Remote Medical Director for DME Prior Authorization
Texas Health Institute
- Remote job
Texas Health Institute is seeking a Medical Director committed to improving health outcomes. The position involves conducting coverage reviews and collaborating with a multidisciplinary team. A medical license and board certification in PM&R, Internal, or Family Medicine are required. Enjoy working remotely while directly impacting patient care, ensuring quality and cost-effective medical services. Join a team dedicated to addressing health disparities and enhancing community health. #J-18808-Ljbffr Texas Health Institute
$248.5k - $373k
...2152 Job category: Medical & Clinical Operations... ...costs. The Medical Director provides physician support... ...flexibility to work remotely * from anywhere within... ...reviews will be DME requests and therapy services... ..., TX, KY, MD or HI Prior Authorization experience specific to...Remote workMinimum wageWork experience placementLocal area$174.07k - $374.92k
...Medical Director We're building a world of health around every individual — shaping a more connected, convenient and compassionate... ...management – The medical director will perform concurrent and prior authorization reviews with peer to peer coverage of denials. • Appeals...Remote workHourly payFull timeTemporary workLocal areaWork from homeMonday to FridayWeekend work$195.2k - $341.6k
...Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical... ...review for members. Essential Functions: Provide prior authorization medical reviews, consultation and clinical review services...Remote workHourly payWork at officeWeekend workAfternoon shift$175 per hour
...Title: Medical Director - Utilization Management Pay: $175 - $200 / hour ($375,000 - $420,... ...Medical Directors for a high-impact, remote engagement. This position is tailored... ...attending physicians when needed. Manage prior authorizations, appeals, and grievances while...Remote workPermanent employmentFull timeContract workMonday to FridayShift work- ...expansive network reach that medical businesses need to get an... ..., along with an exceptional remote workforce across the United... ...Software Engineering, the Medical Director will lead a team of UM RN... ...medical necessity guidelines and prior authorization adjudication practices. This...Remote workHourly payWork at officeLocal area
$250k - $300k
Integrity Healthcare is seeking a Remote Medical Director to replace a retiring physician. This long-term, non-clinical role requires residing... ...on-site meetings. The Medical Director will review prior authorization requests and collaborate with healthcare teams to ensure...Remote job$174.07k - $374.92k
...of health care resources. Remote based (work from home) position... ...in Arizona and have a medical license without encumbrances... ...in Arizona) In the Medical Director role you will provide oversight... ...determinations. This includes Prior Authorization / Pre Certification /...Remote workHourly payFull timeTemporary workLocal areaWork from homeNight shiftWeekend work$275k - $325k
...Medical Director - Utilization Management Astrana is seeking a California-licensed Medical... ...ecosystem. What You'll Do Prior Authorization Management Review and issue timely... ...Conditions This position is fully remote, with some travel to SoCal required as...Remote work- ...Associate Medical Director Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a... ...the professional community exist with prior authorizations, peer-to-peer discussions and CME opportunities... ...with administrative experience. Remote work is a consideration following...Remote workFull timeWork at officeLocal areaWork from homeVisa sponsorshipWork visa
$248.5k - $373k
...: 2353444 Job category: Medical & Clinical Operations At... ...together The Associate Medical Director for UnitedHealthcare... ...Florida-based role with remote flexibility Occasional in... ...for utilization management, prior authorization, appeals and grievances, and...Remote workMinimum wageWork experience placementLocal area$240k - $260k
...Associate Medical Director, Orthopedic Surgery United States Opportunity Overview:... ...s support Pay & Perks: Fully remote opportunity with about 5% travel Medical... ...and handles over 12 million prior authorization requests annually. Its responsible AI...Remote workFlexible hours$240k - $250k
...Medical Director Utilization Management We are looking for physicians who have expertise... ...backgrounds and perspectives. This is a remote-first role that may require travel to... ...the care continuumincluding policy, prior authorization, payment accuracy, and morethe...Remote workFlexible hours$250k - $350k
...We are seeking a Remote Medical Director for a non-clinical role focused on prior authorization and medical necessity reviews. No direct patient care is required. Candidates must reside in the San Diego area and be available for occasional on-site meetings and trainings...Remote workWork at office- A leading healthcare organization is seeking a Medical Director to oversee clinical coverage reviews and benefit determinations. The ideal... ...ensuring quality care. This position offers flexibility to work remotely from anywhere in the U.S., with a competitive salary range...Remote job
$200.4k - $343.5k
