Remote Medical Director: Lead Clinical Utilization
$174.07k - $374.92kLADDERS
- Remote job
Ladders, a leader in healthcare, seeks a Medical Director - Keystone Market to guide clinical decision-making and medical management across a defined market. This remote leadership role focuses on utilization review, prior authorization support, and quality oversight while partnering with medical management staff, providers, and facilities. Location: Remote - US based candidates only, no visa sponsorship available. Compensation: $174,070 – $374,920 annually. #J-18808-Ljbffr Ladders
- CAI is seeking a Medical Director to oversee utilization management, ensuring adherence to current clinical standards in a fully remote, full-time capacity across the United States.The role requires... ...(PA/NY/WV preferred). You will lead reviews, author clear rationales,...Remote jobFull time
- ...Job Description \n Utilization Management Medical Director Oncology\n \n \n \n \n Work Location: REMOTE (work from home)\n \n \n The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and efficiency of oncology...Remote workWork from home
- ...seeking a licensed professional to join their staff Remotely as their new Medical Director - Utilization Management. \n About the Opportunity: \n \n... ...issues. \n Support new technology assessment and clinical policy review through evidence-based research. \n...Remote jobMonday to FridayShift work
$275k - $315k
...Job Description Title: Medical Director of Utilization Management \n \n Summary: Step into a... ...strategic leadership position as the Clinical Lead for a prominent Health Plan's Utilization... ...leadership role with a hybrid schedule (3 days remote / 2 days onsite)\n...Remote workWork at officeMonday to FridayShift work2 days per week$180 per hour
...REMOTE MEDICAL DIRECTOR – UTILIZATION MANAGEMENT & APPEALS $180/hour | W-2 Contract | Monday–Friday | 100% Remote | Potential Extension The... ...is an excellent opportunity for a physician who enjoys clinical decision-making, medical necessity review, and appeals...Remote workContract workWork at officeMonday to Friday- ...WellMed, part of the Optum family, seeks a Medical Director for Utilization Management to lead and optimize our UM program. This role focuses on medical necessity... ...improvements while fostering a collaborative, remote-friendly work environment across the U.S. You will...Remote work
- ...Job Title: Medical Director (Utilization Management) - Remote (USA) | Contract-to-Hire | US Citizen Only Location: 100% Remote (United States) Schedule: Full-Time | Monday-Friday | 9:00 AM - 5:00 PM EST (Flexible after training) Employment Type...Remote workFull timeContract workMonday to FridayFlexible hours
- ...Medical Director Curative is seeking an enthusiastic and... ...overseeing and performing utilization reviews, prior... ...Director will serve as a key clinical expert, ensuring... ...discussions. This is a remote position requiring a "... ...contractual agreements. Lead and conduct effective...Remote workFull timeFlexible hours
- ...helping older adults stay healthy and independent. The Utilization Management Physician Medical Director will provide physician-level leadership for prior... ...requires an MD/DO with board certification and 5+ years of clinical practice plus 2-3 years in UM, using Medicare...Remote jobLocal area
$240k - $250k
...Medical Director Utilization Management We are looking for physicians who have... ...including medical and surgical clinical areas to deliver on Cohere'... ...perspectives. This is a remote-first role that may require... ...for 2023 & 2024. Backed by leading investors such as Deerfield...Remote workFlexible hours$240k - $250k
...Medical Director Utilization Management We are looking for physicians who have... ...including medical and surgical clinical areas to deliver on Cohere'... ...perspectives. This is a remote-first role that may require... ...for 2023 & 2024. Backed by leading investors such as Deerfield...Remote workFlexible hours$275k - $325k
...approximately 2.1 million patients, including clinical trials, transfusions, and other care delivery models... ...for the better. For more information, visit Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona...Remote workWork from home$248.5k - $373k
...$373,000.00/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...physician to join our Utilization Management team. Optum is a... ...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- CAI is seeking a Medical Director to lead utilization management with adherence to the highest clinical standards. This remote, full-time role demands physician expertise and collaboration with multidisciplinary teams to ensure compliant medical decision-making.Requirements...Remote jobFull time
