Remote Medical Director, Clinical Review & Utilization
$248.5k - $373kTexas Health Institute
- Remote job
Texas Health Institute is seeking a Medical Director in Boston, MA, to support Enterprise Clinical Services. This role focuses on clinical coverage and medical claims reviews, ensuring cost-effective quality medical care for members. The Medical Director will collaborate with various healthcare providers and lead coverage determination processes. Candidates must possess an M.D. or D.O. along with board certification in Neurology and 5+ years of clinical experience. The position offers competitive compensation ranging from $248,500 to $373,000 along with comprehensive benefits. #J-18808-Ljbffr Texas Health Institute
- ...healthcare company in Washington, D.C. is seeking a Medical Director to oversee inpatient medical necessity reviews and utilization management. This role requires strong... ...communication skills, as well as 5+ years of clinical experience post-residency. Ideal candidates will...Remote work
$135 - $150 per hour
...Job Posting: Medical Director (Utilization Review / Peer-to-Peer) Location: Position is Remote (anywhere in the U.S.) Department: Utilization Review – Medical Director Employment... ...-effective care. You will serve as a vital clinical advisor, lead programs that improve...Remote workHourly payFull timeContract work$223.8k - $313.1k
...leading healthcare company is seeking a Medical Director to provide expert clinical reviews and advance patient outcomes. This remote position emphasizes collaboration and structured... ...a dedicated team focused on effective utilization management while enjoying a competitive...Remote work$223.8k - $313.1k
A leading U.S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews and collaborate in a team-oriented environment... ...a minimum of five years post-residency clinical experience. This remote opportunity allows for a significant impact...Remote work- ...healthcare provider is seeking a Medical Director to conduct inpatient medical necessity reviews. This role requires an MD or DO with at least 5 years of clinical experience and an active medical... ...support continuous improvement. This remote position offers a competitive...Remote work
- ...leading healthcare provider seeks a Medical Director to oversee inpatient medical reviews and collaborate with healthcare... ...an MD or DO with over 5 years of clinical experience and a strong ability... ...medical cases. This position is remote, emphasizing teamwork in decision...Remote work
$223.8k - $313.1k
A leading healthcare company is seeking a Medical Director to conduct expert clinical reviews and analyze inpatient cases. Ideal candidates will have extensive clinical experience and strong analytical skills. This position offers flexibility without the demands of bedside...Remote work- ...healthcare company is seeking a Medical Director to join their team. This... ...inpatient medical necessity reviews and analyzing complex hospital... ...and have over five years of clinical experience. The position... ...with the opportunity to work remotely while occasionally traveling...Remote work
- A leading healthcare organization seeks a Medical Director in Jackson, Mississippi. This role involves conducting clinical reviews of inpatient records and ensuring accurate decision-making based on national guidelines. Candidates should hold an MD or DO and have over...Remote work
$223.8k - $313.1k
A leading healthcare company is seeking a Medical Director to conduct clinical reviews and assess medical necessity in a remote role. The ideal candidate will have a medical degree, extensive clinical experience, and strong analytical skills. Responsibilities include reviewing...Remote work- A leading healthcare company is seeking a Medical Director to oversee inpatient care and conduct medical necessity reviews. This remote position allows physicians to leverage their clinical expertise while impacting patient outcomes without irregular hours. Ideal candidates...Remote work
- A major healthcare organization is seeking a Medical Director to conduct clinical reviews of inpatient medical records and assess medical necessity based... ...analytical and communication skills. This position allows for remote work while occasionally requiring travel to the...Remote work
- ....S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews and analyze complex hospital cases... ...candidate will have extensive clinical experience, excellent... ...commitment to patient outcomes. This remote position offers a competitive salary...Remote work
$223.8k - $313.1k
