Remote Medical Director, Utilization & Quality
Texas Health Institute
UnitedHealth Group is seeking a Medical Director to oversee medical review services and utilization management workflows. The role involves directing policies, coordinating staff activities, and ensuring high standards across clinical criteria. Remote work within the U.S.
is supported, with potential weekend coverage for urgent decisions. The position requires board certification in Orthopedic Surgery or Neurosurgery, a current medical license, and 5+ years of spine-related clinical experience.
#J-18808-Ljbffr$275k - $325k
...growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona Oregon... ...leaders to support evidence-based high quality and cost-effective care delivery across the network...Remote workWork from home$248.5k - $373k
...0 - $373,000.00Job Area: Medical & Clinical OperationsCompany... ...together.The Medical Director Oncology will provide utilization review determinations and... ...the flexibility to work remotely * from anywhere within the... ...opportunities to close clinical quality / service gaps, and care...Remote workMinimum wageWork experience placementLocal area- ...Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh, North Carolina... ...focus on physical health utilization management and clinical... ...management teams to uphold quality, compliance, and defensible... ...while accommodating primarily remote work with a North #J-18808-Ljbffr...Remote work
- ...CAI is seeking a Medical Director to oversee utilization management with adherence to top clinical standards. This full-time, remote position requires board-certified MD/DO and active state... ...teams while ensuring compliance and high-quality care. #J-18808-Ljbffr...Remote workFull time
- ...Judi Health is seeking a Medical Director for the Clinical Enterprise team to oversee utilization management, prior authorizations, and appeals for commercial and government programs. The role reports to the Lead Medical Director and collaborates with pharmacists and...Remote work
$240.12k - $315.16k
...re Oscar. We're hiring an Associate Medical Director to join our Utilization Management Team. Oscar is the first... ...management and adherence to quality standards.You will report into the... ...Director.Work Location: This is a remote position, open to candidates holding...Remote workFull timeImmediate startWork from homeHome office$248.5k - $373k
...,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...physician to join our Utilization Management team. Optum... ...and live.The Medical Director for Utilization... ...the flexibility to work remotely * from anywhere within... ...confidentialityProvides quality assurance and...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...enthusiastic and highly skilled Medical Director to join our growing team.... ...overseeing and performing utilization reviews, prior authorizations... ...peer discussions. This is a remote position requiring a "roll up... ...protocols. Participate in quality improvement initiatives, audits...Remote workFull timeFlexible hours
- ...Medical Director Utilization Management Location: Remote Preference EST or nearby Pittsburgh PA, NY, WV Duration: 6+ Months Contract Role with possible extension. Position Overview As part of a physician team, the Medical Director ensures utilization management...Remote workContract workPrivate practice
- ...A leading virtual health company is seeking a Director of Clinical Quality to oversee its clinical quality functions in the virtual... ..., including expertise in quality improvement and utilization management. This is a remote position with a focus on maintaining high...Remote work
- ...Medical Director Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location: Pittsburgh, PA Schedule: Monday Friday | 9:00 AM 5:00 PM EST Core Hours: 40 Hours/Week Employment Type: Contract with Possibility of...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
$140k - $175k
...About the Role The Director of Clinical Quality serves as Equip's primary owner... ...providing direct oversight of the Utilization Management (UM) program.... ...directly to the VP of Medical Operations & Quality and serves... ...or compliance staff) in a remote or telehealth setting....Remote workWork at officeLocal areaWork from homeHome officeFlexible hours- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California... ...providing the highest quality care to our residents in the Coachella... ...position can be structured as a hybrid remote role - you would not necessarily...Remote workRelocation package
- ...Centene Corp. is seeking a Remote Medical Director, Appeals to lead medical management, utilization review, and quality improvement for our national program. You will provide medical leadership across utilization management, cost containment, and clinical quality initiatives...Remote work
