Remote Medical Director, General Surgery & Policy Review
HCSC
- Remote job
Health Care Service Corporation (HCSC) is seeking a physician with an active US license to oversee medical policies and programs. The role requires board certification and 5 years of clinical experience, plus strong analytical and communication skills.This remote position offers exposure to provider communities and policy development across care areas. The role emphasizes strategic thinking and proficiency in Office applications and legacy tools to document case reviews.J-18808-Ljbffr HCSC
$191.5k - $355.6k
...position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities... ...American Osteopathic Association (AOA) in General SurgeryThis is a remote work from home position#LI-MG1Are you being referred...Remote workPolicyFull timeWork at officeWork from home$248.5k - $373k
...member of a team of medical directors, for the overall... ...of the medical review services. Additionally... ...of policies, procedures and clinical... ...flexibility to work remotely * from anywhere... ...authorizations for spine surgery Document... ...this specialty generally ranges from $248,...Remote workPolicyMinimum wageFull timeWork experience placementLocal areaWeekend work$248.5k - $373k
...- $373,000/yearJob Area: Medical & Clinical OperationsCompany... ...part of the Focus Claims Review team at Optum, the Medical Director provides leadership,... ...development and implementation of policies and procedures and... ...the flexibility to work remotely * from anywhere within the...Remote workPolicyMinimum wageFull timeWork experience placementWork at officeLocal area$248.5k - $373k
...00.00Job Area: Medical & Clinical OperationsCompany... ...Focus Claims Review team at Optum, the Medical Director provides... ...of policies and procedures... ...flexibility to work remotely * from anywhere... ...in Neurological Surgery through the American... ...this specialty generally ranges from $24...Remote workPolicyMinimum wageWork experience placementWork at officeLocal area$248.5k - $373k
...0.00Job Area: Medical & Clinical OperationsCompany... ...of medical directors, for the... ...the medical review services.... ...implementation of policies, procedures... ...flexibility to work remotely * from... ...in Orthopedic Surgery or Neurosurgery... ...this specialty generally ranges from $2...Remote workPolicyMinimum wageWork experience placementLocal areaWeekend work$222.75k - $267.3k
...Toland Physicians, Altais Medical Group Riverside, and... .... The Medical Director of Utilization and Medical... ...Management policy and procedures. This physician... ...Management Committee, the Peer Review and Patient Safety... ...Medicine, Geriatrics, General Surgery or Pediatrics. A...Remote workPolicyWork at officeLocal areaFlexible hours$248.5k - $373k
...together. Job Description - Appeals Medical Director - General Medicine Required - Remote (2383589) Appeals Medical... ...responsible for ongoing clinical review and adjudication of appeals and grievances... ...of clinical criteria of medical policies Perform Department of Insurance/...Remote jobPolicyMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeMonday to Friday- Integra Partners seeks an experienced Utilization Review Medical Director to lead clinical reviews of DMEPOS requests within a remote UM environment. You will ensure decisions... ...Medicare/Medicaid guidelines and internal policies while maintaining timely throughput and...Remote jobPolicy
$140 - $145 per hour
Medical Director - Surgery, Orthopedics & PM&R Role Summary Are you an... ..., medical necessity reviews, appeals, and clinical... ...week) to TriWest's remote administrative operations... ...network providers. Policy Development: Provide... ...Board Certification in General Surgery, Orthopedic...Remote workPolicyHourly payLocumPrivate practice3 days per week1 day per week$125 per hour
...specialized clinical consulting and medical review services in support of HCP's... ...time employee position. Services will generally be performed remotely and on an as-needed basis, based on... ...applicable professional standards, HCP policies and procedures, and applicable...Remote workPolicyHourly payFull timePart timeFor contractorsLocal areaFlexible hours$280k - $305k
...backbone of Devoted Medical's AI platform... ..., and surgery that many members... ...write prompts, review transcripts, argue... ...benefits package #LI-REMOTE #LI-EM1.The pay... ...excluding Director and above; Commission... ...to this policy with respect to... ...activities and general treatment during...Remote workPolicy$186.3k
Job Posting Title- Senior Medical Director, Hematology/OncologyLocation:... ...safety, including medical data review and review of critical... ...clear, actionable insights#LI-Remote#LI-NITINMAHAJANIQVIA is a leading... ...maintains a zero tolerance policy for candidate fraud. All information...Remote workPolicyFull timePart timeImmediate startWork from homeWorldwideShift work$100k - $300k
New: Part-Time Medical Director Opportunity in Michigan... ...preferably in a general field of medical... ...medical director reviews a variety of... ...expense reimbursement policies Organization... ...and may be partly remote. It is a... ...technologies, surgeries and medications...Remote workPolicyHourly payTemporary workPart timeFor contractorsImmediate start$79.72k - $128.12k
...contained in the beneficiary’s medical record. Responsible for performing quality reviews of medical records to... ...with the Associate Director and Director of DRG... ...and institutional coding policies to achieve coding excellence... ...-venture outpatient surgery centers throughout the...Remote workPolicyFull timeTraineeshipWork experience placementLocal area$214.8k - $398.9k
