Remote Medical Director, Utilization Management
St Cloud Orthopedics
WellMed, part of Optum, seeks an experienced physician to join the Utilization Management team as Medical Director. This remote role supports WellMed Medical Management, Inc. with UM determinations and program improvements, aiming to optimize care for seniors nationwide. You’ll join a clinician-led organization that values collaboration, diversity, and the Quadruple Aim while enjoying the flexibility to work remotely from anywhere in the U.S. #J-18808-Ljbffr
Vacancy posted 3 days ago
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- ...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
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Cerritos, CA9 days ago- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...This position can be structured as a hybrid remote role - you would not necessarily be required to reside...Remote workPermanent employmentTemporary workRelocation package
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Palm Springs, CA13 days ago $248.5k - $373k
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Houston, TX22 hours ago$248.5k - $373k
...family medicine physician to join our Utilization Management team. Optum is a clinician-led care... ...way clinicians work and live. The Medical Director for Utilization Management will support... ...'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 homeThe Mississippi Bar
San Antonio, TX3 days ago$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... ...to support Integra’s Utilization Management (UM) operations. Role functions... ...Conditions and Additional Expectations: Remote role requiring consistent...Remote workHourly payFull timeContract workTemporary workPart timeLocal areaIntegra Partners
Troy, MI14 days ago$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...seamless experience, and manage health care costs. The Medical... ...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 Optum is a global organization that delivers care, aided... ...seamless experience, and manage health care costs. The Medical... ...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- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...This position can be structured as a hybrid remote role - you would not necessarily be required to reside...Remote workRelocation package
$248.5k - $373k
...$373,000/yearJob Area: Medical & Clinical OperationsCompany... ...experience, and manage health care costs.The Medical Director provides physician support... ...clinical knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementLocal area- ...the fortunate position of adding a Medical Director to our incredible team. This... ...provide improved outcomes Performs utilization review and case management support on complex members... ...and to protecting the sensitive data entrusted to us. #LI-HW1 #LI-Remote...Remote workPermanent employmentFull timeCasual work
Quantum Health
Remote2 days ago - ...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... ...functions while accommodating primarily remote work with a North #J-18808-LjbffrRemote work
Beacon Hill
Raleigh, NC2 days ago $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 workSPECTRAFORCE
United States3 days ago- ...WellMed, part of Optum, seeks an experienced physician to join the Utilization Management team as Medical Director. This remote role supports WellMed Medical Management, Inc. with UM determinations and program improvements, aiming to optimize care for seniors nationwide...Remote work
St Cloud Orthopedics
Brooklyn, NY3 days ago - ...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
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Brooklyn, NY1 day ago - ...Centene Corporation is seeking a clinical leader to assist the Chief Medical Director in directing medical management, quality improvement and credentialing for the business unit. You will lead utilization management, drive cost containment and ensure high-quality care...Remote work
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United States16 hours ago $115 per hour
...re a clinically driven, tech-enabled utilization management company offering expert clinical reviews... .... POSITION OVERVIEW Our Part-Time Medical Director, also known as a Physician Advisor,... .... This role is designedto bea remote position (work-from-home). Diversity...Remote workHourly payFull timePart timeWork at officeWork from homeFlexible hoursShift workRotating shiftGrabJobs
San Francisco, CA1 day ago- ...Curative is seeking a Medical Director of Prior Authorization and Utilization Management for a hybrid role based in Palm Springs, California. This leadership position... ...where applicable, with optional hybrid remote work arrangements and paid malpractice tail coverage...Remote workRelocation package
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United States17 hours ago - ...Bickham Services Unlimited, LLC seeks a Medical Director, Utilization Management for a 6-9 month contract based in Henderson, NV, with remote work option. Immediate start favored for reviewing inpatient and post-acute care decisions for Commercial and Medicare Advantage...Remote workContract workImmediate start
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Henderson, NV1 day ago - ...Humana is seeking a Behavioral Health Medical Director to lead behavioral health care... ...including regulatory compliance and utilization management across inpatient and outpatient settings... ...+ years in project management. Fully remote with occasional travel; standard hours...Remote work
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Florida, NY1 day ago - ...UnitedHealth Group seeks an Inpatient Care Management Medical Director to review acuity and length of stay... ...nurses and staff to manage inpatient utilization across markets, while enabling... ...guidelines and telephonic outreach. Remote role within Florida with rotation holidays...Remote workHome office
University of Minnesota School of Nursing
United States3 days ago $217.6k - $294.4k
...of physicians are living our mission to make health care easier and lives better. As a member of the Utilization Management (UM) team, our Associate Medical Director BH and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations...Remote workPart timeImmediate startWork from homeFlexible hoursCambia Health Solutions
United States22 hours ago$240k
...983, we’re a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory... ...and training opportunities An award-winning remote work environment Position Summary Our Medical Director, also known as a Physician Advisor, is...Remote workFull timeTemporary workWork at officeWork from homeShift workRotating shiftWeekend workMrioa
Oakland, CA4 days ago- ...Lucet seeks a Medical Director (Behavioral Health) to lead clinical programs, oversee utilization management, and drive quality initiatives. You will work with health plans, providers... ...and 3+ years in managed care. This is a remote, full-time leadership role. #J-18808-...Remote workFull timeImmediate start
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United States16 hours ago - ...Medical DirectorCurative is seeking an enthusiastic... ...highly skilled Medical Director to join our growing team... ...and performing utilization reviews, prior authorizations... .... This is a remote position requiring a "... ...optimize utilization management processes and improve...Remote workFull time
CURAtive
Austin, TX22 hours ago - ...Medical Director ID 2026-25149 Category Physician... ...of Veterans Affairs. This remote-based civilian position is an... ...~3+ years of experience in managed care environments. Preferred... ...domains including Utilization Management, Case Management,...Remote workWeekday work
Spectrum Healthcare Resources
Las Vegas, NV4 days ago $160 - $170 per hour
...Medical Director Req number: R8254 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates... ...Medical Director, you will ensure utilization management responsibilities are performed in...Remote workHourly payFull timeApprenticeshipPrivate practiceWork at officeLocal areaWorldwideCAI
Phoenix, AZ1 day ago- ...Description & Requirements System Medical Director, Pre-Surgical Optimization... ...preoperative clinic utilization, reduce elective case... ...process enhancements. Provide remote and on-site clinical... .... Strong communication, management, and process improvement skills...Remote workFull timeLocal areaImmediate start
- ...System Physician Advisor Medical Director Responsibilities and Job Description... ...and other leadership related to case/utilization management and revenue cycle including the Lee Health... ...with contracted providers involved in remote utilization review and physician advisory...Remote workContract workFor contractorsMonday to FridayWeekend work3 days per week
Lee Health
Fort Myers, FL3 days ago
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