Remote Medical Director — Utilization & Care Standards
Integrated Resources, Inc ( IRI )
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 with national guidelines and company policies. Ideal candidates will have significant clinical experience, an MD or DO degree, and a passion for quality in healthcare. The position offers a contract employment type and requires working 40 hours a week with some weekend coverage. #J-18808-Ljbffr
$275k - $325k
...specialized, value-based cancer care in the community setting. TOI... ...oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada... ...organizational policies, regulatory standards, and payer requirements in all...Remote workWork from home$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of... ..., clinical accuracy standards, and productivity expectations... ...policies, clinical standards of care, and regulatory updates... ...Expectations: Remote role requiring consistent...Remote workHourly payFull timeContract workTemporary workPart timeLocal area$248.5k - $373k
...373,000/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by technology to... ...care costs.The Medical Director provides physician support... ...knowledge in various utilization management activities... ...flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeWork experience placementLocal area$248.5k - $373k
...3,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...physician to join our Utilization Management team. Optum is a clinician-led care organization that is... ...and live.The Medical Director for Utilization Management... ...flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California... ...providing the highest quality care to our residents in the Coachella... ...position can be structured as a hybrid remote role - you would not necessarily...Remote workPermanent employmentTemporary workRelocation package
- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California... ...providing the highest quality care to our residents in the Coachella... ...position can be structured as a hybrid remote role - you would not necessarily...Remote workRelocation package
$248.5k - $373k
...medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is changing... ...clinicians work and live. The Medical Director for Utilization Management... ...fluency *All employees working remotely will be required to adhere to...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...United StatesJob Area: Medical & Clinical... ...alignment between care providers and payers... ...together.The Medical Director Clinical... ...interoperability standards. The role will work... ...flexibility to work remotely * from anywhere within... ...teams to optimize utilization of clinical content...Remote workMinimum wageWork experience placementLocal area
$236.5k
...Purpose:Assist the Chief Medical Director to direct and... ...leadership of all for utilization management, cost containment... ...-effectiveness of care and service for... ...quality accreditation standards preferred.Actively practices... ...to work with remote, hybrid, field or office...Remote workFull timePart timeWork at officeFlexible hoursWeekend work$248.5k - $373k
...3,000.00Job Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...a team of medical directors, for the overall quality... ..., performs Utilization Management reviews... ...flexibility to work remotely * from anywhere within... ...regulatory agency standards and requirements (...Remote workMinimum wageWork experience placementLocal areaWeekend work$270k - $310k
...Lucet Medical Director (Behavioral Health) At Lucet, we... ...transforming whole-person care. We deliver... ...tuition reimbursement Remote work flexibility (role... ...behavioral health programs, utilization management activities... ..., and evidence-based standards of care. Analyze...Remote workWork from homeFlexible hours- ...'s Enterprise Clinical Services seeks a Medical Director to provide physician support and lead clinical... ...to ensure cost-effective, high-quality care across national plans. The role requires... ...and MS Office proficiency. This is a remote, full-time position with comprehensive...Remote workFull time
- ...To support Utilization Management operations, the full-time Utilization Review Medical Director will conduct clinical reviews of Durable Medical... ...Equipment (DME) requests remotely, ensuring compliance with... ...productivity and accuracy standards. Key responsibilities Conduct...Remote workFull time
- ...of All-Inclusive Care for the Elderly (PACE... ...comprehensive medical care along with support... ...: The Medical Director is the senior... ...Committee and uses utilization and safety data (ED... ...administrative, community, or remote environments,... .... ~ Operate standard office equipment...Remote workFor contractorsWork at officeWork from home
- ...Medical Director Utilization Management Location: Remote Preference EST or nearby Pittsburgh PA, NY, WV Duration: 6+... ...highest and most current clinical standards. The incumbent reviews escalated... ...assigned to support and improve member care. Responsibilities Conduct...Remote workContract workPrivate practice
- ...transforming in-home care with the industry's first... ..., we're setting a new standard in accessible... ...Team! What is the Medical Director role? The Medical Director... ...clinical oversight of our remote care programs, guiding... ...clinical outcomes and utilization trends. Ensure...Remote work
