Remote Medical Director, Utilization Management
Judi Health
- Remote job
Judi Health is seeking a Medical Director for the Clinical Enterprise team to oversee utilization management, prior authorizations, and appeals for commercial and government programs. The role reports to the Lead Medical Director and collaborates with pharmacists and prescribers to support evidence-based coverage decisions. Qualified candidates hold an MD/DO with Texas license, 5+ years of clinical practice, and expertise in internal medicine, PBM operations, and UM policy development. #J-18808-Ljbffr Judi Health
$240.12k - $315.16k
Hi, we're Oscar. We're hiring an Associate Medical Director to join our Utilization Management Team. Oscar is the first health insurance company built around... ...Senior Medical Director. Work Location: This is a remote position, open to candidates holding an active...Remote workFull timeImmediate startWork from homeHome office$248.5k - $373k
...2345838 Job category: Medical & Clinical Operations WellMed... ...physician to join our Utilization Management team. Optum is a clinician-... ...work and live. The Medical Director for Utilization Management... ...enjoy the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Seeking a dedicated Medical Director, Utilization Review, this full-time remote position will manage utilization reviews, prior authorizations, and medical necessity determinations while fostering relationships with practitioners in a dynamic startup environment. Key...Remote workFull time
$275k - $325k
...affiliate locations of care across five states and growing, TOI is changing oncology for the better. Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role...Remote workWork from home- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...management This position can be structured as a hybrid remote role - you would not necessarily be required to...Remote workRelocation package
- ...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
- ...opportunity for a Behavioral Health Medical Director supporting the TriCare/... ...of Veterans Affairs. This remote-based civilian position is... ...experience.3+ years of experience in managed care environments. Preferred... ...domains including Utilization Management, Case Management,...Remote workWeekday work
- ...enthusiastic and highly skilled Medical Director to join our growing team.... ...overseeing and performing utilization reviews, prior... ...peer discussions. This is a remote position requiring a roll up... ...Operations, to optimize utilization management processes and improve member...Remote workFull timeFlexible hours
- ...Medical Director Utilization Management Location: Remote Preference EST or nearby Pittsburgh PA, NY, WV Duration: 6+ Months Contract Role with possible extension. Position Overview As part of a physician team, the Medical Director ensures utilization management...Remote workContract workPrivate practice
- The Job This prestigious medical group is an industry leader in medical risk management, disease management, chronic care... ...position will oversee the group's Utilization management program either from... ...of the successful candidate remotely. Qualifications Requirements...Remote work
- ...Medical Director Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location: Pittsburgh, PA Schedule: Monday Friday | 9:00 AM 5:00 PM EST Core Hours: 40 Hours/Week Employment Type: Contract with Possibility of...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
- ...The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital and...Work experience placement
- ...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
$225.7k - $428.9k
...clinical professional on our Medical Management/Health Services team.... ...Hiring: Full time Medical Director Centene Corporation is a leading... ...leadership of all for utilization management, cost containment... ...flexible approach to work with remote, hybrid, field or office...Remote workFull timePart timeWork at officeFlexible hoursWeekend work- ...Associate Medical Director Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a... ...responsibilities include the aspects of utilization management as guided by medical policy for both... ...those with administrative experience. Remote work is a consideration following...Remote workFull timeWork at officeLocal areaWork from homeVisa sponsorshipWork visa
$227.6k - $385k
...is seeking a physician to join a dedicated team focusing on utilization management. This role involves managing escalated cases electronically... ...advising on cases. Minimum qualifications require a Medical Doctor or Osteopathic Doctor degree and 5 years in clinical...$227.6k - $385k
Highmark Health in Salt Lake City, Utah is seeking a qualified physician to ensure adherence to clinical standards in utilization management. Responsibilities include reviewing escalated cases, participating in multidisciplinary team meetings, and developing protocols....$227.6k - $385k
Highmark Health seeks a physician for utilization management responsibilities in Albany, NY. The role involves reviewing cases in accordance with clinical standards and participating in a multidisciplinary team for case management. Essential qualifications include an MD...- Description **Medical Mutual employees must submit their applications... ...MySource. **This is a remote-based role, and we are currently... ...inpatient and outpatient utilization, affordability, compliance, growth... ...through monitoring of care management performance. Ensures the appropriate...Remote workCasual workWork at office
- ...developing a new Diagnostic Medical Sonography Associates... ...Dean/Program Director to guide the development... ...Plans, administers, manages, and evaluates the Diagnostic... ...environment that utilizes face-to-face and digital... ...(which may be remote, on campus or at an off...Remote workFull timeWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shift
- ...ProMedica is seeking a Utilization Management RN for a remote, part-time role in Ohio with a 20-hour work week. You will review admissions and transfers, apply payer rules for authorizations, and collaborate with clinicians to optimize resource use and care quality. Qualifications...Remote workPart timeWork from home
- ...CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, 100% work-from-home role available to candidates in the EST Zone. You will review medical necessity, coordinate care, and document UM processes to ensure safe, cost-effective care...Remote workWork from home
$32.01 - $68.55 per hour
...family and one community at a time. Registered Nurse (RN) - Utilization Management Remote | Utilization Management | Work from Home Are you an... ...and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement...Remote workHourly payFull timeTemporary workLocal areaWork from homeAfternoon shift- ...A leading payment management solutions provider seeks an Offsite Invoice Payment Specialist to manage utility invoice entries in a work-from-home setup. The role requires high typing speed and self-motivation along with the ability to work independently. Candidates must...Remote workWork from home
$63.74k - $95.26k
...independent registered nurse to fill a Medical Case Manager position in the Birmingham, AL area.... ...employer, and the referral source * Utilizes their medical and nursing knowledge to... ...drug free workplace, and complies with ADA regulations as applicable. #LI-RemoteRemote workMinimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift$63.74k - $95.26k
...independent registered nurse to fill a Medical Case Manager position in the New Orleans, LA area.... ...employer, and the referral source * Utilizes their medical and nursing knowledge to... ...drug free workplace, and complies with ADA regulations as applicable. #LI-RemoteRemote workMinimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift$225k - $265k
...with cancer. Overview The Associate Medical Director is primarily responsible for physician-... ...- and Global Medical Affairs teams Co-manages program development and reports directly... ...This job operates in a professional or remote office environment and requires operating...Remote workFull timeInterim roleWork at officeLocal area$230.9k - $384.8k
...The Oncology Field Medical Director, Malignant Hematology is responsible... ...internal customers' demands and manage and handle conflict... ...of projects developed in a remote environment, while exhibiting... ...solutions Rapidly adopt and utilize new digital technology and other...Remote workPermanent employmentH1bLocal areaVisa sponsorshipWork visaRelocation packageFlexible hoursWeekend work- ...home. About the job Location: Remote - must reside in Arizona,... ...Behavioral Health (BH) Case Manager to join our team. Under the direction... ...(e.g. PCP, etc.) Utilize evidence-based practices, such... ...health records in the Electronic Medical Record (EMR) system and other...Remote workFull timeLocal areaImmediate startMonday to FridayWeekend workAfternoon shift
- ...Behavioral Health (BH) Case Manager to join our Enhanced Care Management... ...ll do Hybrid (in-person and remote) care management duties as... ...(e.g. PCP, etc.) Utilize evidence-based practices, such... ...health records in the Electronic Medical Record (EMR) system and other...Remote workFull timeLocal areaImmediate startMonday to FridayWeekend workAfternoon shift
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