Remote Medical Director — Evidence-Based Care & Prior Auth
Optum
Optum, part of UnitedHealth Group, seeks a physician to support the California Prior Authorization program. You will lead utilization management for high-value procedures and help drive evidence-based care across our national network.
The role requires an MD or DO with CA license, 5+ years post residency, and board certification. This remote position offers broad flexibility while focusing on Medicare Advantage, commercial plans, and provider collaboration.
#J-18808-Ljbffr$248.5k - $373k
...California is seeking a physician to lead Prior Authorization for Medicare Advantage... ...focusing on high-value procedures and evidence-based care. This role requires CA licensure, ABMS/... ...a nationwide network. You will work remotely from anywhere in the U.S., with a compensation...Remote job- ...EviCore by Evernorth is looking for a Medical Director to lead evidence-based medical reviews. In this remote role, you will apply your clinical expertise, collaborate... ...healthcare providers, and support high-quality patient care. The ideal candidate is detail-oriented with...Remote work
$248.5k - $373k
...organization that delivers care, aided by technology... ...in the use of evidence-based medicine, patient safety... ...support the growing Prior Auth program which covers... ...flexibility to work remotely from anywhere within... ...member Work with medical director teams focusing on inpatient...Remote jobMinimum wageWork experience placementLocal area- UnitedHealth Group, Inc. is seeking a Medical Director PM&R to support clinical operations remotely. The role is full-time and focuses on conducting coverage reviews... ...with providers to ensure cost-effective quality care for members. The candidate will review plan...Remote jobFull time
- ...UnitedHealth Group is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on pre-service benefit... ...-disciplinary teams to ensure cost-effective, high-quality care. Responsibilities include conducting coverage reviews, documenting...Remote job
$248.5k - $373k
...00.00Job Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...of medical directors, for the... ...flexibility to work remotely * from anywhere... ...coverage reviews based on individual... ...which will include prior authorizations... ...of Evidence Based Medicine...Remote workMinimum wageWork experience placementLocal areaWeekend work$207.8k - $346.3k
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- ## Associate Director, MSL Central RegionApplylocations... ...: Remote - Colorado:... ...impact clinical care in a meaningful... ...of real-world evidence to deliver real... ...right time.The Medical Science Liaison... ...in healthcare.* Prior people management... ...may vary based on qualifications...Remote work
$290k - $350k
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$275k - $325k
...California-licensed Medical Director - Utilization (UM)... ...cost-effective care. This is a critical... ...execution across value-based care, capitated... ..., you’ll apply evidence-based criteria to... ...What You'll Do Prior Authorization Management... ...position is fully remote, with some travel...Remote workFull timePart timeShift work$325k - $365k
...provider of virtual primary care, telehealth, and... ...LifeMD is seeking a Medical Director to provide clinical leadership... .../quality-based rather than a legal collaboration... ...review, and maintain evidence-based clinical... ...and platform features prior to launch Assess proposed...Remote workContract workTemporary workFlexible hours$250k
...another in Dallas plus virtual care services available to all... ...here: THAP's Kind Clinic Medical Director is a licensed physician... ...in support of high-quality, evidence-based, patient-centered services.... ...Drug Monitoring Program (PDMP) prior to prescribing controlled substances...Remote workTemporary workRelocation packageWeekend work$1,350 per week
...FL Reports to: Director of Clinical Affairs... ...animal health. As a Medical Affairs Director,... ...expert education, evidence-based insights, and... ...elevates patient care within the veterinary... ..., field-based and remote environment... ...signal management. Prior experience supporting...Remote workFull timeTemporary workReliefWork at officeRelocation packageFlexible hours$286.07k - $353.38k
...Martin's Point Health Care - an innovative, not-for... ...Vice President, Medical Director, Health Plan provides... ...using sound clinical evidence and medical judgment.Use... ..., STARS, HEDIS, value-based arrangements, and clinical... ...based care arrangements.Prior management or...Remote workFull timeHome office- ...certificate and documentation (Remote) Practice Medicine... ...we don't just manage care — we protect dignity,... ...What You'll Do As Medical Director, you'll provide... ...and proposing current, evidence-based intervention options... ...Program Knowledge and prior experience in hospice,...Remote workRelief
$222.75k - $371.25k
...will temporarily be based at Stevenage.... ...seeking an experienced Medical Director for the role of... ...improve how we cure and care for patients. We... ...days per week. Remote work is available... ...oversight of R&D evidence generation strategy... ...department to obtain prior written...Remote workFull timeLocal areaRelocation2 days per week$284.63k
...temporarily be based at Stevenage. However... ...days per week. Remote work is... ...clinical development medical activities for... ...we cure and care for patients. We... ...Senior Medical Director to join the... ...Generate the data and evidence required to... ...department to obtain prior written...Remote workFull timeLocal areaRelocation2 days per week$290k - $350k
...Medical Director Habitat Health empowers older adults to... ...Program of All-Inclusive Care for the Elderly (PACE)... ...~ Provides evidence-based person-centered direct... ...Nice to Have ~ Prior experience as a Medical... ...administrative, community, or remote environments, depending...Remote workContract workTemporary workFor contractorsWork at officeWork from homeFlexible hours- ...ABOUT THE MEDICAL DIRECTOR, VALUE BASED CARE Upperline is seeking a Medical Director, Value Based Care (VBC... ...implementing clinical processes, protocols, or evidence-based guidelines Experience or... ...in the region and based on prior training and experience. Job Type: Full...Full time
- ...dedicated to transforming value-based care (VBC). We are redefining how... ...we serve. ABOUT THE MEDICAL DIRECTOR ROLE As we continue to... ...clinical processes, protocols, or evidence-based guidelines... ...in the region and based on prior training and experience Comprehensive...Full timeImmediate start
$250k - $325k
...Inpatient Medical Director (SoCal) The Inpatient Medical... ...inpatient care aligned with Astrana's value-based and population health... ..., and adherence to evidence-based protocols and... ...clinical experience; prior physician leadership... ...While this is a Remote - US Based position...Remote work- ...Medical Director Optum is a global organization that delivers care, aided by technology to help millions... ...to work remotely * from anywhere within... ...coverage reviews based on individual member... ...will include prior authorizations for... ...understanding of Evidence Based Medicine (EBM...Remote jobLocal areaWeekend work
$2,000 per month
...Medical Director for Dermatology Office The Medical Director for... ...delivery of safe, high-quality, evidence-based dermatologic care. This role is responsible... ...providers. Prior experience as a Medical Director... ...on-site presence, remote availability, or a hybrid...Remote workWork at officeLocal area- ...leader in OCD treatment, is hiring a full-time Mental Health Therapist. This position offers the flexibility to work remotely while providing evidence-based therapy to those in need. You'll manage your own schedule, engage in professional development and be part of a...Remote workFull time
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