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
...us 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: Must...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeMonday to Friday- ...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 job
- UnitedHealthcare is looking for a Director of Policy to take the lead in developing advocacy strategies that improve Medicaid policy. This remote role involves collaboration with national experts and requires experience in public policy analysis and advocacy within legislative...Remote job
- 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
$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 job$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 job$223.8k - $313.1k
...services organization seeks a Medical Director to oversee the evaluation of healthcare services for Medicare and Medicaid members. The role involves ensuring compliance with national guidelines, conducting... ...of clinical experience. This remote position requires adaptability...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
$223.8k - $313.1k
...health services provider seeks a Medical Director to evaluate healthcare services for Medicare and Medicaid members. This role requires strong clinical expertise and compliance with national guidelines. The... .... The position is remote, offers a competitive salary...Remote jobWork at office$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 job- A leading health insurance provider is seeking a Medical Director to join their remote team. The role involves evaluating Medicare and Medicaid services for compliance with clinical standards and CMS guidelines. Responsibilities include reviewing clinical cases, ensuring...Remote job
- ...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 job
$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 jobWork at office- 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
- A leading healthcare organization is seeking a Medical Director to oversee compliance with Medicare guidelines and ensure proper healthcare service evaluations... ...in call rotations. The role offers flexibility for remote work and competitive compensation, along with...Remote job
- Humana Inc. is seeking a Medical Director National OP Medicare located in Washington, D.C. This role focuses... ...authorization for services, ensuring compliance with regulatory standards, and... ...post-residency experience. This is a remote position with competitive pay and benefits...Remote work
- A mental health company is seeking a Remote Medical Director (Physician) to provide clinical oversight and ensure Medicaid compliance in Florida. The role requires a licensed MD or DO actively enrolled with Florida Medicaid, with minimal scheduling responsibilities. The...Remote job
$223.8k - $313.1k
...Inc is seeking a Behavioral Health Medical Director who will be responsible for the strategy... ...of behavioral health care. This remote role requires a Doctor of Medicine or... ...healthcare providers, and ensuring compliance with Medicaid requirements. A comprehensive benefits...Remote job- A mental health services provider based in Florida is seeking a remote Medical Director (Physician) who will provide clinical oversight and support Medicaid compliance with minimal operational responsibilities. The ideal candidate must be a licensed MD or DO in Florida...Remote job
- A healthcare solutions firm is seeking a Medical Director to lead medical decision-making and ensure compliance with Medicare policies. The role requires an MD or DO and extensive... ...initiatives. This position includes remote work opportunities in various states. Join a...Remote job
- ...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 jobFor contractorsFlexible hours
$500 per month
A mental health organization is seeking a remote Medical Director (Physician) to provide clinical oversight as needed while ensuring Medicaid compliance. This independent contractor role requires a licensed MD or DO in Florida and enrollment with Florida Medicaid. The...Remote jobFor contractorsFlexible hours- ...Inc. is seeking a Corporate Medical Director with a medical background... ...on health claims. This remote position allows you to work... ...functional teams to ensure compliance and quality standards in healthcare... ..., along with knowledge of Medicare and Medicaid regulations. You'll be...Remote job
$120k - $145k
...Overview The Medical Policy Director (MPD) is a key member of the Go To Market team. Along... ...medical payment/policy editing applying Medicare, Medicaid, ICD, CPT, HCPCS and other specialty... ...Physical Requirements: This remote role can be located anywhere in the...Remote workWork experience placementWork at officeImmediate start- ...healthcare organization is seeking a Neurologist Medical Director to ensure compliance with clinical guidelines for Medicare beneficiaries. The role involves conducting... ...active medical license. This position is primarily remote, offering a full-time work schedule with...Remote jobFull time
$66.8k - $91.1k
...caring community A Medicaid Business Intelligence... ...Travel: While this is a remote position, occasional... ...benefits, Humana provides medical, dental and vision... ...life for people with Medicare and Medicaid, families... ...affirmative action, in compliance with Section 503 of the...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office- ...Behavioral Health Medical Director - Psychiatrist- Pennsylvania Medicaid Location: This role enables associates to work virtually full-time, with the exception of required in-person meetings, providing maximum flexibility and autonomy. This approach promotes productivity...Remote workFull timeLive inWork at officeDay shift
- ...seeking an Accounting Specialist to prepare and analyze Medicaid cost reports while ensuring compliance with regulations. You will facilitate client... ...has 2-4 years of relevant experience, particularly in Medicare regulations. A hybrid work model is offered alongside...Remote job
$88k - $242k
...background in Value Based Payments (VBP) and government programs (Medicaid, Medicare). This individual will perform healthcare data analysis,... ...SQL, or R. (#58473) Compensation: ~ Salary depends on location and years of experience: $88-242K Location: ~ Remote...Remote work
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