Remote Medical Director, Clinical Coverage & Policy
RXinsider LTD.
- Remote job
UnitedHealth Group in the U.S. seeks a Medical Director to lead physician support and clinical coverage reviews within Enterprise Clinical Services. You will apply clinical knowledge to benefit determinations, ensure medical necessity, and collaborate with network and non-network physicians to deliver cost-effective, high-quality care. This remote role lets you work from anywhere in the country, partnering with a multidisciplinary team to document findings, communicate outcomes, and support #J-18808-Ljbffr RXinsider LTD.
- ...Group in Minnesota seeks a Medical Director to provide physician support for Enterprise Clinical Services and oversee clinical coverage determinations and medical... ..., and communicates policies to network and non-network physicians. Remote work from anywhere in the...Remote jobPolicy
- UnitedHealth Group's Optum is seeking a Medical Director to provide physician support for Enterprise Clinical Services, guiding clinical coverage determinations and medical policy activities. The role... ...and cost-effective care, with a remote work option nationwide....Remote jobPolicy
- UnitedHealth Group is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on pre-service determinations and medical necessity reviews. Remote work is available across the U.S. with opportunities to collaborate with network...Remote jobPolicy
- ...UnitedHealth Group (Optum) is seeking a Medical Director to provide physician support to Enterprise Clinical Services, shaping clinical coverage determinations, quality improvement,... ...centered care while advancing operational policies in a large, multi-disciplinary team....Remote workPolicy
$170k
...Medical Director, Nurse Practitioner Seeking an experienced... ...to provide clinical leadership for a Federally... ...developing clinical policies and workflows, leading... ...across more than 50 remote communities. Occasional... ...vision, malpractice coverage ~ CME allowance and...Remote workPolicyRelocation package- ...Medical Directorship Role At Rhode Island Blood... ...the technical and clinical operations of the... ...and medical policies.Responsibilities include... ...State Laboratory Director and New York State... ...RIBC phone call (remote) for a week at a time... ...part-time coverage on donor criteria...Remote workPolicyPart timeWork at office
$174.07k - $374.92k
...at a time. This is a remote-based (work from home)... ...physicians for their clinical quality and effective... ...resources. In this role as Medical Director (Behavioral Health),... ...interpretation of medical policy including medical... ...management Provide weekend coverage every 6-7 weeks....Remote workPolicyHourly payFull timeTemporary workLocal areaWork from homeWeekend work$173k - $250k
...years ago as Boston Medical Center HealthNet... ...Summary: The Medical Director will report to the... ..., and Medical Policy (Senior Medical... ...of the Office of Clinical Affairs in the areas... ...criteria and determines coverage Works with the... ...in a typical remote interior/office work...Remote workPolicyWork at officeFlexible hours$130 per hour
...LTSS Medical Director - Massachusetts Contract: 09/21/2026 to 10/04... ...including potential holiday coverage Location: Massachusetts... ...Director to provide ad hoc clinical coverage for its Long-Term Services... ...of local clinical policies and procedures, quality improvement...Remote workPolicyWeekly payFull timeContract workWork at officeLocal areaWork from home- ...Medical Director Curative is seeking an enthusiastic and... ...will serve as a key clinical expert, ensuring appropriate... .... This is a remote position requiring a... ...established medical policies, and evidence-based guidelines... ...for you and 50% coverage for dependents on the...Remote workPolicyFull timeFlexible hours
$10 - $15 per hour
...is released. Role: Medical Director Duration: 6+... ...Location: 100% Remote Rate: $2... ...highest and most current clinical standards. The incumbent... ...electronically and using Medical Policy criteria sets to... ...prefer to secure coverage before practicing. If...Remote workPolicyContract workPrivate practice$215k - $408.5k
...million members as a clinical professional on our Medical Management/Health... ...Full time Medical Director for our Health Plan... ...sponsored healthcare coverage, providing access... ...establishing goals and policies to improve quality... ...to work with remote, hybrid, field or office...Remote workPolicyFull timePart timeWork at officeFlexible hoursWeekend work- ...Medical Director - RemoteARC Group has an immediate opportunity... ...position is 100% remote working eastern time... ...in developing Local Coverage Determinations (LCDs)... ...compliance with Medicare policies, reviewing medical... ...ResponsibilitiesProvide leadership in clinical program outreach to...Remote workPolicyPermanent employmentFor contractorsWork experience placementLocal areaImmediate start
$225.7k - $428.9k
...million members as a clinical professional on our Medical Management/Health... ...Full time Medical Director Centene Corporation... ...sponsored healthcare coverage, providing access... ...establishing goals and policies to improve quality... ...to work with remote, hybrid, field or office...Remote workPolicyFull timePart timeWork at officeFlexible hoursWeekend work- UnitedHealth Group is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on clinical coverage determinations and evidence-based decision-making... ...cost effectiveness.The role allows remote work from anywhere in the United...Remote jobPolicy