A leading healthcare company in New Jersey seeks a Medical Director to perform clinical reviews of inpatient medical records and assess medical necessity... ...work within a supportive team environment. This is a remote role with standard hours and occasional travel, offering...Remote work- A leading healthcare company is seeking a Medical Director to oversee clinical reviews and decision-making for inpatient care. This role requires strong analytical skills and a background in clinical practice, specifically in Hospital Medicine or Critical Care. The ideal...Remote work
$223.8k - $313.1k
A leading U.S. healthcare company is seeking a Medical Director to perform expert clinical reviews of inpatient medical records and advance high-quality healthcare decision-making. Ideal candidates are experienced physicians with backgrounds in critical care or inpatient...Remote work- A leading healthcare company is seeking a Medical Director to join their distinguished physician team. This role requires conducting expert clinical review of inpatient medical records and supporting high-quality decision-making. Ideal candidates have MD or DO qualifications...Remote work
- A leading healthcare company is seeking a Medical Director to perform clinical reviews and assess medical necessity for inpatient cases. This role offers the chance to collaborate with a team of physicians, making a significant impact on patient care. Requires an MD/DO...Remote jobWork from home
- Wisconsin Psychiatric Association Inc is looking for a Cardiovascular Utilization Management Reviewer to contribute to patient care in a non-clinical setting. This remote role allows for collaboration with a dynamic team and offers both part-time and full-time options,...Remote jobFull timePart time
- Stryker Corporation is seeking a Medical Director to provide physician support for Enterprise Clinical Services in Boston. This role... ...conducting clinical coverage reviews, collaborating with... ...experience. The position offers remote work flexibility and comprehensive...Remote job
- UnitedHealth Group is seeking a Medical Director who focuses on clinical coverage and medical claims reviews. This role involves collaboration with a multidisciplinary team... ...of clinical experience. Flexibility to work remotely within the U.S. is offered along with a...Remote job
- A leading healthcare provider is seeking a Medical Director to review health claims and ensure compliance with clinical standards. The ideal candidate will have a strong... ...in Sacramento, CA, with standard hours and some remote work flexibility. #J-18808-Ljbffr Humana IncRemote job
$223.8k - $313.1k
A leading U.S. healthcare company seeks a Medical Director to enhance inpatient care quality. This role involves performing expert clinical reviews, analyzing hospital cases for necessity, and collaborating in a structured team environment. Candidates should have an MD...Remote job$223.8k - $313.1k
A leading healthcare company in Arizona is seeking a Medical Director to conduct clinical reviews of inpatient records and support decision-making for patient... ...and strong analytical and communication skills. This remote position involves collaboration with external...Remote jobMonday to Friday- ...healthcare company is seeking a Medical Director to provide medical... ...DO degree, with 5+ years of clinical experience, and be versed in... ...Medicaid. Responsibilities include reviewing clinical scenarios and... ...delivery. This role is mostly remote but may require occasional travel...Remote work
- ...Territorial Epidemiologists is looking for a Clinical Review Supervisor to oversee clinical staff conducting utilization reviews. This fully remote position requires strong leadership in... .... Outstanding benefits include medical insurance, paid time off, and a retirement...Remote work
$248.5k - $373k
UnitedHealth Group is seeking a Medical Director to improve health outcomes by collaborating... ...or D.O. and at least 5 years of clinical practice. You will conduct clinical reviews, ensure the provision of quality... .... The position allows for remote work from anywhere within the U....Remote job- Stryker Corporation is seeking a Medical Director based in Boston, MA, to enhance clinical coverage and reviews that improve health outcomes. This role involves collaborating... ...or related fields. This position offers a remote working option and a competitive salary. #J-1...Remote job
- ...of State and Territorial Epidemiologists is seeking a Clinical Review Supervisor to provide operational supervision of clinical staff conducting utilization reviews and specialty review activities. This fully remote position requires a strong background in health care and...Remote job
$269.5k - $425.5k
...Overview Medical Director - Clinical Review / DRG - Remote. Optum is a global organization that delivers care, aided by technology, to help millions of... ...optimize program success in collaboration with hospital utilization management and claims adjudication teams....Remote workMinimum wageFull timeWork experience placementLocal area
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