Remote Medical Director: Medicare/Medicaid Compliance
Humana
- Remote job
A major healthcare insurer is seeking a Medical Director in Ohio. This remote role requires an MD or DO degree and a strong background in Medicare and Medicaid. Responsibilities include reviewing clinical cases, ensuring compliance, and improving medical management operations. The ideal candidate will have at least 10 years of clinical experience and must not have any sanctions from governmental organizations. The position offers a competitive salary and a comprehensive benefits package. #J-18808-Ljbffr Humana
- ...services organization is seeking a Medical Director to ensure compliance with healthcare standards and evaluate medical necessity for Medicare and Medicaid services. Required qualifications include... ...experience. The role supports remote work and requires participation in...Remote job
$223.8k - $313.1k
...put health first The Medical Director relies on fundamentals of CMS Medicare Guidance on following... ...SNF, DME, dual Medicare/Medicaid, Medicaid, IRF and LTACH... ...of regulatory compliance. This secures compliance... ...Information Workstyle: remote work at home Hours:...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeMonday to Friday$223.8k - $313.1k
A healthcare services company seeks a Medical Director to oversee clinical cases for Medicare and Medicaid compliance. The role requires an MD or DO degree, board certification... ...to technology are essential. This remote position offers a salary range of $223,800 -...Remote work$223.8k - $313.1k
A healthcare organization is seeking a Medical Director to oversee clinical cases for Medicare and Medicaid members, ensuring compliance with necessary regulations. The role requires... ...team environment. This is a remote position with a salary range of $223,800...Remote work$223.8k - $313.1k
...healthcare provider is seeking a Medical Director to oversee the clinical... ...services related to Medicare and Medicaid. This role involves reviewing... ...clinical cases, ensuring compliance with policies, and contributing... ...clinical experience. This remote position offers a...Remote work- ...health organization is seeking a Medical Director to ensure healthcare services meet... ...reviewing clinical cases for Medicare and Medicaid, ensuring compliance with CMS policies, and contributing... ...experience. This role allows for remote work, helping maintain work-life...Remote work
- ...services provider in Atlanta is seeking a Medical Director to oversee compliance with healthcare services for Medicare and Medicaid members. The role requires an MD or DO degree... ...salary and the flexibility to work remotely, along with a comprehensive benefits package...Remote work
- ...health services provider is seeking a Medical Director to ensure compliance with healthcare regulations and determine medical necessity for Medicare and Medicaid services. The ideal candidate will... ...and analytical skills. It is a remote position with responsibilities...Remote work
$223.8k - $313.1k
A healthcare company is seeking a remote Medical Director to oversee clinical case reviews and ensure compliance with healthcare regulations. Key responsibilities include assessing medical necessity for Medicare and Medicaid services. Ideal candidates must hold an MD or...Remote workWork at office- ...provider in New York is seeking a Medical Director to ensure compliance with CMS Medicare guidance and evaluate healthcare services for Medicare and Medicaid members. The role involves reviewing... ...experience. This position offers remote work and comprehensive benefits...Remote work
- ...healthcare organization is seeking a Medical Director to ensure healthcare services... ...reviewing clinical cases for Medicare and Medicaid members, ensuring compliance, and participating in call rotations... ...patient care. This position is remote with a focus on regulatory...Remote work
- A leading healthcare company is seeking a Medical Director to remotely oversee the compliance of healthcare services with Medicare and Medicaid guidelines. You will review clinical cases, ensure compliance with national standards, and contribute to quality improvement efforts...Remote work
- ...services provider is seeking a Medical Director to oversee clinical case reviews for Medicare and Medicaid services. In this role, you... ...be responsible for ensuring compliance with guidelines, as well as collaborating... ...clinical experience. This remote position requires strong...Remote workFlexible hours
$223.8k - $313.1k
A healthcare organization seeks a Medical Director to review clinical cases, ensuring compliance with Medicare and Medicaid. This remote position requires an MD or DO with board certification and 10 years of clinical experience. Responsibilities include evaluating medical...Remote work$223.8k - $313.1k
