Remote Medical Director, Medicaid & Managed Care
$174.07k - $374.92kHispanic Alliance for Career Enhancement
Hispanic Alliance for Career Enhancement is hiring a Medical Director at CVS Health. The role is remote, primarily supporting Aetna Better Health in Louisiana and the Southeast Region. Candidates must have an active Louisiana medical license, with the ability to obtain other state licenses. Responsibilities include Utilization Management and member/provider engagement. The compensation ranges from $174,070 to $374,920, with comprehensive benefits. Apply by 05/01/2026. #J-18808-Ljbffr
$140k - $150k
...Position: Medical Director of Utilization Management Location: Remote (Must Reside in NY/NJ/CT) Work Schedule: PER DIEM... ...organization serving people with chronic care needs, as well as seniors and... ...management with Medicare and Medicaid Programs (specifically MLTC, MAP...Remote workDaily paidPart time$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided by technology to help millions of... ...in innovative health management strategies and is considered... ...flexibility to work remotely from anywhere within... ...with the Medicare, Medicaid, and Commercial...Remote workMinimum wageWork experience placementWork at officeLocal areaFlexible hours- ...Community Health Plan Remote PRIMARY PURPOSE Oversees medical coordination... ...and quality management of the health plan... ...high quality health care to plan members in... ...Managed Care Medical Directors. Board certification... ...and Texas Medicaid Regulations is preferred...Remote workContract workWork at officeLocal area
$250k - $275k
...and improve value-based care programs across home-... ...Snapshot Associate Medical Director, Value-Based Care Location/Type: Remote • Full-time Pay: $25... ...care settings Manage and support NP clinical... ...Advantage experience Medicaid experience Home-based...Remote workFull timeWeekday work$248.5k - $373k
...Associate Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier... ...provider experience across Medicaid, D-SNP, and LTC... ...to shape utilization management, quality improvement,... ...Florida-based role with remote flexibility...Remote workMinimum wageWork experience placementLocal area$245k - $330k
...we support patient care, research,... ...drive groundbreaking medical discoveries and invite... ...about this Medical Director opportunity,... ...through MassHealth/Medicaid, and experience caring... ...high-risk RN/SW case management, community... ...patient care. Remote in-basket support,...Remote workFull timePart timeRelocation packageAfternoon shift$40 - $54 per hour
UnitedHealth Group is looking for a full-time Clinical Care Manager in Tacoma, WA, to support Medicaid members by providing essential care coordination and... .... Candidates will enjoy the flexibility to work remotely if located in Thurston or Pierce County. A competitive...Remote jobHourly payFull time$258k - $423k
...Optum | A culture of Caring. Connecting. Growing together.... ...Optum is hiring a Behavioral Medical Director to provide oversight and direction of the utilization management program and perform peer reviews... ...behavioral health team Remote flexibility - work from...Remote workWork from homeWeekday work$40 per hour
...Staffing is now hiring a RN Clinical Case Manager – Medicaid Long Term Care. This will be full time. RN Clinical... ...including: Prior authorizations, Medication reviews, Condition management... ...productivity and quality standards in a remote/field-based environment Required Qualifications...Remote workWeekly payFull timeLocal areaImmediate startMonday to Friday- ...Job Title: Medical Director Job Location: %100 Remote (Work schedule: 9am-5pm EST core hours. Flexible to time zones.... ...spncr or C2C) NOTE: 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry and e xperience with MCG or InterQual...Remote workFlexible hours
- ...Virginia is hiring a Behavioral Medical Director to oversee the Utilization Management Program in Houston, Texas. This role... ...oversight, ensuring quality care delivery, and managing utilization... ...position offers flexibility to work remotely within the U.S., with a strong...Remote work
- ...Job Description JOB DESCRIPTION Job SummaryLeads and manages a team of medical directors delivering oversight and expertise in appropriateness and... ...members - ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching...Remote workWork at officeLocal area
- ...Medical Director-Ortho- CM & UR Brighton Health Plan Solutions REMOTE-100% PART TIME MANAGED CARE About The Role Brighton Health Plan Solutions, a full-service health plan administrator, is looking for a part-time board-certified physician with interest and experience...Remote workPart timeWork at office
$250k
...The Utilization Review Medical Director is responsible for... ...Integra’s Utilization Management (UM) operations. This... ...accordance with Medicare and Medicaid guidelines, health... ...clinical standards of care, and regulatory updates... ...Expectations: Full-time remote role requiring...Remote workFull timeTemporary workLocal area$175 per hour