- ...A diversified healthcare organization is seeking a clinical professional to lead medical management services. Responsibilities include overseeing utilization review, coordinating quality improvement initiatives, and collaborating with various clinical teams to ensure optimal...Remote workFlexible hours
- ...AnnuallyIndustry PharmaceuticalsSelling Points Drive clinical quality excellence in a hybrid executive role. Lead impactful audits and... ...issues and develop effective corrective action plans.Supervise remote vendor audits, ensuring thorough follow-up actions and compliance...Remote work
- Humana Inc. is seeking a Utilization Management Behavioral Health Professional... ...health services. This remote role supports providers and internal teams in ensuring medically necessary decisions through... ...and collaboration with medical directors. #J-18808-Ljbffr Humana IncRemote job
$233k - $302k
...Medical Director, Quality and Value-Based Performance Newport News, Virginia Medical Director, Quality and Value-Based Performance Riverside... ...initiatives, with a focus on improving quality, outcomes, utilization, and financial performance through data-driven strategies...Full time$160k - $187k
...Senior Manager, Clinical Quality Assurance Boston, MA or Remote Responsibilities Reporting to the Executive Director of Quality Assurance, the Senior Manager, Clinical Quality... ...provide quality and compliance oversight utilizing proactive end to end strategies for all clinical...Remote workSummer holidayWork at officeHome office$115k - $125k
...Department of Radiology and Medical Imaging seeks a strategic, analytical... ...leader to serve as Director of Quality Assurance & Clinical Projects... ...ability to develop and utilize data reporting and analytics... ...needed, in accordance with UVA’s remote work guidelinesTo learn more...Remote work$200k - $250k
...RWJBarnabas Health is Seeking a Medical Director of Quality – Heart & Vascular West Orange, New Jersey RWJBarnabas Health, the largest integrated... ...in outcomes, efficiency, and care reliability. Utilize data analytics and registry performance (ACC, STS, NCDR, VQI...- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California... ...providing the highest quality care to our residents in the Coachella... ...position can be structured as a hybrid remote role - you would not necessarily...Remote workPermanent employmentTemporary workRelocation package
$275k - $325k
...Astrana is seeking a California-licensed Medical Director - Utilization (UM) to provide clinical oversight... ...to ensure members receive high-quality, medically appropriate, and cost-effective... ...Conditions This position is fully remote, with some travel to SoCal required as...Remote workFull timePart timeShift work- ...Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great...Remote workFull time
- We are looking for a Medical Director, who will be the clinical leader of... ...your team including clinical quality, documentation quality and... ...patient wishes and reduces utilization of unwanted servicesStrong orientation... ..., 'checklist' management, remote monitoring, etc.) used...Remote work1 day per week
$160k - $200k
...patients, at the right time.As the Director of Quality Assurance (QA), you will... ...and Tempus’s own sponsored medical device clinical trials.... ...Open to Hybrid in Chicago or Remote candidatesKey Responsibilities... ...competing priorities and to utilize resources effectively. Demonstrated...Remote workFull time$217k - $284.8k
At Eisai, satisfying unmet medical needs and increasing the benefits... ...from you.The Global Medical Director will provide medical... ...class.The Medical Director will utilize expert medical/scientific knowledge... ...: United States, Remote; New Jersey, NutleyType: Full...Remote workFull timeTemporary work- ...Aseptic Standards: Author and maintain global quality standards for aseptic processing and... ...prevention of objectionable organisms.Clean Utility Governance: Establish global standards... ...workplace culture.SummaryLocation: Philadelphia, PA, USA; Fully Remote, USAType: Full timeRemote workFull timeWeekend work
$248.5k - $373k
...373,000/yearJob Area: Medical & Clinical OperationsCompany... ...costs.The Medical Director provides physician... ...coverage determinations, quality improvement and cost... ...knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeWork experience placementLocal area$236.5k
...clinical professional on our Medical Management/Health... ...: Supervisory Medical Director at Centene provides... ...expertise to ensure high-quality, cost-effective care... ...limited to, scheduling for Utilization Management coverage,... ...approach to work with remote, hybrid, field or...Remote workFull timePart timeWork at officeFlexible hours
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