Remote Medical Director, Utilization Management
$248.5k - $373kTexas Health Institute
Texas Health Institute is seeking a qualified healthcare professional with an M.D. or D.O. for a remote position. Responsibilities include conducting coverage reviews and collaborating with providers to ensure accurate benefit determinations. Ideal candidates will have over 5 years of clinical experience and active board certification. Compensation ranges from $248,500 to $373,000 annually, with a comprehensive benefits package available. #J-18808-Ljbffr
$268k - $414k
...Newark, NJ, who will collaborate with management teams to deliver quality, cost-effective... ...while ensuring compliance with health and utilization management protocols. The ideal... ...certified in Psychiatry. Flexibility to work remotely within the U.S. is provided. The role...Remote work- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team, ensuring... ..., analytic reasoning, and leadership skills. This remote role offers a competitive salary, benefits including...Remote work
$248.5k - $373k
...Stryker Corporation seeks a Medical Director for Utilization Management in San Antonio, Texas. This role supports WellMed Medical Management, involving... ...certification, and over 5 years of clinical practice. Remote work is available, and the position offers a competitive...Remote work- ...Medix™ is looking for experienced Utilization Management Medical Directors for a remote contract opportunity. This role is ideal for physicians with strong payer-side utilization management experience who can thrive in a high-volume review environment. The position offers...Remote workFull timeContract workFlexible hours
$110.88 - $124.74 per hour
...A community-based healthcare organization is seeking a Medical Director of Utilization Management to oversee and coordinate clinical management, ensuring... ...experience and a current NY Physician license. The position is remote, allowing for a flexible schedule, and involves...Remote workHourly payDaily paidFlexible hours$275k
...Medical Director, Hematology/Oncology (Utilization Management & Clinical Strategy) Full-Time Remote (Post-Onboarding) U.S. Licensed MD/DO A nationally recognized healthcare organization is seeking an experienced Hematology/Oncology physician to serve in a high...Remote workFull timeRelocation packageMonday to Friday- ...A leading healthcare organization is seeking a Per Diem Medical Director to oversee Utilization Management. The role involves collaborating with physicians, enhancing care quality, and developing policies within a managed care environment. Candidates should have at least...Remote workHourly payDaily paid
- Humana Inc in Columbus, Ohio is seeking a Medical Director for National OP Medicare to leverage... ...for service authorization and utilization management. This role requires strong clinical judgment... ...a structured environment and may involve remote work. #J-18808-Ljbffr Humana IncRemote work
$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 home$248.5k - $373k
...Crains Cleveland is seeking a Medical Director to provide physician support for Enterprise... ...is on applying clinical knowledge in utilization management and effectively communicating with physicians... ...comprehensive benefits package, and remote work options within the U.S. #J-18808...Remote work- ...Medical Director Of Utilization Management HJ Staffing is urgently seeking a Medical Director of Utilization Management to join a leading Medicare Advantage... ...outcomes and regulatory compliance. Location: 100% Remote Job Description Reporting to the Chief Medical...Remote work
$190k - $200k
...A healthcare management company is seeking a fully remote Medical Director to support their team in utilization management and clinical oversight for high-volume cases. The ideal candidate will have an MD or DO with board certification in Internal Medicine or Family Practice...Remote work$250k
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... ...to support Integra’s Utilization Management (UM) operations. This full-time,... ...Additional Expectations Full-time remote role requiring consistent availability...Remote workFull timeTemporary workLocal area$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 work$240.12k - $315.16k
...Associate Medical Director, Utilization Management Hi, we're Oscar. We're hiring an Associate Medical Director to join our Utilization Management Team... ...Senior Medical Director. Work Location: This is a remote position, open to candidates holding an active medical...Remote workFull timeImmediate startWork from homeHome office$240.12k - $315.16k
Oscar Health is seeking an Associate Medical Director to join their Utilization Management Team. In this role, you will determine the medical appropriateness... ...while ensuring adherence to quality standards. This remote position requires an active medical license in Florida...Remote jobImmediate start$268k - $414k
...Stryker Corporation is seeking a psychiatrist to collaborate with management teams to deliver effective care. The ideal candidate has a... ...coordination and adhering to treatment protocols. With a flexible remote work setup and a compensation range of $268,000 - $414,000,...Remote workFlexible hours$248.5k - $373k
...leading healthcare organization in San Antonio is seeking a Medical Director for Utilization Management to support healthcare services. This role involves... ...bilingual fluency are preferred. The position offers remote work flexibility and a competitive salary range of $24...Remote workWork at office- ...A healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making. This role demands a blend of clinical experience, leadership, and the ability to guide a team while ensuring compliance...Remote workContract workWeekend work
$250k - $325k
...Medical Director - Utilization Management (Part Time) The Part-Time Medical Director – Utilization Management, Outpatient Services provides physician... ...Job Requirements and Working Conditions This is a Remote - US based position. The national target base salary...Remote workPart time- ...Optum is seeking a Medical Director to enhance health outcomes through clinical review and support... ...with leadership and providers to manage medical benefits effectively, ensuring... ...cost efficiency. This position allows for remote work flexibility and requires an M.D. or...Remote work
- ...Stryker Corporation is seeking a Medical Director to provide physician support to Enterprise Clinical Services operations. You will conduct... ...least 5 years of clinical practice experience. The role offers remote work options within the U.S. and a comprehensive benefits...Remote work
$248.5k - $373k
...Texas Health Institute is looking for a Medical Director to oversee physician support for Enterprise Clinical Services. The director will... ...minimum of 5 years of clinical experience. This position supports remote work within MST or PST time zones. The role offers a...Remote work$86.4k - $138.6k
Highmark Health is seeking a Product Manager for Behavioral Health & Wellness to develop product vision and strategy within Utilization Management. This role encompasses product lifecycle... ...’s degree. The position offers hybrid or remote options and involves working closely with...Remote work- Highmark Health in Denver is seeking a Product Manager for Behavioral Health & Wellness to shape our product vision within the Utilization Management function. This role involves... ...to delivery. With options for hybrid or remote work, you will need to communicate effectively...Remote work
$101.74k - $163.8k
Manager, Clinical Utilization Management & Transitions of Care Requisition Number: RNINP... ...April 28, 2026 Full‑Time Remote Salary range: $101,740 USD... ...management inpatient medical necessity reviews and transitions... .... Collaborate with the Director of Clinical Utilization...Remote workFull timeTemporary workPart timeWork experience placementWork at officeTrial periodFlexible hours$86.4k
Job Summary The Product Manager, Behavioral Health & Wellness will be instrumental in shaping... ...health and wellness products within the Utilization Management function. This role... ...execution. This role can be hybrid or remote. If you are within 50 miles of an office...Remote workWork at officeLocal area3 days per week- ...Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great...Remote workFull time
- ...A leading healthcare facility in the United States seeks a Clinical Product Consultant for Utilization Management. The role involves providing clinical insights, ensuring product accuracy, and managing implementation milestones. Candidates should have a BSN, extensive...Remote workFlexible hours
- ...A leading health care company is seeking a Behavioral Medical Director to oversee utilization management. This remote role involves direct interaction with behavioral health providers and requires strong clinical oversight skills. Candidates must hold a Doctor of Medicine...Remote work
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