...organization is seeking an experienced Medical Director to review clinical cases and... ...necessity of services for Medicare and Medicaid members. This remote position requires an MD or DO degree... ...post-residency. The role emphasizes compliance with regulatory standards and offers...Remote work$223.8k - $313.1k
A healthcare provider seeks a Medical Director to ensure healthcare services align with CMS requirements. This remote role needs a qualified MD or DO with 10 years of clinical... ...include reviewing clinical cases for Medicare and Medicaid adherence and identifying operational...Remote work- ...health insurance company is seeking a Medical Director to evaluate the medical necessity of services for Medicare and Medicaid members while ensuring compliance with national guidelines and... ...years of clinical experience. This remote position includes responsibilities...Remote work
$223.8k - $313.1k
...services provider is looking for a Medical Director to evaluate healthcare services and ensure compliance with CMS regulations. The... ...medical necessity for Medicare and Medicaid members. Candidates must have... ...experience. The position is remote with the need for occasional...Remote work- ...health services provider is seeking a Medical Director to review healthcare services for compliance with medical guidelines and regulations. This remote role requires strong clinical and... ...certification. With a focus on Medicare and Medicaid, the position demands a minimum...Remote work
$223.8k - $313.1k
A leading healthcare company is seeking a Medical Director to review clinical cases and ensure compliance with regulations for Medicare and Medicaid services. This remote role requires an MD or DO with 10 years of clinical experience and relevant board certifications....Remote work$223.8k - $313.1k
...services company is seeking a Medical Director to enhance healthcare... ...alignment with CMS guidelines for Medicare and Medicaid. Responsibilities include... ...for medical necessity and compliance, supporting organizational... ...skills. This is a remote position requiring occasional...Remote workWork at office$223.8k - $313.1k
...services provider is looking for a Medical Director to review clinical eligibility for Medicare and Medicaid services. This role involves ensuring compliance with CMS and organizational standards... ...experience. The position is remote with required calls and occasional...Remote work- ...healthcare provider seeks a Medical Director to oversee clinical cases and ensure compliance with guidelines. This role requires... ...healthcare services for Medicare and Medicaid, ensuring they meet national... ...technologies. This position offers remote work with occasional travel...Remote workWork at office
$223.8k - $313.1k
...leading healthcare organization in Alabama seeks a Medical Director to evaluate healthcare services and ensure compliance with CMS and Humana policies. This remote role involves reviewing clinical cases for Medicare and Medicaid members and making decisions that adhere to...Remote work- A healthcare company seeks a remote Medical Director to review clinical cases for Medicare and Medicaid members, ensuring compliance with guidelines and regulations. The ideal candidate has an MD/DO degree, board certification, and extensive clinical experience. Responsibilities...Remote job
- A healthcare solutions provider is seeking a Research Medical Director responsible for providing leadership in clinical and policy research... ...management. This position offers a competitive salary and the possibility of remote work from the United States. #J-18808-Ljbffr CotivitiRemote job
- Neurologist (ABPN) Medical Director (Remote/FT or PT) Seeking a highly skilled and detail... ...of clinical services provided to Medicare beneficiaries ensuring compliance with clinical guidelines and... ...from participating in Medicare, Medicaid or the Children’s Health Insurance...Remote jobFull timeWork at officeLocal areaWork from homeShift workWeekend work
- ...services provider in Florida is seeking a Medical Director. This independent contractor role... ...and clinical oversight related to Medicaid compliance. Candidates must hold a valid MD or DO... ...enrolled with Florida Medicaid. This remote role requires no daily operational responsibilities...Remote workFor contractorsFlexible hours
- ...company in Michigan is seeking a Medical Director to oversee clinical decisions and ensure compliance with national guidelines and... ...professionals, and managing care for Medicare/Medicaid populations. This position allows for occasional remote work, with responsibilities...Remote workCasual work
- A mental health company is seeking a remote Medical Director (Physician) in Florida. This position... ...Florida and active enrollment with Florida Medicaid. The Medical Director will provide... ...as needed and support Medicaid compliance without daily operational responsibilities...Remote workFlexible hours
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