- SCAN is seeking an Utilization Management Physician Medical Director to lead medical necessity determinations, prior authorizations, and reviews. This physician will influence policy, provide clinical mentorship, and ensure compliant, evidence-based decision-making while...Remote job
- CAI is seeking a Medical Director for a remote, full-time role to oversee utilization management in accordance with current clinical standards. The candidate will perform electronic reviews, determine medical necessity, and guide case determinations with a focus on adherence...Remote jobFull time
- CAI is seeking a Medical Director for a fully remote, full-time role to ensure utilization management aligns with top clinical standards. You will lead medical policy reviews, determine medical necessity, and guide the CMDM team.The position emphasizes physician expertise...Remote jobFull time
- ...experienced physician leader for a remote Medical Director, Utilization Management (Home Health, Acute & Post... ...position, you will serve as the primary clinical authority for home health... ...Working closely with the Home Health RN Lead, UM nursing staff, and network providers...Remote workFull timeContract workPart timeLocal areaWork from home
- Devoted Health is seeking a part-time contractor to perform clinical reviews (Part A, B, appeals, quality of care) and conduct peer-to... ...should have broad state licensure coverage and Medicare Utilization Management experience, and be comfortable with learning new technologies...Remote jobPart timeFor contractors
- Oversee medical necessity reviews for home health, acute, post-acute, and outpatient services... ...-based care and appropriate resource utilization. Apply CMS regulations, coverage... ...criteria, and medical policies in a fully remote, part-time physician leadership role. #J...Remote jobPart time
- Humana Inc. is seeking a Medical Director to review complex inpatient and post-acute cases, ensuring... ...review.Responsibilities include clinical decision-making, mentoring, and... ...participating in discharge planning, quality and utilization reviews. Travel to Humana offices may...Remote job
- Bickham Services Unlimited, LLC is seeking a Medical Director, Utilization Management to lead clinical utilization reviews for inpatient and post-acute care, ensuring... ...with CMS, policies, and evidence-based criteria. Remote opportunity in New Jersey for a board-certified...Remote job
- ...Oracle practice (.)You Are:A senior Oracle Utilities Integration Lead who brings both the architectural... ...integrations, including meter data exchange, remote connect/disconnect, and on-demand read... ...suite of benefits including medical, dental, vision, life, and long-term disability...Remote workFull timeWork experience placementLive inWork at officeLocal area
$200k - $250k
# Medical Director, Utilization ManagementManaged Care & Clinical ProgramsOrlando, FloridaOctober 5, 2026$230,000 - $275,000 / yearFull... ..., Utilization Management** to lead utilization management, coverage... ...a combination of onsite and remote days* Monday through Friday,...Remote workHourly payFull timeMonday to Friday$225k - $275k
...Job Description Job Description Medical Director (Utilization Management) - Remote Role! Compensation: $225,000 to $275,000/year Schedule: Full... ...Director is a key physician responsible for advancing clinical excellence, quality outcomes, utilization management...Remote workFull timeFlexible hours$248.5k - $373k
...medicine physician to join our Utilization Management team. Optum is a... ...work and live. The Medical Director for Utilization Management... ...At Optum, you'll have the clinical resources, data and support... ...enjoy the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Job Description Job Description Lead Utility Notification Technician Job Type – Full Time Pre-Qualifications Applicants... ...outdoors in variable weather conditions, challenging terrain, and remote locations while prioritizing safety Willingness and...Remote workFull time
- ...Staffing is urgently seeking a Medical Director of Utilization Management to join a leading Medicare Advantage Health Plan.... ...a critical role in ensuring the clinical integrity of inpatient and post-... ...regulatory compliance. Location: 100% Remote Schedule: Full-Time,...Remote workFull timeMonday to Friday
- ...Amazon Worldwide Operations is expanding its logistics network and seeks a Utility & Energy Due Diligence Program Manager to lead utility due diligence, power delivery planning, and easement analysis for multiple site developments. You will work with utilities, municipalities...Remote jobWorldwide
- ...Lead Quality Control Utility Forester - Vegetation Management Currently looking for candidates in the client's service area of Louisiana: Shreveport... ...in variable outdoor conditions (weather, terrain, remote/urban settings). Proficiency with technology, including...Remote workFull timeFor contractorsLocal areaWeekend work
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