Remote Medical Director Utilization Mgmt
The Judge Group, LLC
A health care organization is looking for a Medical Director for its National Utilization Management Team. This remote position requires reviewing medical records and making clinical determinations, requiring at least 5 years of clinical experience post-residency. The role involves one weekend of on-call responsibilities per month, strong ethical standards, and effective communication. Ideal for candidates with medical licenses and experience in managed care. Join a dedicated team in a dynamic environment. #J-18808-Ljbffr
- ...A health insurance startup is looking for an experienced Medical Director to oversee utilization reviews and prior authorizations. This remote position demands a strong clinical background with a doctorate in medicine and board certification. The ideal candidate will have...Remote workFlexible hours
$79.8k - $126k
...Judi Health is seeking a Medical Director (Texas Licensed) for a remote position. The role will involve overseeing clinical support for Capital Rx's utilization management programs and making clinical determinations for patient care. Qualified candidates must have an active...Remote work$250k
...Integra Partners is seeking a full-time Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. The... ...guidelines, and maintaining high productivity standards in a remote setting. The position offers a competitive salary of $25...Remote workFull time- ...leading U.S. healthcare organization is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in... ...clinical experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient outcomes...Remote work
$223.8k - $313.1k
...A leading healthcare organization is seeking a Medical Director in Jefferson City, Missouri. The role involves conducting clinical reviews of inpatient records and making utilization management determinations. Candidates should possess an MD or DO, an active medical license...Remote work$250k
...A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment... ...salary of $250,000 annually and various benefits, with remote work opportunities available in Michigan and other states...Remote workFull time- A leading healthcare company in Washington, D.C. is seeking a Medical Director to oversee inpatient medical necessity reviews and utilization management. This role requires strong analytical and communication skills, as well as 5+ years of clinical experience post-residency...Remote job
- Centene Corp. is looking for a Remote Medical Director to direct medical management and enhance quality improvement for our members. You will... ...with active board certification, and have experience in utilization management. Competitive compensation and benefits, including...Remote jobFlexible hours
- A national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with... ...Responsibilities include performing clinical reviews, providing utilization management determinations, and ensuring compliance with...Remote jobMonday to Friday
- ...A healthcare organization is seeking a Medical Director for Utilization Management to ensure compliant care decisions for Medicare Advantage members. This remote position requires expertise in clinical decision-making, particularly with MCG guidelines and utilization...Remote work
$248.5k - $373k
...Acadiana Renal Physicians is seeking a Medical Director for Utilization Management, supporting WellMed Medical Management. Candidates should possess... ...demands expertise in utilization management and allows remote work from anywhere in the U.S., with a competitive salary...Remote work$248.5k - $373k
...Colorado PA is seeking a Medical Director for Utilization Management in San Antonio, Texas. This role involves making critical management determinations... ...with a comprehensive benefits package, allowing flexibility to work remotely from anywhere in the U.S. #J-18808-Ljbffr...Remote work$248.5k - $373k
...Chicagoderm is seeking a Medical Director for Utilization Management to join WellMed's team in San Antonio, Texas. This role involves making utilization... ...medical necessity determinations. The position offers remote work flexibility within the U.S. The ideal candidate will...Remote work$248.5k - $373k
...Optum is seeking a Medical Director for Utilization Management to support WellMed. This role involves making utilization management determinations... ...and at least 5 years of post-residency experience. With remote work flexibility, Optum offers an annual salary ranging from...Remote work$248.5k - $373k
...Horizon Health Care is seeking a Medical Director for Utilization Management to join our team. This position supports WellMed Medical Management,... ...management and medical necessity determinations within a flexible remote work environment. The ideal candidate holds an M.D. or D....Remote workFlexible hours- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team,... ...communication, analytic reasoning, and leadership skills. This remote role offers a competitive salary, benefits including...Remote work
$268k - $414k
...cost-effective care while ensuring compliance with health and utilization management protocols. The ideal candidate must hold a Doctor of... ..., and be board certified in Psychiatry. Flexibility to work remotely within the U.S. is provided. The role offers competitive compensation...Remote work$248.5k - $373k
...Crains Cleveland is seeking an experienced Medical Director for Utilization Management to support WellMed Medical Management. The role involves making... ...for service utilization. Enjoy the flexibility to work remotely within the U.S. Applicants should have an M.D. or D.O....Remote work$248.5k - $373k
...Stryker Corporation seeks a Medical Director for Utilization Management in San Antonio, Texas. This role supports WellMed Medical Management, involving... ...certification, and over 5 years of clinical practice. Remote work is available, and the position offers a competitive...Remote work- ...Optum is seeking a Medical Director Oncology in Houston, Texas, to lead utilization review determinations and support case management teams. This role offers the opportunity to work remotely from anywhere within the U.S. and plays a vital part in improving health outcomes...Remote work
- ...Medix™ is looking for experienced Utilization Management Medical Directors for a remote contract opportunity. This role is ideal for physicians with strong payer-side utilization management experience who can thrive in a high-volume review environment. The position offers...Remote workFull timeContract workFlexible hours
$248.5k - $373k
...Wapa is seeking a Medical Director for Utilization Management to join their team. This remote role involves supporting utilization management for WellMed Medical Management, requiring strong experience in post-residency practice and a medical license. The ideal candidate...Remote workWork at office$130 - $140 per hour
...Remote Medical Director - Utilization Management (6-12 month contract, potential for long-term hire!) Must hold MD license in PA, NY or WV. Job Summary Medix is partnering with a premier national health plan to identify an experienced Medical Director for a Utilization...Remote workHourly payContract workFlexible hours$110.88 - $124.74 per hour
...A community-based healthcare organization is seeking a Medical Director of Utilization Management to oversee and coordinate clinical management,... ...experience and a current NY Physician license. The position is remote, allowing for a flexible schedule, and involves...Remote workHourly payDaily paidFlexible hours$248.5k - $373k
...leading healthcare organization in San Antonio is seeking a Medical Director for Utilization Management to support healthcare services. This role... ...and bilingual fluency are preferred. The position offers remote work flexibility and a competitive salary range of $248,5...Remote workWork at office$120 per hour
...Direct message the job poster from The Judge Group Medical Director – National Utilization Management Team (One Weekend per Month) Location: Remote (U.S. only; must reside in the U.S.) Pay Rate: $120/hour Start Date: ASAP Schedule: 40 hours per week with rotating weekend...Remote workOngoing contractPermanent employmentFull timeContract workImmediate start- ...Medical Director – Utilization Management Remote | Full-Time (40 hrs/week) We are partnering with a national health plan organization to identify an experienced Utilization Management Medical Director to support a high-volume, payer-side clinical review operation. This...Remote workFull timeContract workImmediate start
- ...Now Hiring: Medical Director – Utilization Management 100% Remote | Must work PST hours Medicare Advantage | Inpatient & Post-Acute Focus We’re looking for an experienced Medical Director (Utilization Management) to help lead clinical integrity and medical necessity decision...Remote workImmediate start
$250k - $325k
...Medical Director - Utilization Management (Part Time) The Part-Time Medical Director – Utilization Management, Outpatient Services provides physician... ...Job Requirements and Working Conditions This is a Remote - US based position. The national target base salary...Remote workPart time$275k
...Medical Director, Hematology/Oncology (Utilization Management & Clinical Strategy) Full-Time Remote (Post-Onboarding) U.S. Licensed MD/DO A nationally recognized healthcare organization is seeking an experienced Hematology/Oncology physician to serve in a high...Remote workFull timeRelocation packageMonday to Friday
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