Remote Medical Director, Physical Health & Utilization
Alliance Health
- Remote job
Alliance Health in North Carolina is seeking a Physical Health Medical Director to provide clinical oversight, medical expertise, and operational support for physical health services. The role emphasizes high quality, evidence-based review processes and care coordination with remote work options and on-site reporting as needed. Ideal candidates hold an MD or DO with board certification, plus 4+ years of clinical experience and 2+ years in managed care/utilization management. #J-18808-Ljbffr Alliance Health
- ...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... ..., Family Medicine, or Physical Medicine & Rehabilitation...Remote workFull time
- Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh, North Carolina, with a strong focus on physical health utilization management and clinical leadership. The role collaborates... ...while accommodating primarily remote work with a North #J-18808-Ljbffr Beacon...Remote job
- Alliance Health seeks a Medical Director-Physical Health to provide clinical oversight, medical review, and operational... ...for physical health services. This remote, NC-based role requires state... ...certification with a focus on utilization management and care coordination. The...Remote job
$211.17k - $269.25k
Medical Director - Physical Health (Full‑time Remote, North Carolina‑Based) Alliance Health Occupation: Medical and Health Services Managers • Location: Charlotte... ...organizational goals related to clinical quality, utilization management, and care coordination. This role...Remote jobHourly payPermanent employmentFull timeWork at officeLocal areaWork from homeRelocationFlexible hours$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of... ...and Medicaid guidelines, health plan–specific criteria, internal... ..., Family Medicine, or Physical Medicine & Rehabilitation... ...Expectations: Remote role requiring consistent...Remote workHourly payFull timeContract workTemporary workPart timeLocal area$211.17k - $269.25k
The Physical Health Medical Director plays a key role within the Physical Health Medical Management Team,... ...goals related to clinical quality, utilization management, and care coordination.... ...successful candidate to work primarily remote. While there is no expectation to be...Remote jobFull timeWork at officeRelocationFlexible hoursWeekend work$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- Alliance Health is seeking a Physical Health Medical Director to provide clinical oversight and medical expertise for physical health... ...collaboration to improve quality and utilization management. The position offers mostly remote work with on-site reporting as needed;...Remote jobRelocation
$248.5k - $373k
...373,000/yearJob Area: Medical & Clinical OperationsCompany... ...will directly improve health outcomes by connecting... ...costs.The Medical Director provides physician... ...knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeWork experience placementLocal area- ...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
- ...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
- ...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
$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... ...fulfillment of advancing the health of your community with... ...flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...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... ...Proficiency with electronic health records (EHR) systems and...Remote workFull timeFlexible hours
- 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
- Valenz Health is seeking a Part-Time Medical Director to provide physician leadership for medical management and utilization review programs. You will align clinical decisions and policies with... ...organizational standards in a fully remote role based in the United States. You...Remote jobPart time
- 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
$100.77k - $111.39k
Join to apply for the UM Director - Physical Health role at Trillium Health Resources... ...$111,393 Office Location: Remote within North Carolina.... ...opening for Unit Director for Utilization Management to join our Team... ...description for this job Medical insurance Vision insurance...Remote workFull timePart timeWork experience placementWork at officeLocal areaImmediate startWork from homeFlexible hours- Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...can be structured as a hybrid remote role - you would not necessarily... ...incentives Generous benefits including health, dental, vision, and life...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... ...-side Utilization Management experience within a health insurance environment. Candidates with only...Remote workContract workPrivate practice
$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...team will directly improve health outcomes by connecting... ...clinical 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... ...Experience the fulfillment of advancing the health of your community with the... ...You'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- 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 with the One Altais clinical leadership team to ensure high-quality, cost-efficient care across the...Remote job
- ## Medical DirectorApplylocations: Kansastime... ...contribute to the health and well-being of... ...Summary**The Medical Director will serve as a... ...supporting the plan utilization management,... ...eligible to work remotely, hybrid or onsite... ...reviews preferred.**Physical Requirements*** Able...Remote workWork at officeImmediate startRelocation
$110 - $130 per hour
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...Remote job- Centene Corporation is seeking a physician-leader to drive utilization management, quality improvement, and medical review across a nationwide Medical Management/Health Services team. The role involves collaborating with care management, network providers, and quality programs...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
- ...Corporation is seeking a clinical leader to assist the Chief Medical Director in directing and coordinating medical management, quality... ...and credentialing. The role provides medical leadership for utilization management, cost containment, and quality improvement activities...Remote job
- Alliance Health is seeking an UM Clinical Specialist RN for Physical Health who works remote with NC-based residency and occasional travel... ...meetings. The role focuses on medical necessity reviews for... ...nursing experience, and prior Utilization Management exposure. #J-18...Remote job
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