Remote Medical Director: Health Utilization & Quality Lead
Centene Corporation
- Remote job
Centene Corporation is seeking a clinical leader for the Medical Management/Health Services team in the United States. The role provides medical leadership for utilization management, cost containment, and medical quality improvement activities, with responsibilities spanning medical review, provider collaboration, and performance improvement initiatives. The ideal candidate is an MD or DO with active board certification and license, experienced in utilization management, and capable of leading #J-18808-Ljbffr Centene Corporation
$110 - $130 per hour
A healthcare staffing company is seeking a Medical Director to lead utilization management and quality improvement for Medicare inpatient care. This remote role requires board-certified physicians with active medical licenses in FL and TX. Key responsibilities include...Remote jobQuality- ...Corporation is seeking a clinical leader to assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing. The role provides medical leadership for utilization management, cost containment, and quality improvement...Remote jobQuality
$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 workQualityWork from home$248.5k - $373k
...000/yearJob Area: Medical & Clinical OperationsCompany... ...directly improve health outcomes by... ...costs.The Medical Director provides physician... ...determinations, quality improvement and cost... ...in various utilization management activities... ...flexibility to work remotely * from anywhere within...Remote workQualityMinimum wageFull timeWork experience placementLocal area- ...Optum, seeks an Internal/Family Medicine physician to lead utilization management. You will determine medical necessity, review cases, and drive UM protocol... ...active participation in physician meetings, with a strong focus on quality and patient care. #J-18808-Ljbffr...Remote workQuality
- ...WellMed Medical Management, Inc. seeks an Internal Medicine/Family Medicine physician to join our Utilization Management team as Medical Director. You will make UM determinations, monitor CMS criteria... ...multidisciplinary team committed to high-quality, cost-effective care and...Remote workQuality
- ...Corporation is seeking a clinical leader to direct medical management, quality improvement, and credentialing for the Medical Management/Health Services team. You will partner with the Chief Medical Director to optimize utilization, cost containment, and care quality for...Remote jobQuality
- Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh, North Carolina... ...a strong focus on physical health utilization management and clinical... ...management teams to uphold quality, compliance, and defensible... ...accommodating primarily remote work with a North #J-18808...Remote jobQuality
- Alliance Health in North Carolina is seeking a Physical Health Medical Director to provide clinical oversight, medical... ...role emphasizes high quality, evidence-based... ...care coordination with remote work options and on-... ...years in managed care/utilization management. #J-18808...Remote jobQuality
- Valenz Health is seeking a Part-Time Medical Director to provide physician leadership for medical management and utilization review programs. You will align clinical... ...standards in a fully remote role based in the... ...determinations, and drive quality improvement across...Remote jobQualityPart time
$248.5k - $373k
....00/yearJob Area: Medical & Clinical OperationsCompany... ...to join our Utilization Management team.... ...live.The Medical Director for Utilization... ...of advancing the health of your community... ...flexibility to work remotely * from anywhere within... ...quality assurance and education...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider... ...providing the highest quality care to our residents in... ...structured as a hybrid remote role - you would not... ...Generous benefits including health, dental, vision, and...Remote workQualityRelocation package
- ...Medical Director Curative is seeking an enthusiastic... ...and performing utilization reviews, prior... ...discussions. This is a remote position... ...contractual agreements. Lead and conduct... ...Participate in quality improvement initiatives... ...with electronic health records (EHR)...Remote workQualityFull timeFlexible hours
- Centene Corporation is seeking a Medical Director to lead utilization management, quality improvement, and medical review activities. You will partner with Chief Medical Director to shape goals, policies, and cost-effective care for a diverse member population. The role...Remote jobQuality
- Altais is seeking a Medical Director of Utilization and Medical Management for a remote, one-month opportunity. The role reports to Senior... ...leadership team to ensure high-quality, cost-efficient care across the continuum. You will lead UM policy development, chair committees...Remote jobQuality
