Radiology Utilization Medical Director
Evolent
Evolent is seeking an FMD in Radiology to play a crucial role within the utilization management team. The position involves reviewing imaging cases, ensuring compliance with medical necessity guidelines, and providing clinical rationale during peer-to-peer discussions. Applicants should possess an MD/DO/MBBS, a minimum of five years’ medical practice experience, and an active clinical license. Evolent emphasizes a collaborative work environment and offers competitive compensation along with comprehensive benefits. #J-18808-Ljbffr
- ...Evolent is seeking a FMD, Radiology to join their utilization management team. This role requires serving as a physician match reviewer for imaging cases and ensuring compliance with medical review processes. Ideal candidates will have a minimum of five years' experience...Suggested
- ...Medical Director – Surgery Location: This role enables associates to work virtually full... ...physician-level case review of surgical utilization requests. Conducts peer-to-peer... ...Gastroenterology, and Interventional radiology. California license strongly preferred...SuggestedFull timeTemporary workLocal area1 day per week
- ...our employees consistently vote us one of the “Best Places to Work in PA.” The Medical Director provides medical guidance and support to the full spectrum of Capital’s Clinical Utilization Management activities and programs. Supports appropriate Utilization Management...SuggestedFor contractorsFlexible hoursWeekend work
$100 - $140 per hour
...Altais Health Solutions is seeking a Medical Director of Utilization and Medical Management to oversee and improve healthcare delivery processes. This role demands collaboration with various healthcare providers and leadership across multiple committees. Qualified candidates...SuggestedHourly payDaily paid- ...Now Hiring: Medical Director – Utilization Management 100% Remote | Must work PST hours Medicare Advantage | Inpatient & Post-Acute Focus We’re looking for an experienced Medical Director (Utilization Management) to help lead clinical integrity and medical necessity decision...SuggestedImmediate startRemote work
$120 per hour
...Direct message the job poster from The Judge Group Medical Director – National Utilization Management Team (One Weekend per Month) Location: Remote (U.S. only; must reside in the U.S.) Pay Rate: $120/hour Start Date: ASAP Schedule: 40 hours per week with rotating weekend...Ongoing contractPermanent employmentFull timeContract workImmediate startRemote work- ...A healthcare organization is seeking a Medical Director for Utilization Management to ensure compliant care decisions for Medicare Advantage members. This remote position requires expertise in clinical decision-making, particularly with MCG guidelines and utilization...Remote work
$150 - $165 per hour
...A healthcare consulting firm is seeking a Medical Director for a four-month engagement starting April 1. This role will provide clinical leadership in utilization management and oversee appeals related to Medicare Advantage and other lines of business. Responsibilities...Hourly payContract work- ...A health insurance provider is seeking a Medical Director in Pennsylvania to oversee clinical utilization management activities. This independent contract role requires at least five years of clinical experience and three years in managed care. Responsibilities include...Contract workPart time
- Humana Inc. seeks a Medical Director for the National OP Medicare. This role involves using clinical expertise to determine authorization... ...regulations, and support quality, coordination, and resource utilization. Ideal candidates will have an MD or DO degree, extensive...Remote job
$94 - $99 per hour
...Field Medical Director, Radiology (Neurology) Join to apply for the Field Medical Director, Radiology (Neurology) role at Evolent... ...Doing As a FMD, Radiology you will be a key member of the utilization management team. We can offer you a meaningful way to make...Work at officeImmediate start- ...Evolent Specialty Services, Inc is seeking an IM-EM/Cardiology Field Medical Director to join their Utilization Management team. You will play a crucial role in reviewing cardiology-related service requests and ensuring they meet medical necessity guidelines. This position...
- ...Evolent is seeking a Vascular Surgery Field Medical Director to join our utilization management team. This role allows you to make a significant impact in patients’ lives while enjoying better work-life balance in a collaborative environment. The ideal candidate will...
- ...A leading healthcare organization is looking for a Cardiology Field Medical Director. In this role, you will be pivotal in utilization management, conducting specialty reviews and providing clinical rationale for appeals. Required qualifications include an MD/DO degree...
$223.8k - $313.1k
...A leading healthcare company is seeking a Medical Director to perform expert clinical reviews and ensure high-quality decision-making. The role involves collaboration, communication with providers, and adherence to regulatory standards in a remote setting with occasional...Remote work- Youre now leaving the Clover Health Website. The information you will be accessing is provided by another organization or vendor. If you do not intend to leave our site, please click Cancel. Clover provider services uses a third-party website. The form for submitting...
