Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Medical Director: Utilization & Quality Leader

Centene Corporation

Wakeeney, KS
  • Remote job

Centene Corporation is seeking a clinical professional to lead Medical Management/Health Services for 28 million members. The role drives utilization management, quality improvement, and medical review across a national organization with flexible work options. The candidate will collaborate with care management teams, providers, and committees, supporting regulatory compliance and accreditation standards while shaping physician education and network development. #J-18808-Ljbffr Centene Corporation

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Medical Director: Utilization & Quality Leader in Wakeeney, KS vacancy
  • Centene Corporation is seeking a clinical leader to assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing. The role provides medical leadership for utilization management, cost containment, and quality... 
    Remote job

    Centene Corporation

    Kansas City, MO
    4 days ago
  • Centene Corporation seeks a physician leader to direct medical management, quality improvement and credentialing for the business unit. Lead utilization management, medical reviews, and performance-improvement initiatives to enhance cost-effectiveness and care quality.... 
    Remote job
    Weekend work

    Centene Corporation

    Kansas City, MO
    1 day ago
  • Centene Corporation is seeking a Medical Director to lead utilization management, quality improvement, and medical review activities. You will partner with Chief Medical Director to shape goals, policies, and cost-effective care for a diverse member population. The role... 
    Remote job

    Centene Corporation

    Phoenix, AZ
    4 days ago
  • Centene Corporation is seeking a clinical leader to assist the Chief Medical Director in directing medical management, quality improvement and credentialing for the business unit. You will lead utilization management, drive cost containment and ensure high-quality care... 
    Remote job

    Centene Corporation

    Kansas City, MO
    1 day ago
  •  ...States seeks a clinical professional to lead Medical Management/Health Services, driving utilization review, cost containment, and medical quality improvement for 28 million members. This...  ...planning and education across networks. Remote, hybrid, or office work options are... 
    Remote job
    Work at office

    Centene Corporation

    Florida, NY
    1 day ago
  • CVS Health is hiring a Radiation Oncology Medical Director to oversee oncology utilization, policy implementation, and review processes in a remote, home-based role. The position supports the enterprise oncology initiatives with emphasis on prior authorization, peer-to-... 
    Remote job
    Work from home

    ISHE

    Phoenix, AZ
    1 day ago
  • Centene Corporation is seeking a clinical leader to direct medical management, quality improvement, and credentialing for the Medical Management...  ...team. You will partner with the Chief Medical Director to optimize utilization, cost containment, and care quality for Centene’... 
    Remote job

    Centene Corporation

    New York, NY
    4 days ago
  •  ...role At Quantum Health, the leader in healthcare navigation, we...  ...position of adding a Medical Director to our incredible team. This...  ...improved outcomes Performs utilization review and case management support...  ...the sensitive data entrusted to us. #LI-HW1 #LI-Remote... 
    Remote work
    Permanent employment
    Full time
    Casual work

    Quantum Health

    Remote
    4 days ago
  • $275k - $325k

     ...is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona...  ..., clinical teams and operational leaders to support evidence-based high quality and cost-effective care delivery across... 
    Remote work
    Work from home

    The Oncology Institute

    Cerritos, CA
    2 days ago
  • Centene Corp. is seeking a Remote Medical Director, Appeals to lead medical management, utilization review, and quality improvement for our national program. You will provide medical leadership across utilization management, cost containment, and clinical quality initiatives... 
    Remote job

    Centene Corporation

    New York, NY
    3 days ago
  •  ...Blue Shield of Nebraska is seeking a physician leader to develop and implement strategies that enhance medical management, practice transformation, patient satisfaction...  ...and partners, and act as a project lead for utilization, prior authorization and related activities. The... 
    Remote job

    Blue Cross and Blue Shield of Nebraska

    Florida, NY
    3 days ago
  • A national healthcare organization is seeking a medical professional to lead and coordinate medical management efforts. Responsibilities include utilization management, medical quality improvement, and collaboration with clinical teams to optimize patient care. The ideal... 
    Remote job
    Full time
    Flexible hours

    Centene Corporation

    Kansas City, MO
    1 day ago
  • A diversified healthcare organization is seeking a clinical professional to lead medical management services. Responsibilities include overseeing utilization review, coordinating quality improvement initiatives, and collaborating with various clinical teams to ensure optimal... 
    Remote job
    Flexible hours

    Centene Corporation

    New York, NY
    3 days ago
  • Humana is seeking a Behavioral Health Medical Director to lead care strategy and operations. The...  ...across the assigned cluster. Fully remote with occasional travel for training or...  ...training clinical experience including utilization and case management in #J-18808-Ljbffr... 
    Remote job

