Remote Medical Director CMS Quality & Compliance
Virtix Health LLC
Virtix Health LLC seeks a Medical Director to assess the quality of clinical services for Medicare beneficiaries, ensure CMS guideline compliance, and drive improvements in care delivery. After mentored training, you will review records and case files to confirm best practices. This remote role requires board certification, an active license in at least one state, and experience with utilization management. #J-18808-Ljbffr
- ...Virtix Health is seeking a highly skilled Medical Director to join our remote team. The role focuses on assessing the quality of clinical services for Medicare beneficiaries, ensuring CMS compliance, and driving improvements in care delivery. The position requires...Remote workCms
- ...is seeking a board-certified Medical Director to oversee Medicare clinical services, ensuring CMS compliance and driving care delivery... ...cases, and guide clinical teams remotely. Collaborating with... ...teams, you will participate in quality initiatives, maintain documentation...Remote workCms
- ...Humana Inc. is seeking a Medical Director to oversee utilization management, determine service appropriateness, and ensure compliance with national guidelines and CMS requirements. The role emphasizes collaboration with clinicians and interdisciplinary teams across inpatient...Remote workCms
- ...leading healthcare organization is seeking a Neurologist Medical Director to ensure compliance with clinical guidelines for Medicare beneficiaries. The... ...an active medical license. This position is primarily remote, offering a full-time work schedule with comprehensive benefits...Remote workCmsFull time
- ...CorroHealth, Inc. is seeking a highly skilled Medical Director to oversee the quality of clinical services for Medicare beneficiaries, ensuring CMS compliance and high standards of care. The... ...during training and a flexible remote work arrangement from any U.S. state....Remote workCmsHourly payFlexible hours
- ...Humana Inc. seeks a Medical Director to authorize services and determine level of care in a remote, US-based role. You will review complex clinical scenarios, interpret guidelines, and ensure compliance with CMS and Humana policies, primarily focused on post-acute...Remote workCms
$206.31k
...often (in days) to receive an alert: Medical Director, Quality Job Category: Clinical... ...and member-centered care while ensuring compliance with all federal, state regulations, accreditation... ...for Medicare and Medicaid Services (CMS) Stars, Covered CA performance,...CmsFull time$272.69k - $373.8k
...Overview: Sentara Medical Group is currently seeking... ...as the SVBGH Medical Director of Quality, Regulatory, & Safety... ...programs such as CMS 5 Stars, P4P, Anthem Q... ...Reliability culture. Ensure compliance with regulatory and... ...that are available as remote work, Sentara Health...Remote workCmsFull timeTemporary workLive inLocal areaShift work- ...Clinical Quality Assurance Coordinator (32949) Craving... ...quality, integrity, and compliance with client agreements,... ...documentation review, or medical necessity assessments. familiarity with CMS guidelines, InterQual, Milliman... ...This Role Rocks: 100% Remote - Enjoy the flexibility...Remote workCmsLocal areaWork from homeMonday to FridayFlexible hours
- ...Interim HealthCare seeks a Director, Quality Improvement & Regulatory Compliance to serve as a regulatory and clinical quality resource... ..., Hospice, Personal Care at Home, and Medical Staffing. This role leads expert guidance on CMS regs, survey readiness, audits and QAPI...Remote workCmsInterim role
$200k - $250k
...Manufacturing Operations, the Director of Manufacturing and Quality will hold complete... ...Manufacturers (CMs) and ODMs. Partner... ...Engineering & Compliance QMS Leadership:... ...local operators and remote contract manufacturers... ..., and location. ~ Medical, Dental, & Vision -...Remote workCmsContract workLocal areaWork from homeOverseasNight shift$140 - $142 per hour
...Integrated Resources Inc. Title: Medical Director Location: REMOTE Duration: 06+ months (... ...with national guidelines, CMS requirements, Company... ...departmental expectations and meets compliance timelines. Conduct... ...accountability for productivity, quality, and compliance metrics...Remote workCmsContract work- ...technical supervision by the PACE Medical Director, the PACE Director of Quality and Compliance is responsible for developing,... ...participant care. Serves as the CMS and NPA representative for all quality... ..., vital signs monitoring, remote patient monitoring, personal emergency...Remote workCmsContract workFor contractorsWork at office
- ...States. FAH members deliver high-quality, accessible care in... ...parental leave, flexible work policy—remote workdays, allowing you to balance... ...priorities. The Director, Policy (Quality and Health IT... ...pre-rulemaking activities with CMS and support the COO in external...Remote workCmsFull timeWork at officeFlexible hoursShift work
$135k - $155k