$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical... ...guidelines, health plan–specific criteria... ...observed trends, potential quality concerns, or... ...Additional Expectations: Remote role requiring... ...Integra Partners is a leading national durable medical...Remote workQualityHourly payFull timeContract workTemporary workPart timeLocal area$248.5k - $373k
...Medical Director Optum is a global organization that delivers... ...directly improve health outcomes by... ...coverage determinations, quality improvement and cost... ...knowledge in various utilization management activities... ...flexibility to work remotely from anywhere within...Remote jobQualityMinimum wageFull timeWork experience placementLocal area- Arcadis is seeking a Utility Management Lead to join our Southeast US team. You will lead a team of utility coordinators and oversee the utility... ...improvement projects, ensuring timely coordination and quality output. You may work from home with the potential need to report...Remote jobQualityWork at officeWork from homeRelocation
$248.5k - $373k
...Medical Director For Utilization ManagementWellMed, part of the Optum family of businesses... ...of advancing the health of your community with the... ...enjoy the flexibility to work remotely from anywhere within the U... ...organizational confidentialityProvides quality assurance and education of...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm... ...providing the highest quality care to our residents in... ...structured as a hybrid remote role - you would not necessarily... ...benefits including health, dental, vision, and...Remote workQualityPermanent employmentTemporary workRelocation package
$207.19k - $295.99k
...immunology and women's health. Through our research and... ...with high unmet medical need. Learn more at Astellas... ...Scope:The Global Medical Lead (GML), Biopharma and... ...produce both timely and good quality data.Proven record of... ...in Northbrook, IL. Remote work from anywhere in the...Remote workQualityWork at officeWork from homeWorldwide- Centene Corporation is seeking a physician-leader to drive utilization management, quality improvement, and medical review across a nationwide Medical Management/Health Services team. The role involves collaborating with care management, network providers, and quality programs...Remote jobQuality
- IntusCare is seeking a Utilization Management (UM) Manager to lead the UM nurse team supporting a PACE program. You will own end-to-end UM delivery, ensure... ...clients and the contracted physician, ensuring high-quality service delivery. #J-18808-Ljbffr Santa Barbara...Remote jobQuality
- ...Lead Quality Control Utility Forester - Vegetation ManagementCurrently looking for candidates in the client's service area of Louisiana: Shreveport... ...in variable outdoor conditions (weather, terrain, remote/urban settings).Proficiency with technology, including smartphones...Remote workQualityFor contractorsLocal areaWeekend work
- A national healthcare organization is seeking a medical professional to lead and coordinate medical management efforts. Responsibilities include utilization management, medical quality improvement, and collaboration with clinical teams to optimize patient care. The ideal...Remote jobQualityFull timeFlexible hours
$250k - $325k
A leading health organization is seeking an Inpatient Medical Director to provide physician leadership across its hospital... ...role focuses on enhancing quality care, managing utilization, and supporting health... ...prior leadership roles. This remote position requires residency...Remote workQuality- Liberty Healthcare Corporation is offering a full-time, remote-first Medical Director position. The role leads a large, geographically dispersed team conducting... ...a home office in New York. The position emphasizes quality, training, and stakeholder collaboration while...Remote jobQualityFull timeHome office
- ...organization in Boston seeks a skilled Medical Director to oversee medical operations and clinical... .... The role involves ensuring high-quality patient care, regulatory compliance, and... ...model, balancing in-office presence with remote work opportunities. A commitment to...Remote workQualityWork at office
- WellSense Health Plan is seeking a Behavioral Health Utilization Manager to ensure appropriate, effective delivery... ...collaboration with Medical Directors, documentation, and cross-functional... ..., with a focus on quality and compliance. Remote work is supported. #J-1880...Remote jobQuality
$116k - $182.27k
...Description Job Title: Lead Clinical Study Manager... ...Flex Work Arrangement: Remote Job Code/ Job Profile:... ...Supervisor: Associate Director/Director, Study Management... ...objectives in compliance with quality standards (including... ..., preferably in a health-related, life science area...Remote workQualityMinimum wageContract workFor contractorsLocal areaFlexible hoursNight shift
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