Remote Medical Director — Evidence-Based Care & Prior Auth
Optum
- Remote job
Optum, part of UnitedHealth Group, seeks a physician to support the California Prior Authorization program. You will lead utilization management for high-value procedures and help drive evidence-based care across our national network. The role requires an MD or DO with CA license, 5+ years post residency, and board certification. This remote position offers broad flexibility while focusing on Medicare Advantage, commercial plans, and provider collaboration. #J-18808-Ljbffr Optum
- ...a physician to support the California Prior Authorization program. You will lead utilization... ...high-value procedures and help drive evidence-based care across our national network. The... ..., and board certification. This remote position offers broad flexibility while...Remote work
$248.5k - $373k
...California is seeking a physician to lead Prior Authorization for Medicare Advantage... ...focusing on high-value procedures and evidence-based care. This role requires CA licensure, ABMS/... ...a nationwide network. You will work remotely from anywhere in the U.S., with a compensation...Remote job- ...EviCore by Evernorth is looking for a Medical Director to lead evidence-based medical reviews. In this remote role, you will apply your clinical expertise, collaborate... ...healthcare providers, and support high-quality patient care. The ideal candidate is detail-oriented with...Remote work
$248.5k - $373k
...organization that delivers care, aided by technology... ...in the use of evidence-based medicine, patient safety... ...support the growing Prior Auth program which covers... ...flexibility to work remotely from anywhere within... ...member Work with medical director teams focusing on inpatient...Remote jobMinimum wageWork experience placementLocal area- UnitedHealth Group, Inc. is seeking a Medical Director PM&R to support clinical operations remotely. The role is full-time and focuses on conducting coverage reviews... ...with providers to ensure cost-effective quality care for members. The candidate will review plan...Remote jobFull time
- ...UnitedHealth Group is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on pre-service benefit... ...-disciplinary teams to ensure cost-effective, high-quality care. Responsibilities include conducting coverage reviews, documenting...Remote job
$248.5k - $373k
...00.00Job Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...of medical directors, for the... ...flexibility to work remotely * from anywhere... ...coverage reviews based on individual... ...which will include prior authorizations... ...of Evidence Based Medicine...Remote workMinimum wageWork experience placementLocal areaWeekend work- ...delivers comprehensive care through a growing... ...and coordinated, value-based programs. With... ...everything we do. ABOUT THE MEDICAL DIRECTOR, VALUE BASED CARE... ..., protocols, or evidence-based guidelines ~ Experience... ...region and based on prior training and...Full timeWork from home
$207.8k - $346.3k
...Medical Director Do you crave an intellectually stimulating... ...to deliver evidence-based medical reviews that... ...high-quality patient care. Collaborate with healthcare... ...You'll start training remotely in a structured environment... ...cessation program prior to the start of their...Remote workLocal areaWork from homeMonday to Friday- ## Associate Director, MSL Central RegionApplylocations... ...: Remote - Colorado:... ...impact clinical care in a meaningful... ...of real-world evidence to deliver real... ...right time.The Medical Science Liaison... ...in healthcare.* Prior people management... ...may vary based on qualifications...Remote work
- ...its-kind employer-based plan designed to remove... ...barriers and make care truly accessible:... ...highly skilled Medical Director to join our... ...utilization reviews, prior authorizations, and... ...utilization, promoting evidence-based care, and... ...discussions. This is a remote position requiring...Remote workFull timeFlexible hours
- ...and timely patient care. CHP aims to become... ...providing high quality, evidence-informed care to... ...clinical services (remote or in-person);... ...team member on the Medical and Behavioral Health... ...care settings; Prior juvenile justice and... ...Experience with evidence-based medicine principles...Remote workHourly payFull timePart time
$1,350 per week
...FL Reports to: Director of Clinical Affairs... ...animal health. As a Medical Affairs Director,... ...expert education, evidence-based insights, and... ...elevates patient care within the veterinary... ..., field-based and remote environment... ...signal management. Prior experience supporting...Remote workFull timeTemporary workReliefWork at officeRelocation packageFlexible hours$286.07k - $353.38k
...Martin's Point Health Care - an innovative, not-for... ...Vice President, Medical Director, Health Plan provides... ...using sound clinical evidence and medical judgment.Use... ..., STARS, HEDIS, value-based arrangements, and clinical... ...based care arrangements.Prior management or...Remote workFull timeHome office- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management... ...professionals providing the highest quality care to our residents in the Coachella... ...can be structured as a hybrid remote role - you would not necessarily be required...Remote workRelocation package
