Remote Medical Director, DME & Coverage Policy
$248.5k - $373kStryker
Stryker Corporation in Keene, NH, is looking for a physician with an M.D or D.O. for remote clinical coverage reviews. Responsibilities include conducting benefit reviews, documenting findings, and collaborating with healthcare providers. Preferred qualifications include multiple state licenses and clinical review experience. Compensation ranges from $248,500 to $373,000, along with a comprehensive benefits package. Candidates must pass a drug test and comply with telecommuting policies. #J-18808-Ljbffr
$248.5k - $373k
...we deliver clinical coverage and medical claims reviews. Our role... ...costs. The Medical Director provides physician support... ...flexibility to work remotely from anywhere within... ...coverage review policies, render coverage determinations... ...reviews will be DME requests and therapy...Remote workPolicyMinimum wageWork experience placementLocal area$248.5k - $373k
...Institute is looking for a Medical Director to oversee physician support... .... The director will perform coverage reviews, engage with providers, and ensure adherence to policies. Candidates must possess an... ...experience. This position supports remote work within MST or PST time...Remote workPolicy$248.5k - $373k
Optum is looking for a Medical Director in Tucson, Arizona. This role involves providing physician... ...for clinical services, conducting coverage reviews, and collaborating with providers... ...experience. Enjoy the flexibility to work remotely within the U.S. Competitive...Remote work$223.8k - $313.1k
...put health first The Medical Director relies on fundamentals... ...reviewing Home Health, SNF, DME, dual Medicare/... ...requirements, Humana policies, clinical standards, and... ...rotations, including weekend coverage and after-hours... ...Information Workstyle: remote work at home Hours: Must...Remote workPolicyFull timeTemporary workApprenticeshipWork at officeWork from homeMonday to Friday- ...sick time, 401(k), remote work. Location... ...services. Benefits info Medical, dental, vision,... ...Medical Director (CMD) provides medical... ...developing Local Coverage Determinations (LCDs... ...compliance with Medicare policies, reviewing medical... ...(e.g., A/B or DME MACs and others) to...Remote workPolicyPermanent employmentTemporary workFor contractorsWork experience placementWork at officeLocal areaImmediate start
$250k
The Utilization Review Medical Director is responsible for... ...Durable Medical Equipment (DME) and related requests... ...criteria, internal policies, and regulatory requirements... ...Full-time remote role requiring consistent... ...short term disability coverage (location restrictions...Remote workPolicyFull timeTemporary workLocal area- ...Description Job Description MEDICAL DIRECTOR - REMOTE ARC Group has an... ...vital role in developing Local Coverage Determinations (LCDs) and... ...ensuring compliance with Medicare policies, reviewing medical claims,... ...Contractors (e.g., A/B or DME MACs and others) to develop...Remote workPolicyPermanent employmentFor contractorsWork experience placementLocal areaImmediate start
$248.5k - $373k
...District of CT is seeking a Medical Director to oversee clinical review processes... ...members. You will conduct coverage reviews and collaborate with... ...the flexibility to work remotely from anywhere in the U.S.... ...offered, in line with UnitedHealth Group’s policies. #J-18808-LjbffrRemote workPolicy$248.5k - $373k
...Association Inc is seeking a skilled physician to perform clinical coverage reviews remotely from anywhere in the U.S. The role involves analyzing... ...providers, and documenting findings according to specific policies. The ideal candidate must possess an M.D. or D.O. with...Remote workPolicy- ...management organization is seeking a Remote Medical Director to lead the review of medical records... ...with national guidelines and company policies. Ideal candidates will have significant... ...type and requires working 40 hours a week with some weekend coverage. #J-18808-Ljbffr...Remote workPolicyContract workWeekend work
- ...of contract Location : Fully Remote (WFH) Schedule : 20 - 40... ...hours/week and possible weekend coverage (in a rotation) Role Summary... ...of Physician Review Units' policies and procedures. Actively participates... ...duties as assigned by the Medical Director. Board Certified (ABMS) M.D....Remote workPolicyContract workWork from homeWeekend work
$120 per hour
...poster from The Judge Group Medical Director – National Utilization Management... ...per Month) Location: Remote (U.S. only; must reside in the... ...week with rotating weekend coverage; participation in weekend work... ..., CMS requirements, company policies, and clinical standards...Remote workPolicyOngoing contractPermanent employmentFull timeContract workImmediate start- ...Now Hiring: Medical Director – Utilization Management 100% Remote | Must work PST hours Medicare Advantage | Inpatient... ...initiatives Assist in developing medical policies and UM protocols Maintain... ...Medicare Advantage regulations & CMS coverage criteria Experience with MCG or...Remote workPolicyImmediate start
$248.5k - $373k
...! The Appeals and Grievances Medical Director is responsible for ongoing clinical... ...the flexibility to work remotely * from anywhere within the U.... ...to benefit design and coverage and the application of clinical criteria of medical policies Perform Department of Insurance...Remote workPolicyMinimum wageFull timeWork experience placementLocal areaWork from home- ...physician to serve as Clinical Medical Director in support of CMS Healthcare... ....This is a high-impact, policy-adjacent role combining clinical... ...CPT, ICD-10), and insurance coverage determinationsAdvise program... ...VA, however we are open to remote candidates in the following...Remote workPolicy