    Humana

    Virginia, IL
    19 hours ago
  • Centene Corporation seeks a clinical leader on our Medical Management/Health Services team to oversee utilization management, cost containment and medical quality improvement for 28 million members...  ...standards, with flexible remote or hybrid options. #J-18808-Ljbffr... 
    Remote job
    Flexible hours

    Centene Corporation

    California, MO
    4 days ago
  •  ...Corporation is seeking a full-time Medical Director to join the Medical Management/Health Services team. You will oversee utilization management, quality improvement, and credentialing, and...  ...offers flexible work arrangements (remote, hybrid, field or office) with competitive... 
    Remote job
    Full time
    Work at office
    Flexible hours

    Home State Health

    Kansas City, MO
    3 days ago
  • Centene Corporation seeks a clinical leader to steer medical management and utilization management activities for our 28 million members. You will provide...  ...leadership, perform utilization reviews, and drive quality improvement across networks and services. Collaborating... 
    Remote job

    Centene Corporation

    Denver, CO
    1 day ago
  • $248.5k - $373k

     ...373,000/yearJob Area: Medical & Clinical OperationsCompany...  ...costs.The Medical Director provides physician...  ...coverage determinations, quality improvement and cost...  ...knowledge in various utilization management activities...  ...the flexibility to work remotely * from anywhere within... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    Minneapolis, MN
    19 hours ago
  •  ...Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh, North Carolina...  ...focus on physical health utilization management and clinical...  ...management teams to uphold quality, compliance, and defensible...  ...while accommodating primarily remote work with a North #J-18808... 
    Remote work

    Beacon Hill

    United States
    2 days ago
  •  ...WellMed, part of the Optum family, is seeking a Medical Director for Utilization Management to support utilization determinations and identify trends in order to improve the UM program. The role involves developing and maintaining efficient UM processes, staying current... 
    Remote work

    Sacbar

    San Antonio, TX
    3 days ago
  •  ...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 Medicare and Medicaid guidelines while maintaining productivity... 
    Remote work
    Full time

    Virtual Vocations Inc

    United States
    2 days ago
  •  ...seeks an Internal/Family Medicine physician to lead utilization management. You will determine medical necessity, review cases, and drive UM protocol improvements...  ...active participation in physician meetings, with a strong focus on quality and patient care. #J-18808-Ljbffr... 
    Remote work

    Colorado

    Brooklyn, NY
    3 days ago
  •  ...WellMed Medical Management, Inc. seeks an Internal Medicine/Family Medicine physician to join our Utilization Management team as Medical Director. You will make UM determinations, monitor CMS criteria...  ...multidisciplinary team committed to high-quality, cost-effective care and... 
    Remote work

    Chicago Derm

    Brooklyn, NY
    3 days ago
  •  ...Bickham Services Unlimited, LLC seeks a Medical Director, Utilization Management for a 6-9 month contract based in Henderson, NV, with remote work option. Immediate start favored for reviewing inpatient and post-acute care decisions for Commercial and Medicare Advantage... 
    Remote work
    Contract work
    Immediate start

    Bickham Services Unlimited, LLC

    United States
    3 days ago
  •  ...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 work
    Permanent employment
    Temporary work
    Relocation package

    Curative

    Palm Springs, CA
    10 days ago
  • CareOregon, Inc. seeks a Medical Director to oversee benefit/utilization management, clinical and wellness programs for members. The role involves leadership of QA, case/disease/quality management, and collaboration with physicians to improve care and utilization outcomes... 
    Remote job
    Work from home

    CareOregon, Inc.

    Kansas City, MO
    1 day ago
  •  ...Health in Texas seeks a physician leader to provide clinical oversight...  ...management program, including utilization management, case management, preventive health and quality management. The role...  ...MD or DO with an active Texas medical license, Board certification,... 

    University Health

    San Antonio, TX
    1 day ago
  • $248.5k - $373k

     ...,000.00/yearJob Area: Medical & Clinical OperationsCompany...  ...physician to join our Utilization Management team. Optum...  ...and live.The Medical Director for Utilization...  ...the flexibility to work remotely * from anywhere within...  ...confidentialityProvides quality assurance and... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Work from home

    UnitedHealth Group

    San Antonio, TX
    2 days ago
  • $240k - $250k

     ...Medical Director Utilization Management We are looking for physicians who have expertise in Internal...  ...backgrounds and perspectives. This is a remote-first role that may require travel to...  ...in medical care to improve the quality of patient outcomes. Provide timely... 
    Remote work
    Flexible hours

    Venturefizz Product Management Community

    United States
    9 hours ago
  • CorroHealth is seeking a Medical Director, Concurrent Review, to evaluate hospitalizations nationwide...  ...provide expert recommendations. This remote position offers a predictable schedule and a path to expand knowledge in Utilization Review. Ideal candidates hold an MD/DO... 
    Remote job

    CorroHealth Inc

    New York, NY
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Medical Director: Utilization & Quality Leader. Be the first to apply!