to optimize outcomes. ~ Collaborates... ...both locally and nationally on medical philosophy,... ...approach to work with remote, hybrid, field or office...Remote workFull timePart timeWork at officeFlexible hoursWeekend work- ...Physicians Health Plan Inc. is seeking a Senior Medical Director to drive clinical strategy, value-based care, and population health initiatives across the organization... ..., analytics, and operations to improve outcomes, member experience, provider performance, and total...Remote work
- ...future of accountable care with TeamHealth!We... ...executive to serve as ACO national medical director; a highly visible... ...internal teams to improve outcomes and performance... ...abilities Preferred Medicare Shared Savings... ...similar advanced degree Remote U.S.-based position...Remote workLocal areaFlexible hours
$223.8k - $313.1k
...Medical Director National OP Medicare Location: United States Remote: Yes Employment type: Full time Category: Physician Humana Job Description Become a part of our caring community The Medical Director relies on medical background and reviews preauthorization requests...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...National Medical Director- REMOTE- 50% Travel Full-time Catasys is making a positive impact on people’s lives... ...innovating in the field of patient care is something you’re passionate about,... ...in executing on strategy, measuring outcomes and improving our clinical services,...Remote workFull timeWork at office
$332.3k - $377.4k
...seeking an experienced Medical Director with expertise in... ...Utilization Management (UM), Care Management (CM) and... ...cost savings and quality outcomes across areas of... ...expectations. If applying for a remote or hybrid role, this... ..., gender identity, national origin, disability or...Remote workHourly payLocal areaRelocation package- ...Health is seeking a physician leader to build a national Musculoskeletal (MSK) program, combining expert clinical care with an AI-powered platform. You will define... ...clinical reasoning into system prompts, review outcomes, and scale a patient-centered MSK experience—delivering...Remote work
- ...The National Medical Director leads and develops a team of Medical Directors and... ...drive value-based healthcare outcomes. This role requires... ...residency in an adult primary care specialty (family medicine,... ...collaborative, inclusive and remote-first culture - you've come...Remote workFull timeLocal areaFlexible hours
$59.3k - $80.9k
...Become a part of our caring community The... ...towards desired outcomes by monitoring patient... ...Workstyle: Remote with occasional travel... ..., Humana provides medical, dental and vision... ...life for people with Medicare and Medicaid,... ...gender identity, national origin, age, marital...Remote workFull timeTemporary workApprenticeshipWork experience placementLive inWork at officeWork from homeHome officeMonday to Friday- ...Owning clinical outcomes for every patient, the full-time Licensed National Medical Director will design and implement programs to improve... ...ER visits, all while working remotely. Key responsibilities... ...programs focusing on geriatric care to address issues like polypharmacy...Remote workFull time
- ...Humana Inc. is seeking a Medical Director to review Medicare drug appeals (Part D & B) and guide value-based care. You will analyze complex cases... ...to support optimal outcomes for members. The role requires... ...meetings may be required; remote work is possible. #J-1880...Remote work
$65k - $88.6k
...Become a part of our caring community... ...organizations, and national partners to remove... ...quality, cost-effective outcomes. Identify and... ...with Medicaid or Medicare Enrollees to coordinate... ...: This is a remote, field-based position... ..., Humana provides medical, dental and vision...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to Friday$71.5k - $97.5k
...Become a part of our caring community The... ...behavioral health outcomes, reducing care... ...collaboration with medical and behavioral health... ...IDHS), Center for Medicare and Medicaid Services (CMS) and the National Committee on... ...Workstyle: This is a remote position that will...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Highmark Inc. is seeking a full-time remote Care Management professional with weekend availability to implement care management reviews and improve provider and member outcomes.You will review services, apply criteria, educate providers, and coordinate with Health Coaches...Remote workFull timeWeekend work
$245k - $330k
...Primary Care Medical Director-Brookside Community Health CenterJoin us in strengthening... ...in 1970 as part of the national CHC movement and today... ...that influence patient outcomes, along with a commitment to... ...ensuring quality patient care.Remote in-basket support, helping...Remote workFull timePart timeRelocation packageAfternoon shift$69.5k - $101k
...Hampshire through Medicare, Individual and Family... ...ago as Boston Medical Center HealthNet Plan... ...The Clinical Care Manager provides... ...to improve health outcomes, promote self-management... ...be performed in a remote or community-based... ..., religion, sex, national origin, sexual...Remote workTemporary workWork at officeFlexible hours$71.1k - $97.8k
...Become a part of our caring community The... ...towards desired outcomes by continuously monitoring... ...electronic medical records Preferred... ...: While this is a remote position,... ...life for people with Medicare and Medicaid, families... ...gender identity, national origin, age,...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$248.5k - $373k
...$373,000/yearJob Area: Medical & Clinical OperationsCompany... ...the future of health care, here's your... ...Services (CCS) Medical Director works diligently to oversee... ...the flexibility to work remotely * from anywhere within... ...without regard to race, national origin, religion, age,...Remote workMinimum wageFull timeWork experience placementLocal area$222.75k - $371.25k
...Summary Provides medical and scientific leadership... ...and global health outcomes. You will: Shape... ...collaboration. Remote working is... ...benefits include health care and other insurance... ...parental status, national origin, age, disability... ...the Centers for Medicare and Medicaid...Remote workFull timeLocal area$280.84k - $393.18k
...President of Health Services, the Senior Medical Director Policy & Outcomes (Sr. Medical Director - P&O) is... ...balanceFlexible Spending Account - Health Care/ChildcareCalPERS retirement457(b)... ...hybrid work schedule. (Monday & Friday - remote, Tuesday - Thurs onsite in Rancho...Remote workTemporary workLocal areaMonday to Friday- ...Humana is seeking a Medical Director to perform medical interpretation and determinations for... ...settings, ensuring alignment with CMS, national guidelines, and Humana policies. The role... ...transitioning to independent work. Fully remote position with occasional travel to...Remote work
$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on medical... ...to impact patient outcomes without the physical... ...necessity based on national guidelines, CMS regulations... ...inpatient review (Medicare Advantage, Managed... .... Work Style: Remote in the contiguous...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work$75k - $85k
...Supervisor - Care Management (Non-clinical) Department... ...experience in a medical group, IPA and/or HMO setting... ...staff to drive outcomes. Experience in managing... ...Conditions This is a remote position. Travel may... ...race, religion, color, national origin, gender (including...Remote workFull timeWork at office
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