...the playbook. We integrate medical, behavioral, and social care... ...the Role We’re hiring a Director of Quality and Compliance to be the single owner of... ...Collaborative Care (CoCM) and Remote Therapeutic Monitoring (RTM... ...plan provider manuals, CMS rules, and privacy rules. Assess...Remote workCmsContract workInterim roleFlexible hours$159.94k - $211.12k
...WelbeHealth Position: Director, Quality Operations Location: Remote, CA, USA ***Candidates... ...cared for. As a compliance leader and driver of care... ...That’s why we offer: ~ Medical insurance coverage (Medical... ...HPMS quality reporting, CMS Quarterly calls, enrollment...Remote workCmsLocal area- ...weekly travel to Brooklyn, NY) seeks a Clinical Director to lead clinical quality, provider performance, compliance, and program development across our telehealth network... ...building systems, supervising teams, and navigating CMS/Medicare regulations. #J-18808-LjbffrCms
- ...performing utilization reviews and ensure medical necessity determinations. You will... ..., train, and support reviewers for quality outcomes and regulatory compliance. The role emphasizes staff... ...delivering high-quality care in a remote-friendly environment. #J-18808-LjbffrRemote workCms
- ...ExamWorks, Inc. is seeking a Clinical Quality Assurance Coordinator to review peer... ...quality, accuracy and regulatory compliance. This 100% remote role targets nurses with peer review or medical necessity assessment experience, CMS guideline familiarity, and prior insurer...Remote workCms
$152k - $173k
...a growing, mission-driven medical device organization focused... ...efficiently while maintaining high quality and compliance standards. They foster a... ...looking to add a Quality Director to their team. Salary/... ...Perform routine onsite and remote contract manufacturer...Remote workCmsHourly payFull timeContract workWork at officeLocal areaRelocation package$216.11k - $283.64k
...We're hiring an Associate Medical Director, Regulatory Management to... ...guidance, ensures enterprise compliance with NCQA, CMS, state, and accreditation... ...cross-functionally across Quality, Network Management, and... ...: This position is fully remote and open to candidates residing...Remote workCmsFull timeWork at officeWork from homeHome office- ...Lexington, MA is hiring an Associate Director, Clinical Quality Assurance to lead GCP/GLP/GPV quality... ...investigations, and inspections, ensuring compliance with FDA, EU, ICH guidelines, and... ...SOPs. Office-based with potential remote options for highly qualified...Remote workWork at office
$155k - $185k
...ABOUT THE ROLE The Director of Clinical Quality owns the strategic design,... ...of Cartwheel's quality and compliance function. This is a builder... ...equity package Location: Remote Start date : Summer 20... ...~ Generous PPO medical, vision, and dental/ortho...Remote workFull timeSummer workFlexible hours- ...strategy execution, ensuring quality and compliance, and meeting client-specific... ...in clinical review, medical necessity denials, payer appeal... ..., NCDs/LCDs, and applicable CMS regulations. Train new and existing... ...plans. Experience managing remote and/or offshore teams (...Remote workCms
$90k - $107k
...improving health and healthcare quality across the United States. For... ...systems. Our talented remote workforce spans the country,... ...professionally. Benefits include: Medical, dental, and vision insurance... ...development, regulatory compliance, and collaboration with...Remote workCmsFlexible hours- ...SC Hybrid (3 days in office, 2 days remote) after 30-90 days fully onsite Interview... ...State. The project requires strong quality leadership to ensure compliance, accuracy, and successful delivery.... ...standardsSupport compliance with CMS and MITA standardsAnalyze business processes...Remote workCmsContract workWork at officeRelocation
$100k - $125k
...achieving the goals of the Quality Department through the... .... • Identifies compliance, accreditation,... ...regulations, including CMS and state utilization review... ...• HIPAA-compliant remote location with reliable... ...not limited to): - Medical, dental, and vision insurance...Remote workCmsLocal area$171k - $223k
...meaningful therapeutics to patients. This role delivers strategic GCP quality oversight across Denali's clinical trial portfolio, anchoring... ...the clinical development lifecycle. It sets the standard for compliance and ethical conduct across study teams, site leadership, and...Remote workLocal area- ...information contained in the beneficiary's medical record. Responsible for performing quality reviews of medical records to... ...data and ensure high quality and compliance with regulatory requirements. The... ...conjunction with the Associate Director and Director of DRG Validation to...Remote workCmsFull timeTraineeshipWork experience placementWork at officeLocal areaShift work
- ...Description Quality Control Manager (QCM) Company: CMS Corporation Website: CMS Corporation is... ...quality assurance procedures, contract compliance, safety standards, and EM 385-1-1... ...the Project Manager or Quality Director May have direct reports...Remote workCmsContract workFor contractorsFor subcontractorWork at office
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