- ...Medical Director Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location:... ...with all applicable regulatory standards. The ideal candidate will... ...necessity and appropriateness of care. Perform initial...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
$119.47 - $179.33 per hour
...3,000.00Job Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...a team of medical directors, for the overall quality... ..., performs Utilization Management reviews... ...flexibility to work remotely * from anywhere within... ...regulatory agency standards and requirements (...Remote workMinimum wageFull timeWork experience placementLocal areaWeekend work$139.23 - $189.38 per hour
...Job Description Job Description Medical Director, Utilization Management (MD/DO) – Part Time Pay... ...program (Program of All-Inclusive Care for the Elderly) serving frail, dual-... ...InterQual and CMS coverage criteria; own the standards and train the team on how to use them...Hourly payPart time- ...is Actively Seeking a System Medical Director of Virtual Health! As a... ...system includes 4 adult acute care hospitals, 1 children's... ...on adherence to minimum work standards, demonstrating behaviors consistent... ...thru effective resource utilization and management of real-time...Remote work
$300k
...Massachusetts Chan Medical School (UMass Chan... ...Facility Medical Director (FMD) for The Cape... ...-quality clinical care and treatment across... ...practice standards, including staff composition... ...areas including utilization management, risk... ...eligible for a hybrid/remote schedule combining...Remote workDaily paidContract workLocumH1bNight shiftWeekend workDay shift- ...redefining the cancer care experience for patients... ...– and setting a new standard in cancer care. Daymark... ...As Daymark's Medical Director for California, you will... ...avoidable acute-care utilization, and other key performance... ...and will participate in remote supportive oncology on...Remote work
- ...cloud-based, value-based care enablement AI platform... .... We are seeking a Medical Director of Clinical Product... ...practice and drives clinical utility. Translate Clinical... ...accountable to high standards of clinical usability... ..., we embrace a remote-first culture that supports...Remote workFull timeWork at officeFlexible hours
$248.5k - $373k
...373,000/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by technology to... ...care costs.The Medical Director provides physician support... ...knowledge in various utilization management activities... ...flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeWork experience placementLocal area$107k - $145k
...Outset, a trailblazing medical device company that is... ...for use across care settings, from the hospital... ...improvement to drive utilization.Review, revise, and refine... ...regulations and standards. Strong communication... ...RangeNational Salary Range (Remote)$107,000—$145,000...Remote workLocal areaImmediate start$248.5k - $373k
...373,000/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by technology to... ...at Optum, the Medical Director provides leadership, organization... ...flexibility to work remotely * from anywhere within... ...regulatory agency standards and requirements (e.g....Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$248.5k - $373k
...373,000/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by technology to... ...at Optum, the Medical Director provides leadership, organization... ...flexibility to work remotely * from anywhere within... ...regulatory agency standards and requirements (e.g....Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$170k - $200k
...animal bond through better pet care. We offer primary and urgent... ...to transform veterinary care.Medical Director$170,000 - $200,000 plus... ...ensuring patients receive a high standard of care and that Clinic team... ...far. We have a highly-skilled remote team of nurses to lend support...Remote workFlexible hoursShift workWeekend work- ...clinicians deliver exceptional care through smarter technology.... ...specific regulations, accreditation standards, documentation protocols, and... ...future-state work practices, utilizing Netsmart solutions Provide... ...SummaryLocation: Overland Park, KS; Remote - OtherType: Full timeRemote workFull timeFor contractorsWork at office
$248.5k - $373k
...$373,000.00Job Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by technology to... ...at Optum, the Medical Director provides leadership, organization... ...flexibility to work remotely * from anywhere within... ...regulatory agency standards and requirements (e.g....Remote workMinimum wageWork experience placementWork at officeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director — Utilization & Care Standards. Be the first to apply!
- clinical quality manager United States
- lead clinical data manager United States
- behavioral health manager United States
- medical director United States
- entry level clinical data manager United States
- medical office manager United States
- medicare medical director United States
- health insurance manager United States
- health account manager United States
- medical operations supervisor United States




