Remote Medical Director - Utilization & Quality Leader
$110 - $130 per hourSPECTRAFORCE
- Remote job
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 performing reviews of inpatient and post-acute services, mentoring provider relationships, and driving medical necessity decisions. Competitive pay is offered at $110.00/hr - $130.00/hr. #J-18808-Ljbffr SPECTRAFORCE
- Centene 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...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...Remote job
- 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
- Altais is seeking a Medical Director of Utilization and Medical Management for a remote, one-month opportunity. The role reports to Senior Medical Director and collaborates... ...Altais clinical leadership team to ensure high-quality, cost-efficient care across the continuum. You...Remote job
- Centene Corporation is seeking a clinical leader to direct medical management, quality improvement, and credentialing for the Medical Management... ...team. You will partner with the Chief Medical Director to optimize utilization, cost containment, and care quality for Centene’...Remote job
- A growing healthcare facility is seeking a Remote Medical Director to provide clinical consultation and strategic advisement. This role includes implementing initiatives to enhance healthcare quality and guiding clinical operations. Candidates should possess an MD in Psychiatry...Remote job
$275k - $325k
...is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona... ..., clinical teams and operational leaders to support evidence-based high quality and cost-effective care delivery across...Remote workWork from home- Alliance Health is seeking a Physical Health Medical Director to provide clinical oversight and medical expertise... ...processes and collaboration to improve quality and utilization management. The position offers mostly remote work with on-site reporting as needed; NC residency...Remote jobRelocation
- ...Blue Shield of Nebraska is seeking a physician leader to develop and implement strategies that enhance medical management, practice transformation, patient satisfaction... ...and partners, and act as a project lead for utilization, prior authorization and related activities. The...Remote job
- 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 jobFull timeFlexible hours
$250k - $325k
...organization is seeking an Inpatient Medical Director to provide physician leadership... ...California. This role focuses on enhancing quality care, managing utilization, and supporting health plan... ...experience and prior leadership roles. This remote position requires residency in...Remote work- Centene Corporation seeks a clinical leader on our Medical Management/Health Services team to oversee utilization management, cost containment and medical quality improvement for 28 million members... ...standards, with flexible remote or hybrid options. #J-18808-Ljbffr...Remote jobFlexible hours
$248.5k - $373k
...373,000/yearJob Area: Medical & Clinical OperationsCompany... ...costs.The Medical Director provides physician... ...coverage determinations, quality improvement and cost... ...knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within...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 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
- ...seeks an Internal/Family Medicine physician to lead utilization management. You will determine medical necessity, review cases, and drive UM protocol improvements... ...active participation in physician meetings, with a strong focus on quality and patient care. #J-18808-Ljbffr...Remote work
- ...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 work
$248.5k - $373k
...,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...physician to join our Utilization Management team. Optum... ...and live.The Medical Director for Utilization... ...the flexibility to work remotely * from anywhere within... ...confidentialityProvides quality assurance and...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh, North Carolina... ...focus on physical health utilization management and clinical... ...management teams to uphold quality, compliance, and defensible... ...while accommodating primarily remote work with a North #J-18808-...Remote job
- Sacbar is seeking a Medical Director of Prior Authorization and Utilization Management in Palm Springs, CA. The role focuses on prior authorization, concurrent... ...and utilization management with a flexible hybrid remote arrangement. The position offers a competitive salary...Remote workRelocation packageFlexible hours
- ...is seeking a Physical Health Medical Director to provide clinical... ...services. The role emphasizes high quality, evidence-based review processes... ...and care coordination with remote work options and on-site... ...and 2+ years in managed care/utilization management. #J-18808-Ljbffr...Remote job
- Confidential is seeking a Medical Director to lead utilization management activities within a multidisciplinary physician team. You will review escalated... ...and compliance teams to improve care processes. Remote work is supported with Eastern daytime coordination. #J...Remote work
- ...Health is seeking a Part-Time Medical Director to provide physician... ...for medical management and utilization review programs. You will align... ...organizational standards in a fully remote role based in the United... ...necessity determinations, and drive quality improvement across programs,...Remote jobPart time
- Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...providing the highest quality care to our residents in the Coachella... ...position can be structured as a hybrid remote role - you would not necessarily...Remote workRelocation package
- ...Medical Director Utilization Management Location: Remote Preference EST or nearby Pittsburgh PA, NY, WV Duration: 6+ Months Contract Role with possible extension. Position Overview As part of a physician team, the Medical Director ensures utilization management...Remote workContract workPrivate practice
- ...Medical Director Curative is seeking an enthusiastic and highly skilled... ...overseeing and performing utilization reviews, prior authorizations... ...peer discussions. This is a remote position requiring a "roll up... .... Participate in quality improvement initiatives, audits...Remote workFull timeFlexible hours
$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... ...of observed trends, potential quality concerns, or opportunities to... ...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... ...coverage determinations, quality improvement and cost effectiveness... ...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- ...A leading virtual health company is seeking a Director of Clinical Quality to oversee its clinical quality functions in the virtual... ..., including expertise in quality improvement and utilization management. This is a remote position with a focus on maintaining high...Remote work
$248.5k - $373k
...Medical Director For Utilization ManagementWellMed, part of the Optum family of businesses, is seeking an... ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you... ...confidentialityProvides quality assurance and education of current medical...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home
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