Remote Medical Director, Medicare & Care Management
Humana
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 internal teams and contracted physicians to drive appropriate care decisions. The role requires board certification, active medical licensure, and 5+ years of clinical experience, with occasional travel to Humana offices for training #J-18808-Ljbffr
- ...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 using Medicare rules, Humana... ...license. Travel to training or meetings may be required; remote work is possible. #J-18808-LjbffrRemote work
$224k - $364k
...States FL, United States (Remote) Job Description The Medical Director will work closely with... ...all types of utilization management (UM) reviews, including... ..., such as commercial or Medicare medical policy Perform... ...experience Primary Care Specialty physician experience...Remote workTemporary workPart timeWork experience placementInternshipSeasonal work- ...UnitedHealth Group is seeking an Inpatient Care Management Medical Director for Missouri. This role leads inpatient care utilization reviews, collaborates... ...medical necessity across the continuum of care. Remote work from anywhere in Missouri is possible....Remote work
$250k - $350k
...Intention Healthcare, an Essen Health Care company, is a specialized medical group dedicated to providing... ...primary care, longitudinal care management, remote monitoring, and real-time support... ...Summary Position Title: Medical Director – Intention MA Location: Greater...Remote work$78.4k - $107.8k
...Become a part of our caring community Why Humana?... ...Regional CM Associate Director. The Manager, Care Management... ...experienced leading a hybrid/remote team. Must be... ...with Medicaid and/or Medicare Enrollees to coordinate... ...benefits, Humana provides medical, dental and vision...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayFlexible hours- ...UnitedHealth Group, through Optum, seeks an Inpatient Care Management Medical Director in Missouri to lead acute care reviews and drive utilization... ...inpatient care across sites and markets. The position offers remote work within Missouri, requires an MD/DO with active...Remote work
$332.3k - $377.4k
...Nevada and Colorado, is seeking an experienced Medical Director with expertise in Utilization Management (UM), Care Management (CM) and Health Plan accreditation and... ...Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work...Remote workHourly payLocal areaRelocation package- ...Ceribell seeks a Medical Director to lead medical strategy and provide expert guidance across clinical... ...The role requires deep neurocritical care expertise, strong communication skills,... ...of collaborating with FDA and payers. Remote work in the US with significant travel is...Remote work
$59.3k - $80.9k
...Become a part of our caring community The Care Manager, Telephonic Behavioral Health,... ...Information Workstyle: Remote with occasional travel for... ...benefits, Humana provides medical, dental and vision... ...quality of life for people with Medicare and Medicaid, families, individuals...Remote workFull timeTemporary workApprenticeshipWork experience placementLive inWork at officeWork from homeHome officeMonday to Friday- ...Health Solutions is seeking an Associate Medical Director (Part Time) to apply medical expertise in ensuring quality and cost-effective care across our four-state area. This role... ...collaboration with clinical staff, with a remote work option from home in allowed states....Remote workPart timeWork from home
- ...UnitedHealth Group, through Optum Serve, seeks a Medical Director to oversee clinical quality across community care networks serving Veterans. You will lead medical leadership initiatives, coordinate with internal and external partners, and guide cost-effective, evidence...Remote work
- ...Dermacore Wound Care in California seeks an experienced Medical Director (MD or DO) to provide clinical oversight, consultation, and quality assurance for its wound care operations. This part-time, independent contractor role demands 5–10 hours monthly for admin and chart...Remote workPart timeFor contractors
- ...Regional Medical Director - Value Based Care - Remote Job Category : Director Requisition Number : REGIO... ...closely withvalue-basedcare managers, operational leaders,network managers... ...role within a VBC environment (ACO, Medicare Advantage,risk bearing health system...Remote workFull timeContract workWork at officeLocal area
- ...Virtual Primary Care Medical DirectorA rapidly growing digital health organization is seeking an experienced Medical Director to help lead and expand a comprehensive virtual care program... ...innovationPosition HighlightsPrimarily remote position with occasional onsite...Remote work
$300k - $309k
...Ceribell Ceribell is a medical technology company focused... ...the diagnosis and management of patients with serious... ...System is a novel, point-of-care electroencephalography(... ...movement! The Medical Director will be a key member of... ...industry Location: Remote (US-Based) Travel...Remote workLocal areaFlexible hours2 days per week$65k - $88.6k
