Remote Medical Director, Utilization Management
UnitedHealth Group
- Remote job
UnitedHealth Group's Optum division seeks a Medical Director to provide physician support for Enterprise Clinical Services, shaping coverage determinations and cost-effective care. The role collaborates with clinicians to ensure appropriate medical review and policy adherence. The position requires an MD or DO, board certification, an active unrestricted license, and 5+ years of clinical practice. Remote work is available nationwide in the United States, with ongoing clinical and operational #J-18808-Ljbffr UnitedHealth Group
$275k - $325k
...affiliate locations of care across five states and growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona Oregon FloridaThe Medical Director role provides clinical...Remote workWork from home$248.5k - $373k
...$373,000/yearJob Area: Medical & Clinical OperationsCompany... ...experience, and manage health care costs.The Medical Director provides physician support... ...clinical knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementLocal area- ...To support Utilization Management operations, the full-time Utilization Review Medical Director will conduct clinical reviews of Durable Medical Equipment (DME) requests remotely, ensuring compliance with Medicare and Medicaid guidelines while maintaining productivity...Remote workFull time
- ...WellMed, part of Optum, seeks an Internal/Family Medicine physician to lead utilization management. You will determine medical necessity, review cases, and drive UM protocol improvements within a collaborative, patient‑focused team across Texas markets. The role emphasizes...Remote work
$248.5k - $373k
...$373,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...medicine physician to join our Utilization Management team. Optum is a clinician-... ...work and live.The Medical Director for Utilization Management... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...This position can be structured as a hybrid remote role - you would not necessarily be required to reside...Remote workPermanent employmentTemporary workRelocation package
- Sacbar is seeking a Medical Director of Prior Authorization and Utilization Management in Palm Springs, CA. The role focuses on prior authorization, concurrent review... ...utilization management with a flexible hybrid remote arrangement. The position offers a competitive salary...Remote workRelocation packageFlexible hours
- Optum is seeking a Medical Director to provide physician support for Enterprise Clinical Services, overseeing clinical coverage determinations and utilization management. You will collaborate with leadership to maintain processes for benefit coverage, quality improvement...Remote job
- UnitedHealth Group, through UnitedHealthcare, seeks a Medical Director of Clinical AI Innovation and Performance. This senior physician... ...AI model training, testing, and surveillance for utilization management criteria, leveraging InterQual and custom content. You will...Remote job
$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... ...to support Integra’s Utilization Management (UM) operations. Role functions... ...Conditions and Additional Expectations: Remote role requiring consistent...Remote workHourly payFull timeContract workTemporary workPart timeLocal area$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...seamless experience, and manage health care costs. The Medical... ...knowledge in various utilization management activities with a... ...enjoy the flexibility to work remotely from anywhere within the U.S...Remote jobMinimum wageFull timeWork experience placementLocal area$248.5k - $373k
...Medical Director For Utilization ManagementWellMed, part of the Optum family of businesses, is seeking an... ...medicine physician to join our Utilization Management team. Optum is a clinician-led care... ...'ll enjoy the flexibility to work remotely from anywhere within the U.S. as you...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...seamless experience, and manage health care costs. The Medical... ...knowledge in various utilization management activities with a... ...enjoy the flexibility to work remotely from anywhere within the U.S...Remote jobMinimum wageFull timeWork experience placementLocal area- 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 job
- ...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 job
$102.9k - $190.5k
...Position Purpose: Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to... ...utilization management. This is a remote opportunity supporting BH UM. Applicants... .... ~ Advanced understanding of medical necessity criteria for a broad...Remote workFull timePart timeWork at officeFlexible hours- ...Health is seeking a Clinical Manager, Care Management to provide... ...of professionals involved in utilization management. This role... ...compliance while collaborating with Medical Directors and internal leaders. The... ...The position offers a fully remote environment with comprehensive...Remote job
- A healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making. This role demands a blend of clinical experience, leadership, and the ability to guide a team while ensuring compliance with...Remote jobContract workWeekend work
- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...This position can be structured as a hybrid remote role - you would not necessarily be required to reside...Remote workRelocation package
- ...LTSS Medical Director – Massachusetts UnitedHealthcare Community Plan of Massachusetts is seeking a qualified LTSS Medical Director... ...focus on home and community-based services review, utilization management, and communication with network physicians and other providers...Remote workFull timeWork at officeLocal areaWork from home
- ...CorroHealth is seeking a Medical Director, Concurrent Review, to evaluate hospitalizations nationwide... ...provide expert recommendations. This remote position offers a predictable schedule and a path to expand knowledge in Utilization Review. Ideal candidates hold an MD/DO...Remote work
- ...WellMed, part of the Optum family, is seeking a Medical Director for Utilization Management to support utilization determinations and identify trends in order to improve the UM program. The role involves developing and maintaining efficient UM processes, staying current...Remote work
- ...Bickham Services Unlimited, LLC seeks a Medical Director, Utilization Management for a 6-9 month contract based in Henderson, NV, with remote work option. Immediate start favored for reviewing inpatient and post-acute care decisions for Commercial and Medicare Advantage...Remote workContract workImmediate start
- ...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, and help shape medical necessity decisions within a managed care framework...Remote work
- System Physician Advisor Medical Director Responsibilities and Job Description Overview:The... ...and other leadership related to case/utilization management and revenue cycle including the Lee Health... ...contracted providers involved in remote utilization review and physician...Remote workContract workFor contractorsMonday to FridayWeekend work3 days per week
- ...TekWissen is a global workforce management provider headquartered in Ann Arbor... ...clients world-wide. Job Title: Medical Director Location: Remote Duration: 6 Months Job... ...of a physician team, ensures that utilization management responsibilities are performed...Remote workTemporary workPrivate practice
- ...Behavioral Health Medical DirectorSpectrum Healthcare... ...Health Medical Director supporting the TriCare... ...Veterans Affairs. This remote-based civilian position... ...years of experience in managed care environments.Preferred... ...domains including Utilization Management, Case Management...Remote workWeekday work
$160 - $170 per hour
...Medical Director Req number: R8254 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates... ...Medical Director, you will ensure utilization management responsibilities are performed in...Remote workHourly payFull timeApprenticeshipPrivate practiceWork at officeLocal areaWorldwide$240k - $250k
...Medical Director Utilization Management We are looking for physicians who have expertise in Internal Medicine including medical and surgical clinical... ...different backgrounds and perspectives. This is a remote-first role that may require travel to Boston, MA for new...Remote workFlexible hours$227.6k
...Job Title Utilization Management Physician Job Description This job, as part of a physician team, ensures that utilization management... ...incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and...Remote workFor contractorsPrivate practiceWork at officeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director, Utilization Management. Be the first to apply!
- healthcare consulting manager Minneapolis, MN
- clinical nutrition manager Minneapolis, MN
- director of health information management Minneapolis, MN
- hospital manager Minneapolis, MN
- health insurance manager Minneapolis, MN
- hospital supervisor Minneapolis, MN
- clinical director Minneapolis, MN
- senior medical director medical affairs Minneapolis, MN
- medical and health service manager Minneapolis, MN
- part time medical director Minneapolis, MN



