Remote Medical Director - Clinical Policy & Review Expert
$170 - $175 per hourCAI
- Remote job
CAI is seeking a Medical Director to lead utilization management responsibilities at the highest clinical standards. This position is a full-time, remote role ideal for candidates with clinical expertise and decision-making skills. The ideal candidate will ensure compliance with medical management processes and contribute to protocol development. The role requires tight collaboration within a multidisciplinary team and a focus on continuous improvement in patient care. Compensation ranges from $170.00 to $175.00 per hour, with a comprehensive benefits package, including health insurance and retirement access. #J-18808-Ljbffr CAI
$170 - $175 per hour
CAI seeks a motivated Medical Director to oversee utilization management and ensure compliance with the highest clinical standards. This Full-Time, Remote position requires a Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) with at least 5 years of clinical patient...Remote jobPolicyHourly payFull time$115 - $145 per hour
...professionals experienced in legal analysis, case review, legal writing, issue spotting,... ...This role supports current and upcoming remote consulting opportunities focused on structured... ...regulatory summaries, compliance notes, policy materials, or advisory-style legal...Remote jobPolicyHourly payWeekly payJob sharingContract workPart timeFor contractorsWork at officeFlexible hours$115 - $145 per hour
...legal writing, contract drafting, contract review, litigation, dispute resolution, and... ...This role supports current and upcoming remote consulting opportunities focused on legal... ...clarity, and alignment with documented deal or policy context Support structured review of...Remote jobPolicyHourly payWeekly payJob sharingContract workPart timeFor contractorsWork at officeFlexible hours$175 per hour
...hepatology, endoscopic diagnostics, clinical data review, and structured medical annotation workflows. This role... ...based medical review environment Remote structure, with San Francisco in-... ...recruitment and opportunity matching in accordance with our Privacy Policy:...Remote jobPolicyHourly payWeekly payJob sharingContract workPart timeFor contractors10 hours per weekFlexible hours$60 - $75 per hour
...experienced in education, learning content review, instructional materials, academic... ...This role supports current and upcoming remote consulting opportunities focused on education... ...MAG LLC for recruitment and opportunity matching in accordance with our Privacy Policy:...Remote jobPolicyHourly payWeekly payJob sharingContract workPart timeFor contractorsFlexible hours$80 - $115 per hour
...permitting, building code compliance, plan review, jurisdictional requirements, zoning... ...This role supports current and upcoming remote consulting opportunities focused on construction... ...LLC for recruitment and opportunity matching in accordance with our Privacy Policy:...Remote jobPolicyHourly payWeekly payJob sharingContract workPart timeFor contractorsLocal areaFlexible hours$45 - $90 per hour
...and structured scientific content review. This role supports current and upcoming remote consulting opportunities focused... ...challenge advanced learners and expert reviewers Scientific Reasoning... ...recruitment and opportunity matching in accordance with our Privacy Policy:...Remote jobPolicyHourly payWeekly payJob sharingContract workPart timeFor contractors10 hours per weekFlexible hours$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and... ...plan–specific criteria, internal policies, and regulatory requirements.... ...Additional Expectations: Full-time remote role requiring consistent...Remote workPolicyFull timeTemporary workLocal area$191.5k - $355.6k
...seeking a Physician (M.D. or D.O) to handle medical policy responsibilities and perform medical reviews while interacting with provider... ...license, board certification, and 5 years of clinical experience. The position is 100% remote, with a competitive compensation package...Remote jobPolicy$122.44k
...staff in administration of the Medical Review and Prior Authorization... ...including the integration of policy and education, that optimizes... ...Location: This is a remote position. Typical work hours... ...claims in coordination with other clinical staff and underwriting teams....Remote workPolicyContract workFor contractorsWork experience placementWork at officeLocal areaMonday to Friday- ...Medical Director Opportunity At Curative Curative is building... ...utilization reviews, prior authorizations... ...will serve as a key clinical expert, ensuring appropriate... ...discussions. This is a remote position requiring a... ...established medical policies, and evidence-based guidelines...Remote workPolicyFull timeFlexible hours
$248.5k - $373k
...Medical Director Optum is a global organization that delivers... ...Growing together. Clinical Advocacy & Support... ...and medical claims reviews. Our role is to empower... ...flexibility to work remotely from anywhere within... ...proprietary coverage review policies, render coverage...Remote jobPolicyMinimum wageWork experience placementLocal area$223.8k - $313.1k
...caring community The Medical Director relies on medical background and reviews health claims. The... ...care through clinical expertise and thoughtful... ...Overview Perform expert clinical review of... ..., Humana policies, and recognized clinical... ...: While this is a remote position,...Remote workPolicyBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work- ...looking for a Utilization Review Registered Nurse to work remotely with a major health insurance... ...services align with medical necessity while adhering to confidentiality policies. The ideal candidate has over... ...utilization review and significant clinical experience in an acute...Remote jobPolicy