...that simplifies healthcare. We manage the data and decisions that... ...industry deliver better patient care. NantHealth's products target... ...is adding a part time Medical Director, Oncology to the Eviti team.... ...line of therapy. This is a remote position, requiring availability...Remote workHourly payFull timePart timeWork at officeLocal area$240k - $285k
Health Plan Medical Director Physician - MedStar Family Choice, Maryland - Remote Opportunity MedStar Family Choice, our Medicaid Managed Care organization, is seeking a physician with primary care and health plan experience to serve as the Health Plan Medical Director...Remote work$202k - $303k
...Job Description: The Medical Director participates in the broad... ...Pharmacy Utilization Management, quality management, member care management, and medical... ..., NCQA/HEDIS/CMS and/or Medicaid Star Ratings, and/or value... ...may be opportunity for remote work within all jobs posted...Remote workContract workWork at officeLocal areaWork from homeHome officeAfternoon shift$91.7k - $163.7k
...Clinical Program Manager Optum is a global organization that delivers care, aided by technology to... ...Program Manager oversees a remote team of Behavioral... ...-eligible Medicare/Medicaid members with SMI, SUD... ...with leadership and medical directors Cover for management...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$250k - $275k
...Urrly is seeking an Associate Medical Director for Value-Based Care to lead and enhance clinical programs across... ...and virtual care settings. This remote, full-time role requires an MD or DO... ...leadership. The ideal candidate will manage NP performance and drive improvements...Remote workFull time$72.7k
...assures that members with complex medical and/or psychosocial needs... ..., cost-effective health care. Assists in the holistic assessment... ...while interacting with Case Management Specialists, Management Team,... ...Care/ experience with Medicaid or Medicare populations. OR...Remote workFull timeWork from home- ...profit, we support patient care, research, teaching,... ...drive groundbreaking medical discoveries and invite... ...An Associate Medical Director (MD) performs the following... ...interface with payers and managed care organizations... ...Hearing N/A = (0%) Remote Type Onsite...Remote workShift work
- ...Lee Health is Actively Seeking a System Medical Director of Virtual Health! As a System... ...comprehensive system includes 4 adult acute care hospitals, 1 children's hospital and... ...practices, clinical redesign, and change management that result in system-wide value enhancements...Remote work
$175k - $225k
...Associate Medical Director The Associate Medical Director provides both direct patient care and clinical leadership in support of ACG Health... ...days in office, 1 admin day remote ~9 company holidays ~401... ...as appropriate. Manage complex, unstable, comorbid,...Remote workWork at officeLocal areaImmediate startMonday to Friday$220k - $250k
...Job Title: Hospice Associate Medical Director (MD/DO) Location: Denver Area... ..., employee-owned primary care and hospice practice delivering... ...for hospice patients, managing symptom control, hospice evaluations... ...care direction (primarily remote/telehealth). Assist in the...Remote work- ...Pediatric Intensivist Medical Director Nemours Children's Hospital, Florida... ...of the Pediatric Intensive Care Unit (PICU) at Lakeland... ...designing clinical protocols, managing staffing and quality metrics,... ...subspecialties on site as well as remote access to all the Nemours...Remote workRelocationShift workNight shift
- ...Overview Essen Health Care is the largest privately held, multispecialty medical group in New York, providing high-... ...provide nursing home support, care management, and in-home care through our... ...regulatory requirements (e.g., Medicaid, state agencies, accreditation...Remote workWork at office
- ...Excellence. Elevate Hospice Care. Remote position with some... ...a Patient Care Manager Specialist to join our... ...reporting to the Regional Director of Operational Excellence... ...phone inquiries and medical concerns within scope... ...requirements (Medicare, Medicaid, ACHC, JCAHO, etc.)...Remote workDaily paidFull timePart timeLocal area
$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier... ...seamless experience, and manage health care costs. The Medical... ...enjoy the flexibility to work remotely from anywhere within the U.S....Remote workMinimum wageWork experience placementLocal area$40 - $54 per hour
...Clinical Care Manager At UnitedHealthcare, we're simplifying the... ...Clinical Care Manager working with Medicaid members, you'll wear many... ...incarceration - with new medications or diagnoses. The clinical care... ...the flexibility to work remotely* as you take on some tough challenges...Remote workHourly payMinimum wageFull timeWork experience placementLocal areaMonday to FridayShift work$235k
...OF ROLE : The Associate Medical Director will provide psychiatric and... ...of the CCBHC's psychiatric care including evaluation and treatment... ...evaluations and medication management services for children,... ...registration Enrolled as a Medicaid Provider in NY State National...Remote workPart timeLocal area
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