$188.05k - $282.09k
...Associate Medical Director - Interventional Pain Join to apply for the Associate Medical Director - Interventional Pain role at... ...savings across an expanding set of clinical domains, including radiology, cardiology and oncology. The Clinical Operations...Full timeTemporary workWork experience placementLocal area1 day per week- ...Description Join The Oncology Service (TOS) as a Group Medical Director! Are you ready to lead and grow a team of dedicated professionals... ...university Board certification in medical oncology, radiology, or radiation oncology (DACVIM-O, DACVR, or DACVR-RO) At...Temporary workLocal areaWeekend work
- ...care for patients and the community. This is a Chief/Facility Medical Director (FMD) position that will work collaboratively with the... ...Pulmonary Rehabilitation Certified Program American College of Radiology accredited for multiple modalities Intersocietal...Temporary workRelocation packageShift workNight shiftWeekend workWeekday work
$223.8k - $313.1k
...Become a part of our caring community The Medical Director uses their medical background, experience, and judgement to determine whether... ...Participate in and complete structured and mentored training programs; utilize ongoing team support during daily work activities....Bi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome office- ...Overview Role: Medical Director, Rare Disease & Vaccines (Freelance/Consulting) Location: United States (EST). Must be located in and authorized... ...(one or both areas required). HCP & Rare TA Expertise: Utilize extensive experience working across HCP (Healthcare Professional...Hourly payFreelanceRemote workFlexible hours
- ...Medical Director, Inpatient Care Management - TX or FL Medical Director, Inpatient Care Management - TX or FL 2 weeks ago Be among the first... ...groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level. You’ll...Full timeFor contractorsLocal areaRemote workHome office
- ...insights and expansive network reach that medical businesses need to get an edge in an... ...VP of Software Engineering, the Medical Director will lead a team of UM RN Analysts responsible... ...role requires an in-depth knowledge of utilization management principles, the purpose and...Hourly payWork at officeLocal areaRemote work
$216.42k - $324.63k
...clinical ambassador to payer clients, engaging directly with medical directors, clinical operations executives, and CMOs. Build trusted... ...Familiarity with affordability, claims operations, payment integrity, utilization management, medical policy and/or benefit policy development...Full time$211.55k - $317.33k
...Senior Medical Director – Claims page is loaded## Senior Medical Director – Claimslocations: Remote - UStime type: Full timeposted... ...adjudication, and payment integrity strategies.* Experience with utilization management, medical policy development, and regulatory...Full timeRemote workFlexible hours$174.07k - $374.92k
...community at a time. Position Summary Ready to take your Medical Director skills to the next level with a Fortune 6 company? This... ...concurrent review, and appeal requests. Primarily responsible for Utilization Management, including prior authorization and...Hourly payFull timeTemporary workLocal areaWork from homeWeekend work$79.8k - $126k
...Medical Director - Texas Licensed (5pm-9pm CT) Remote Judi Health is an enterprise health technology company providing a comprehensive... ...and provides clinical support for Capital Rx’s clinical utilization management (UM) programs, consultative support to the Pharmacy...Work at officeLocal areaRemote workShift work$211.2k - $330k
...Join us, and help change mental healthcare for the better. As Medical Director, Scientific Affairs you will support Headway’s health plan... ...Develop a critical understanding of how mental health clinicians utilize digital tools to deliver high quality care and document in a...Work from homeFlexible hours- ...Medical Director – Pediatrics (Remote, U.S.) This is a 12-month temporary contract position. Location: Remote (must reside in one of the... ...clinical practice experience Experience with managed care, utilization management, or quality improvement (preferred) Strong communication...Temporary workRemote workWeekend workWeekday work
$211.2k - $330k
...As Medical Director, Scientific Affairs you will support Headway’s health plan relationships and payer strategy to continue expanding Headway... ...a critical understanding of how mental health clinicians utilize digital tools to deliver high quality care and document in a...Work from homeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Radiology Utilization Medical Director. Be the first to apply!
- senior manager clinical operations Richmond, VA
- medical director utilization management Richmond, VA
- medical assistant manager Richmond, VA
- clinical director Richmond, VA
- medical director neurology Richmond, VA
- medical device manager Richmond, VA
- clinical supervisor lmft lcsw Richmond, VA
- medical director global medical affairs Richmond, VA
- clinical data manager remote Richmond, VA
- director of health and wellness Richmond, VA