$290k - $350k
...Medical DirectorHabitat Health empowers older... ...coordinated clinical and social care in... ...terms.The Medical Director is the senior clinical... ...administrative, community, or remote environments,... ...-term disability coverage; life insurance;... ....Vaccination Policy, including COVID-1...Remote workPolicyContract workTemporary workFor contractorsWork at officeWork from homeFlexible hours- ...organization is seeking a Remote Medical Director to lead the review of medical... ...role demands a blend of clinical experience, leadership, and... ...national guidelines and company policies. Ideal candidates will have... ...a week with some weekend coverage. #J-18808-Ljbffr Integrated...Remote jobPolicyContract workWeekend work
- Optum is seeking a Medical Director to provide physician leadership within Enterprise Clinical Services. You will oversee clinical coverage reviews, guide medical policy, and collaborate with network and non... ..., cost-effective care. This remote role requires MD/DO and board...Remote jobPolicy
$275k - $325k
...million patients, including clinical trials, transfusions,... ...Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California... ...utilization management policies to optimize patient... ...treatment options and coverage. Evaluate clinical and...Remote workPolicyWork from home$1,350 per week
...Pensacola, FL Reports to: Director of Clinical Affairs & Vet... ...animal health. As a Medical Affairs Director, you... ...collaborative, field‑based and remote environment Excellent... ...eye health. Coverage is available for eye... ...0,000 life insurance policy with AD&D. You also have...Remote workPolicyFull timeTemporary workReliefWork at officeRelocation packageFlexible hours$250k - $350k
...model from the start. As Medical Director you will be the senior clinical leader for supportive and palliative... ...care team, uphold clinical policy and quality standards, and... ...You will also take part in remote supportive oncology on-call coverage. Program Building: You...Remote workPolicyLocal areaWork from home$190k - $200k
...seeking a board‑certified Medical Director (Internal Medicine or... .... This role is fully remote and focuses on... ..., quality review, and clinical oversight for high‑volume... ...needed. Consult on SUD policy and MCM cases when required... ...weekend or holiday coverage on a voluntary basis....Remote workPolicyFull time$174.07k - $374.92k
...The Radiation Oncology Medical Director supports the CVS... ...utilization of providers, clinical reviews of oncology specific... ...oversight for medical policy implementation; you... ...necessary. This is a remote based (work from home)... ..., dental, and vision coverage, paid time off,...Remote workPolicyHourly payFull timeTemporary workLocal areaWork from homeWeekend work$222.75k - $267.3k
## Medical DirectorApply: Remote: Full time: Posted Yesterday: JR10012... ...patients. The Medical Director of Utilization and... ...closely with the Altais Clinical Leadership team in... ...Management policy and procedures. This... ...regarding benefits, coverage issues, response to...Remote workPolicyFull timeWork at officeLocal areaFlexible hours$237.72k - $312.01k
...Oscar. We're hiring a Medical Director Scientific Affairs to join our Clinical Affairs team. Oscar is... ...leadership to the Clinical Policy team, ensuring medical... ...Location: This is a remote position, open to candidates... ...(UM), and pharmacy coverage policies. Advise executive...Remote workPolicyWork at office$200k - $235k
...Job Title: Medical Science Director/Medical Science Liaison Location... ...Work Model: Remote Overview A field... ...Advanced scientific/clinical degree required and oncology... ...with corporate policies and regulatory guidelines... ...and welfare benefits coverage options including medical...Remote workPolicyFor contractorsLocal area$290k - $300k
Join to apply for the Medical Director role at Insperity 1... ...vision insurance - Full coverage to keep you and your... ...work-life balance Remote work opportunities -... ...will include: Provide Clinical Leadership: Oversee psychiatric... ...environment. Develop Policies and Programs:...Remote workPolicyFull timeLocal areaRelocation packageFlexible hours$228.2k - $358.6k
Medical Director, Clinical Science, GI2 TAU- Hematology/Rare Disease Are you looking for a patient... ...with Takeda’s Hybrid and Remote Work policy. Takeda Compensation And Benefits... ...short‑term and long‑term disability coverage, basic life insurance, a tuition reimbursement...Remote workPolicyMinimum wageTemporary workWork at officeLocal area$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical... ...criteria, internal policies, and regulatory requirements... ...Expectations: Remote role requiring consistent... ...short term disability coverage (location restrictions...Remote workPolicyHourly payFull timeContract workTemporary workPart timeLocal area$146k - $332k
Board Certified Sr Medical Director - Immunology (Rheumatology Exp Preferred) - Remote BasedSyneos Health is a... ...accelerate progress. Our Clinical Solutions team... ...Provides after-hours coverage for clinical studies.... ...Adheres to all enterprise policies, work instructions,...Remote jobPolicyContract workWorldwideFlexible hours
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