- ...certificate and documentation (Remote) Practice Medicine... ...we don't just manage care — we protect dignity,... ...What You'll Do As Medical Director, you'll provide... ...and proposing current, evidence-based intervention options... ...Program Knowledge and prior experience in hospice,...Remote workRelief
- ...Description Endocrinology Medical Director Location: Remote (U.S.-based) Employment Type: Full... ...to patients in long-term care. Our model emphasizes... ...clinical teams to ensure evidence-based, high-quality endocrine... ...in endocrinology Prior experience in medical leadership...Remote workFull timeFlexible hours
$222.75k - $371.25k
...will temporarily be based at Stevenage.... ...seeking an experienced Medical Director for the role of... ...improve how we cure and care for patients. We... ...days per week. Remote work is available... ...oversight of R&D evidence generation strategy... ...department to obtain prior written...Remote workFull timeLocal areaRelocation2 days per week$284.63k
...temporarily be based at Stevenage. However... ...days per week. Remote work is... ...clinical development medical activities for... ...we cure and care for patients. We... ...Senior Medical Director to join the... ...Generate the data and evidence required to... ...department to obtain prior written...Remote workFull timeLocal areaRelocation2 days per week- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management... ...professionals providing the highest quality care to our residents in the Coachella... ...can be structured as a hybrid remote role - you would not necessarily be required...Remote workPermanent employmentTemporary workRelocation package
$275k - $325k
...California-licensed Medical Director - Utilization (UM)... ...cost-effective care. This is a critical... ...execution across value-based care, capitated... ..., you’ll apply evidence-based criteria to... ...What You'll Do Prior Authorization Management... ...position is fully remote, with some travel...Remote workFull timePart timeShift work$290k - $350k
...Medical Director Habitat Health empowers older adults to... ...Program of All-Inclusive Care for the Elderly (PACE)... ...~ Provides evidence-based person-centered direct... ...Nice to Have ~ Prior experience as a Medical... ...administrative, community, or remote environments, depending...Remote workContract workTemporary workFor contractorsWork at officeWork from homeFlexible hours- ...dedicated to transforming value-based care (VBC). We are redefining how... ...we serve. ABOUT THE MEDICAL DIRECTOR ROLE As we continue to scale... ...clinical processes, protocols, or evidence‑based guidelines Experience... ...in the region and based on prior training and experience Comprehensive...Full timeImmediate start
- ...Medical Director Optum is a global organization that delivers care, aided by technology to help millions... ...to work remotely * from anywhere within... ...coverage reviews based on individual member... ...will include prior authorizations for... ...understanding of Evidence Based Medicine (EBM...Remote jobLocal areaWeekend work
- ...Health Plan Remote PRIMARY PURPOSE Oversees medical coordination required... ...quality health care to plan members in... ...Managed Care Medical Directors. Board... ...clinical evaluation of evidence-based care and value-based... ...Reviews prior authorization, concurrent...Remote workContract workWork at officeLocal area
$99.74 - $141.45 per hour
...supervision of those in our care. Corrections employees... ...of fields. Using evidence‑based approaches, employees... ...Supervisor (Associate Medical Director) is responsible for professional... ...checks on applicants prior to selection. Upon... ...hybrid in‑office and remote work schedule of up to...Remote workWork at officeImmediate start3 days per week- ...the California market's Prior Authorization program,... ...-value procedures and medical necessity reviews. The role emphasizes evidence-based care, utilization... ...collaboration with medical directors to improve patient outcomes... .... You will work remotely from anywhere in the U...Remote job
$99.74 - $141.45 per hour
...supervision of those in our care. Corrections employees... ...of fields. Using evidence-based approaches, employees... ...Supervisor ( Associate Medical Director) position . This... ...checks on applicants prior to selection. Upon hire... ...hybrid in-office and remote work schedule of up to...Remote workPermanent employmentWork at officeImmediate start3 days per week$275k - $325k
...delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting-edge, evidence-based cancer care to a population of... ...the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona...Remote workWork from home- ...leader in OCD treatment, is hiring a full-time Mental Health Therapist. This position offers the flexibility to work remotely while providing evidence-based therapy to those in need. You'll manage your own schedule, engage in professional development and be part of a...Remote workFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director — Evidence-Based Care & Prior Auth. Be the first to apply!
- psychiatry medical director Torrance, CA
- remote medical coding supervisor Torrance, CA
- clinical data manager remote Torrance, CA
- healthcare supervisor Torrance, CA
- mental health clinical supervisor Torrance, CA
- medical coding manager Torrance, CA
- health economics manager Torrance, CA
- clinical director Torrance, CA
- behavioral health supervisor Torrance, CA
- clinical manager Torrance, CA