...SummaryThis position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities for... ...is a Flex (Hybrid) role: 3 days in office; 2 days remote. Are you being referred to one of our roles? If so,...Remote workPolicyFull timeWork at officeFlexible hours3 days per week$240k - $250k
...Medical Director Utilization Management We are looking for physicians... ...appropriateness of services by reviewing clinical information and... ...perspectives. This is a remote-first role that may require... ...the care continuum–including policy, prior authorization, payment...Remote workPolicyFlexible hours$386.5k
...00/yearJob Area: Medical & Clinical OperationsCompany... ...National Medical Director of Surgical... ...of care across general surgery, minimally... ...post-deployment review of results. This... ...flexibility to work remotely * from anywhere within... ...g., new clinical policies, programs,...Remote workPolicyMinimum wageFull timeWork experience placementWork at officeLocal area- ...Are you an experienced Medical Director/ Physician Reviewer with a desire to excel? If so... ...Physician Reviewer to work remotely at their company.... ...electronically and using Medical Policy criteria sets to evaluate... ...Listening •Telephone Skills •General Computer Skills •...Remote workPolicyPrivate practice
- ...Are you an experienced Medical Director/ Physician Reviewer with a desire to excel? If so... ...Physician Reviewer to work remotely at their company. Is... ...electronically and using Medical Policy criteria sets to evaluate... ...•Telephone Skills •General Computer Skills •Clinical...Remote workPolicyPrivate practice
$115.9k - $165.6k
...generous, flexible vacation policy and educational assistance.... ...Summary The Senior Medical Review Manager is a senior healthcare... ...Collaborates with medical directors, physician reviewers, nursing... ...this role United States remote opportunity Video cameras...Remote workPolicyFull timeWork at officeFlexible hours$137.5k - $220.1k
...of the largest global medical technology companies in... ...management oversight and reviews of study‑related and... ...collaboratively and lead a team in a remote environment. Preferred... ...Accommodations Policy, requests for... ...program Musculoskeletal surgery, cancer treatment, and...Remote workPolicyHourly payDaily paidContract workTemporary workWork at officeLocal areaImmediate startFlexible hours- ...validation (clinical/coding) reviews of medical records and/or other documentation... ...and providing clinical/policy/regulatory support for the determination. This is a remote position. ESSENTIAL FUNCTIONS... ...during the offer process. In general, our opportunities will be...Remote workPolicyMinimum wageFull timeContract workWork at officeLocal areaFlexible hoursNight shift
$172k - $275.2k
...the largest global medical technology... ...Programs' services, policies, procedures, and staff... ...Works alongside the Director, EP to help... ...work-life balance. Remote or field-based positions... ...~ Musculoskeletal surgery, cancer treatment,... .... We regularly review these ranges and factors...Remote workPolicyHourly payDaily paidFull timeTemporary workFor contractorsWork at officeFlexible hoursShift work$248.5k - $373k
...of the Focus Claims Review team at Optum, the Medical Director provides leadership... ...implementation of policies and procedures and... ...flexibility to work remotely * from anywhere within... ...in Neurological Surgery through the American... ...for this specialty generally ranges from $248,50...Remote workPolicyMinimum wageWork experience placementWork at officeLocal area$78.7k - $134.9k
.... Supervisor, Quality Reviewers Responsibilities The Supervisor... ...clinical review and medical record operations... ...with Medica-wide policies and procedures including... ...retrieval work including remote electronic health... ...provider discussions Assists Director and Manager as needed...Remote workPolicyWork experience placementWork at office3 days per week- ...combination of on-site and remote management,... ...Experience in a medical environment is a plus... ...labor costs. Reviewing overtime, extra... ...with departmental policies, procedures, and expectations... ...of the Laboratory Director and Regional... ...and/or Mohs surgery experience. Previous...Remote workPolicyWork experience placementWork at officeLocal areaMonday to FridayShift work
- ...aesthetic and reconstructive surgery. With more than four... ...execution of global Medical Affairs strategies and... ...information requests. Review and approve scientific... ...and company compliance policies. Your profile Education... ...organizations. Why us? -Full remote position wihtin one of...Remote workPolicy
- ...seeking a Board Certified Orthopedic Surgeon for a telecommute medical review role. This is a 1099 independent contractor position... ...and making decisions in line with Concentra Physician Review policies and URAAC guidelines. The ideal candidate must hold a NJ medical...Remote jobPolicyContract workFor contractorsMonday to Friday
- ...Position Type: Hybrid (85% remote, 15% onsite in Burbank... ...for associated medical groups. Key Responsibilities... ...tasks, performance reviews, and disciplinary... ...physician reviewers, medical directors, and other departments... ...with company policies and influence process...Remote workPolicyPermanent employmentTemporary work
- ...Management Location: 100% Remote Schedule: M-F 9:00... ...requests (e.g., surgeries, outpatient... ...responsible for inpatient medical necessity/utilization review and other... ...according to Client policy for Client members... ...to Client medical directors regularly, as necessary...Remote workPolicyContract work
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