...National Medical Director Of Surgical Clinical Programs At UnitedHealthcare, we're simplifying... ...You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as... ...Identify pain points in current prior authorization processes and propose innovative solutions...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal area- ...healthcare equipment provider is seeking a detail-oriented Operations Supervisor to manage remote DME operations. This role involves verifying insurance coverage, handling prior authorizations, and ensuring compliance with healthcare regulations. Ideal candidates will have...Remote job
$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on fundamentals of CMS Medicare... ...and reviewing Home Health, SNF, DME, dual Medicare/Medicaid requests. The Medical... ...Additional Information Workstyle: remote work at home Hours: Must be able to...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- PRN DME Clinical Coordinator/ASC Technician Apply for this part‑time PRN position... ...administration of orthoses and durable medical equipment (DME) to orthopedic practices... ...custom measurement, patient education, prior authorization, collection of deductible/coinsurance,...Part timeReliefWork at office
$90k
...direction of the Associate Director, or designee, the... ...MassHealth members who have medically complex, chronic or... ...of eligibility and/or authorize services for members... ...work experience with prior authorization and/or eligibility... ...Working Conditions Remote/desk work with- some...Remote workFull timeWork experience placementWork at officeShift work$65k
...Operations Supervisor to help drive the success of our fully remote Durable Medical Equipment (DME) operations. This role plays a key part in... ...processing. Strong knowledge of insurance procedures, prior authorizations, and compliance is essential. Compensation Starts...Remote jobWork at office$150k - $200k
...evidence-based, cost-effective medication utilization strategies and... .... One supervisor oversees prior authorization and related functions,... ...work arrangement, however, remote status will also be considered... ...clinical programs. Support Director, Clinical Pharmacy and other...Remote workHourly payWork at officeAfternoon shift$150k - $190k
...a mission to make specialty medications more affordable and accessible... ...and have permanent US work authorization. About the role We are... ...Operations. This role will be remote-based and require travel to... ...alignment. From engaging with prior authorization staff on operational...Remote workHourly payPermanent employmentWork from homeFlexible hours$20.23 - $24.07 per hour
...Clinical Services Coordinator TRA Medical Imaging Schedule: Monday – Friday, 8:30 AM... ...all necessary documentation is secured prior to appointments and serve as a key liaison... ..., lab work, prior imaging, chart notes, authorizations, and interpreter arrangements Review...Remote workHourly payWork at officeMonday to FridayShift work- ...Specialty Pharmacy, Drug Counseling, MTM, Medication Therapy Management, Population Health,... ..., omnicell, #LI-SM1, PGY1, PGY2, prior authorization, proprium, sentara to home, Indeed, central... ...this is a tobacco-free environment. Remote Eligibility For positions that are...Remote workFull timeTemporary workLocal areaShift work
$19 - $20 per hour
...Health, the following benefits are offered: medical, dental, vision, AD&D, short and long-... ...customer service to in- person and remote patients and clinicians. Compensation... ...aspects of patient care including prior authorizations, lab orders, letters for patients, records...Remote workHourly payFull timeTemporary workWork at officeLocal areaImmediate startFlexible hours$91.7k - $163.7k
...Clinical Program Manager oversees a remote team of Behavioral Health Care Advocates... ...relationships with leadership and medical directors Cover for management team as needed... ...utilization management experience including prior authorizations, concurrent reviews, appeal processes...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday$18 - $32 per hour
...schedule with some in-office days and some remote days per week. Our office is located at... ...via telephone, fax or computer. Build prior authorizations and generate letters while staying... ...of experience in a healthcare facility, medical office, hospital, OR managed care setting...Remote workHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaMonday to FridayShift work$18 - $32 per hour
...National Remote Clinical Support Team Member Optum is a global organization that... ...Process incoming and outgoing referrals, and prior authorizations, including intake, notification and... ...working in a hospital, physician's office or medical clinic setting Clerical or...Remote workHourly payMinimum wageFull timeWork experience placementLive inWork at officeLocal areaMonday to FridayShift work$17.75 - $18.75 per hour
...families, and communities. Job Summary The Medical Services Coordinator serves as a point... ...service for both in‑person and remote patients and clinicians. Compensation and... ...Patient Support – assist clinicians with prior authorizations, lab orders, patient letters, record requests...Remote workHourly payTemporary workWork at office$19 - $20 per hour
...group in the country and are looking for a Medical Services Coordinator to support our... ...quality customer service to in‑person and remote patients and clinicians. Compensation $... .... Assist psychiatric clinicians with prior authorizations, lab orders, letters, record requests,...Remote workHourly payTemporary workWork at officeImmediate start
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