$150 per hour
...About the job Remote | Physician Clinical Review Expert - $150-$220/hour We are sharing a specialised... ...planning, patient care management, medical documentation, clinical compliance,... ...for recruitment and opportunity matching in accordance with our Privacy Policy:Remote workPolicyHourly payWeekly payContract workPart timeFor contractorsFlexible hours- ...Commercial Real Estate Appraisal Review Officer, responsible for... ...ensuring compliance with internal policies and regulations. This role... ...decisions and provides remote work opportunities aligned with... ...robust benefits package including medical, dental, and vision coverage,...Remote jobPolicy
$191.5k - $355.6k
...is looking for a Physician to handle medical policy reviews and provider interactions. The role requires... ..., and a minimum of 5 years of clinical experience. Strong analytical and communication... ...skills are essential. This is a remote position, and the company offers a rich...Remote jobPolicy$65 - $95 per hour
...experienced in patient care, clinical monitoring, medication administration, clinical... ...structured healthcare workflow review. This role supports current and upcoming remote consulting opportunities focused... ...opportunity matching in accordance with our Privacy Policy:...Remote jobPolicyHourly payWeekly payJob sharingContract workPart timeFor contractorsFlexible hours- Overview Medical Review Institute of America (MRIoA) is... ...utilization management and clinical review services.... ...Advisor (UM Medical Director) - Full‑time, remote (United States)... ...serves as a clinical expert responsible for reviewing... ...plans, medical policies, and clinical guidelines...Remote workPolicyFull timeFlexible hoursShift workWeekend work
- ...of care. Seek the advice of the Medical Director when appropriate, according to policy. Assists non-clinical staff in performance of administrative reviews Performing comprehensive... ...how we serve members. BCBST is a remote-first organization with many employees...Remote workPolicyContract workCasual workWork at officeWork from homeRelocation package
- ...Soleo Health is seeking a Clinical Review Coordinator to support our... ...Infusion Pharmacy and work Remotely (USA) . Join us in Simplifying... ...or Holidays ~ Affordable Medical, Dental, and Vision Insurance... ...that satisfies payer medical policy criteria Request...Remote jobPolicyImmediate startMonday to FridayFlexible hours
- ...Specialty Health Incorporated is searching for a Clinical Review Support Specialist in the United States. This remote position involves supporting medical necessity reviews, making outreach calls, and collaborating on clinical policies. The ideal candidate will hold a Physical...Remote jobPolicyWork from home
$1,150 - $1,450 per month
...Position: Health Insurance Expert Type: Contract... ...completed task Location: Remote Role Responsibilities Review and evaluate AI-... ...claims adjudication, and medical necessity criteria. Create... ...coding accuracy and payer policy interpretation....Remote workPolicyHourly payContract workSummer work$92.4k - $172.1k
...prospect or client meetings ~ Reviewing the accuracy of others’ work... ...complex self-funded policies ~ Guiding others on a fast... ...colleagues enjoy include: Medical, dental, vision, 401K benefits... ...tick: #MMAMW #MMAEHB #LI-Remote The applicable base...Remote workPolicyMinimum wageWork at officeWork from home- ...advances performance, and clinical expertise that builds... ...all mandatory case review and quality assurance activities... ...coverage and payment policies, standards of care, and... ..., providers, and other medical personnel. Protects... ...This is an office/remote position. Candidates must...Remote workPolicyFor contractorsWork at officeShift work
$78.7k - $134.9k
...Supervisor, Quality Reviewers is responsible for leading day-to-day clinical review and medical record operations supporting... ...with Medica-wide policies and procedures... ...retrieval work including remote electronic health record... ...Assists Director and Manager as needed...Remote workPolicyWork experience placementWork at office3 days per week- ...role, you’ll use your clinical knowledge outside of the... ...traditional bedside setting to review and audit claims,... ...judgment to analyze medical records, documentation,... ...vulnerable populations Remote work – enjoy the... ...verify compliance with MA policies and identify potential...Remote jobPolicyFull timeTemporary workWork at officeWork from home
$50 - $95 per hour
...structured engineering content review. This role supports current and upcoming remote consulting opportunities focused... ...challenge advanced learners and expert reviewers Technical Reasoning... ...and opportunity matching in accordance with our Privacy Policy: ....Remote jobPolicyHourly payWeekly payContract workPart timeFor contractors10 hours per weekFlexible hours$40 - $75 per hour
...structured mathematical content review. This role supports current and upcoming remote consulting opportunities focused... ...challenge advanced learners and expert reviewers Reasoning, Solution... ...and opportunity matching in accordance with our Privacy Policy: ....Remote jobPolicyHourly payWeekly payContract workPart timeFor contractors10 hours per weekFlexible hours- ...knowledgeable and engaged Medical Director to provide oversight... ...You will help guide clinical and operational excellence by establishing, reviewing, and maintaining standard... ...by recommending policy updates, supporting new... ...week working primarily remote with flexibility to support...Remote workPolicyPart time10 hours per weekFlexible hours
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