- ...The Medical Director provides physician support to Enterprise Clinical Services... ...related to benefit coverage determinations, quality improvement... ...proprietary coverage review policies, render coverage... ...audiences All employees working remotely will be required to adhere to...Remote workPolicy
- ...Fractional Medical Director, US - Cancer Diagnostics Fractional Medical... ...& Medical Affairs Location: Remote (U.S.) | Travel Required for... ...execute strategies to drive payer coverage and reimbursement at... ...makers to support favorable policy outcomes . Monitor and analyze...Remote workPolicyFull time
$248.5k - $373k
...enjoy the flexibility to work remotely from anywhere within the U.S.... ...: The Appeals and Grievances Medical Director is responsible for ongoing... ...related to benefit design and coverage and the application of clinical criteria of medical policies. Perform Department of Insurance...Remote workPolicyMinimum wageWork experience placementLocal areaWork from home- ...DESCRIPTION Job SummaryProvides medical oversight and expertise... ...closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality... ...necessity reviews and cross coverage. • Standardizes behavioral...Remote workPolicyWork at officeLocal area
$190k - $200k
...re seeking a board‑certified Medical Director (Internal Medicine or Family... ...team. This role is fully remote and focuses on utilization management... ...as needed. Consult on SUD policy and MCM cases when required.... ...weekend or holiday coverage on a voluntary basis. Required...Remote workPolicyFull time$248.5k - $373k
...ll enjoy the flexibility to work remotely from anywhere within the U.S. as... ...UnitedHealth Group's Telecommuter Policy. Primary Responsibilities Conduct coverage reviews based on individual member... ...providers on benefit plans and medical policy Communicate and collaborate...Remote workPolicyMinimum wageWork experience placementLocal area$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying... ...the flexibility to work remotely from anywhere within the U.S.... ...to benefit design and coverage and the application of clinical criteria of medical policies. Perform Department of Insurance...Remote workPolicyMinimum wageWork experience placementLocal areaWork from home$200.4k - $343.5k
...National Medical Director Of Musculoskeletal Health At UnitedHealthcare... ..., implantable hardware, and DME. The National Medical... ...enjoy the flexibility to work remotely * from anywhere within the U... ...audiences. (e.g., new clinical policies, programs, processes) Participate...Remote workPolicyMinimum wageFull timeWork experience placementWork at officeLocal area$238k - $357.5k
...Connecting. Growing together . The Medical Director Oncology will provide... ...enjoy the flexibility to work remotely * from anywhere within the U... ...all clinically relevant policies and processes are informed by... ...rotational holiday and call coverage Preferred Qualification: Experience...Remote workPolicyFull timeWork experience placementLocal area$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...and implementation of policies, procedures and clinical criteria... ...the flexibility to work remotely from anywhere within the U.S... ...Responsibilities: Conduct coverage reviews based on individual...Remote workPolicyMinimum wageWork experience placementLocal areaWeekend work$223.8k - $313.1k
...of our caring community The Medical Director relies on medical background... ...guidelines, CMS regulations, Humana policies, and recognized clinical... ...rotational weekend/holiday coverage (approx. 5 weekends per year... .... Travel: While this is a remote position, occasional travel...Remote workPolicyBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work$119.47 - $179.33 per hour
...together. The Healthy First Steps Medical Directors (HFS MDs) team is within the... ...the flexibility to work remotely from anywhere within the U.S... ...in utilization and clinical coverage review Solid understanding... ...UnitedHealth Group's Telecommuter Policy. Compensation for this...Remote workPolicyHourly payDaily paidMinimum wageWork experience placementLocal areaWeekend work$79.8k - $126k
...Medical Director - Texas Licensed (5pm-9pm CT) Remote Judi Health is an enterprise health technology company providing a comprehensive suite of solutions... ...and more generally related to Capital Rx’s coverage policies. Medical Directors represent the clinical decision...Remote workPolicyWork at officeLocal areaShift work$248.5k - $373k
...number: 2344286 Job category: Medical & Clinical Operations... ...enjoy the flexibility to work remotely * from anywhere within the U.... ...scheduled weekend and evening coverage Perform other duties and responsibilities... ...Group's Telecommuter Policy Compensation for this...Remote workPolicyMinimum wageWork experience placementWork at officeLocal areaFlexible hoursWeekend workAfternoon shift$248.5k - $373k
...8223 Job category: Medical & Clinical Operations... ...Programs, the Medical Director guides members through... ...to ensure appropriate coverage of serviced markets from... ...flexibility to work remotely * from anywhere within... ...Group's Telecommuter Policy Compensation for this...Remote workPolicyMinimum wagePart timeWork experience placementLocal areaFlexible hours
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