...Become a part of our caring community Humana Healthy... ...Behavioral Health Case Manager assesses enrollees'... ...working with Medicaid or Medicare Enrollees to coordinate... ...Workstyle: This is a remote, field-based position serving... ..., Humana provides medical, dental and vision benefits...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to Friday$71.5k - $97.5k
...Become a part of our caring community The Field Care Manager, Behavioral Health performs... ...strong collaboration with medical and behavioral health providers... ...(IDHS), Center for Medicare and Medicaid Services (CMS... ...Workstyle: This is a remote position that will require...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Centurion Health seeks a full-time, hybrid Primary Care Physician to serve as Regional Medical Director for correctional facilities located in Northwest Missouri. The role provides clinical direction, direct patient care, and medical staff supervision across sites,...Remote jobFull time
- ...MyCare Medical is seeking a Board-Certified Primary Care Physician to serve as both a practicing clinician and Market Medical... ...population health, utilization management, and quality initiatives in a multi-clinic environment. Remote work is not indicated; the position...Remote work
$69.5k - $101k
...Massachusetts and New Hampshire through Medicare, Individual and Family, and... ...than 25 years ago as Boston Medical Center HealthNet Plan, we... ...Job Summary The Clinical Care Manager provides holistic clinical... ...Work may be performed in a remote or community-based work environment...Remote workTemporary workWork at officeFlexible hours$245k - $330k
...Primary Care Medical Director-Brookside Community Health CenterJoin us in strengthening primary care... ...coordinators, high-risk RN/SW case management, community resource specialists, community... ..., ensuring quality patient care.Remote in-basket support, helping to offload...Remote workFull timePart timeRelocation packageAfternoon shift- ...Ceribell is seeking a Medical Director to lead medical strategy, provide clinical leadership and drive education across ICU and floor settings... ...at conferences. The role requires a senior neurocritical care physician with strong analytical thinking, strategic vision, and...Remote work
- The CORE Institute seeks a regional medical leader to guide musculoskeletal value-based care initiatives across the region from a remote position. The Regional Medical Director will provide clinical oversight, partner with VBC managers, and align strategies with quality,...Remote job
$71.1k - $97.8k
...Become a part of our caring community The Field Care Manager Nurse 2 assesses and evaluates... ...including electronic medical records Preferred Qualifications... ....Travel: While this is a remote position, occasional... ...of life for people with Medicare and Medicaid, families,...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- ...Centene Corp. in Texas is seeking an RN Care Manager to conduct Medicaid/Medicare health assessments via home visits and coordinate care plans for adults with high acuity. This hybrid role involves remote coordination from home and periodic member visits within Hidalgo...Remote workMonday to Friday
$250k - $290k
...: Mass General Brigham Medical Group Northern Massachusetts... ..., we support patient care, research, teaching,... ...: Primary Care Medical Director - Danvers, MA Qualifications... ...assisting with inbox management, results, refills, and... ...benefits package. Remote Type Onsite Work Location...Remote workLocal areaRelocation packageFlexible hoursShift workWeekend work$250k - $290k
...: Mass General Brigham Medical Group, Inc.Mass General... ...profit, we support patient care, research, teaching,... ...: Primary Care Medical Director - Watertown,... ...staff assisting with inbox management, results, refills, and... ...professional growth. Remote Type OnsiteWork Location...Remote workLocal areaRelocation packageFlexible hoursShift workWeekend work- Duo Health seeks a Market Medical Director for the Arizona market, headed by our Market President... ...—NPs and PAs—and oversee direct patient care for a small high‑risk panel, while driving... ...settings. You will coach clinicians, manage KPIs, and build partnerships with health...Remote job
- AMN Healthcare is seeking a Virtual Primary Care Medical Director to lead and expand a comprehensive virtual care program. This physician leader will oversee a multidisciplinary telemedicine team while maintaining direct patient care and partnering with executive teams...Remote job
- ...Alignment Health is seeking a Remote UM Medical Director/Physician Advisor to lead utilization management for Medicare populations. The role reports to the Senior VP of Clinical... ...Quality and Provider Relations to optimize care and approvals. The candidate will conduct...Remote workWeekend work
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