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

Remote Medical Director Consultant: Quality & Care Strategy

SAN JOAQUIN COUNTY HEALTH COMMISSION

Health Plan of San Joaquin is seeking a physician leader for a consultant Medical Director role, remote in California. You will provide clinical oversight for utilization, quality, pharmacy, credentialing, and health equity to ensure quality, cost-effective care aligned with contracts and accreditation standards.

You will lead medical management, grievance and appeals oversight, and collaborate with the Deputy CMO to address service issues and develop action plans.

#J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Medical Director Consultant: Quality & Care Strategy in Modesto, CA vacancy
  •  ...is seeking a physician leader for a consultant Medical Director role, remote in California. You will provide clinical oversight for utilization, quality, pharmacy, credentialing, and health...  ...equity to ensure quality, cost-effective care aligned with contracts and... 
    Remote work

    SAN JOAQUIN COUNTY HEALTH COMMISSION

    United States
    4 days ago
  •  ...Health Plan of San Joaquin is hiring a Medical Director – Consultant for a remote role based in California. You will...  ...clinical oversight of utilization, quality, pharmacy, credentialing, and...  ...delivery of cost-effective, high-quality care while supporting regulatory and... 
    Remote work

    ADP

    French Camp, CA
    4 days ago
  •  ...Elevance Health is seeking a Medical Director to lead administration of medical...  ...accounts, with a focus on quality, cost, and outcomes. This...  ...providing expert guidance to enhance care delivery for large client...  ...clinical experience. Remote work options exist with location... 
    Remote work

    Elevance Health

    Grand Prairie, TX
    2 days ago
  • Elevance Health is seeking a Medical Director to oversee medical services for national accounts, ensuring high-value, cost-effective care in a predominantly remote setup with required in-person training. The role involves clinical leadership, program development, and collaboration... 
    Remote work

    Elevance Health

    Tampa, FL
    1 day ago
  •  ...Neighborhood Health Plan of Rhode Island is hiring a Medical Director to lead clinical excellence, ensure high-quality care in our provider network, and maximize member...  ...skills. Responsibilities include clinical strategy oversight, committee leadership, and ensuring compliance... 
    Suggested

    Neighborhood Health Plan of RI

    Smithfield, RI
    2 days ago
  •  ...members deliver high-quality, accessible care in communities...  ...flexible work policy—remote workdays, allowing you...  ...priorities. The Director, Policy (Quality and...  ...health IT experts, consultants, and internal teams...  ...administration-focused strategies that advance FAH’s policy... 
    Remote work
    Full time
    Work at office
    Flexible hours
    Shift work

    Federation of American Hospitals

    Washington DC
    4 days ago
  •  ...Control the quality of the systems that...  ...let us scale care without losing...  .... Location: Remote Type: Full-time...  ...diagnoses, medical bills, and care...  ...Exists As a Director of Clinical Quality...  .... While strategy sits with the Head...  ...~5+ years in consulting, healthcare quality... 
    Remote work
    Full time

    Dearest Care

    United States
    4 days ago
  •  ...The Judge Group is seeking a Medical Director – Utilization Management to provide...  ...utilization management, appeals, quality, and clinical operations. This remote, full-time role reports to senior...  ...drives cost-effective, high-quality care. Responsibilities include peer... 
    Remote work
    Full time

    The Judge Group

    United States
    4 days ago
  •  ...of San Joaquin is seeking a Medical Director consultant to provide clinical...  ...of utilization management, quality, pharmacy, credentialing and...  ...while ensuring cost-effective care. The role supports grievances...  ...judgment. The position is remote and requires residence in California... 
    Remote work

    SAN JOAQUIN COUNTY HEALTH COMMISSION

    French Camp, CA
    4 days ago
  • $155k - $185k

     ...family engagement in care Better...  ...THE ROLE The Director of Clinical Quality owns the strategic...  ...and operational strategy at the...  ...package Location: Remote Start date :...  ...internal authority consulted early on high-...  ...~ Generous PPO medical, vision, and dental... 
    Remote work
    Full time
    Summer work
    Flexible hours

    Cartwheel

    Atlanta, GA
    4 days ago
  •  ...Virtix Health LLC seeks a Medical Director to assess the quality of clinical services for Medicare beneficiaries...  ..., and drive improvements in care delivery. After mentored training, you...  ...files to confirm best practices. This remote role requires board certification, an... 
    Remote work

    Virtix Health LLC

    New York, NY
    3 days ago
  •  ...CorroHealth, Inc. is seeking a highly skilled Medical Director to oversee the quality of clinical services for Medicare...  ...compliance and high standards of care. The role involves reviewing...  ...mentorship during training and a flexible remote work arrangement from any U.S. state... 
    Remote work
    Hourly pay
    Flexible hours

    CorroHealth, Inc.

    United States
    2 days ago
  • BridgeBio is seeking a Medical Director, Clinical Science to lead high-impact...  ...advancing patient care by identifying clinical opportunities and developing strategies with supporting scientific programs...  ...clinical adoption. This U.S.-based remote role requires an MD with... 
    Remote job

    Openkrill

    New York, NY
    4 days ago
  •  ...Humana Inc. seeks a Medical Director to authorize services and determine level of care in a remote, US-based role. You will review complex clinical scenarios, interpret guidelines, and ensure compliance with CMS and Humana policies, primarily focused on post-acute... 
    Remote work

    Humana

    United States
    2 days ago
  •  ...Elevance Health is hiring a Medical Director to oversee medical services, ensuring quality and cost-effective care within the National Accounts line of business. The role emphasizes clinical leadership, program development, and strategic guidance across clients and members... 
    Remote work

    Elevance Health

    United States
    22 hours ago
  • $206.31k

     ...often (in days) to receive an alert: Medical Director, Quality Job Category: Clinical...  ....00(Max.) Established in 1997, L.A. Care Health Plan is an independent public agency...  ...developing and executing integrated clinical strategies that advance high-quality, cost-... 
    Full time

    L.A. Care

    Los Angeles, CA
    1 day ago
  •  ...IMPaCT Care Inc. is seeking a Director of Clinical Strategy to lead the end-to-end design, launch and scale of Community Health Worker programs. You will translate strategic visions into practical program designs, managing a matrixed team across workforce development... 
    Remote work

    IMPaCT Care Inc.

    United States
    21 hours ago
  •  ...Joaquin is currently hiring a consultant Medical Director. This is a remote position; must reside in...  ...Plan's utilization, quality, pharmacy, and credentialing...  ...and quality of care investigations and resolutions...  ...translates them into breakthrough strategies. Ability to execute... 
    Remote work
    Contract work
    Currently hiring

    SAN JOAQUIN COUNTY HEALTH COMMISSION

    Placerville, CA
    18 hours ago
  • $124k - $161k

     ...Clinical Supplier Quality is responsible for...  ...execute qualification strategies for new and scope...  ...peer review, consultation on audit findings,...  ...This is a fully remote role. It can be performed...  ...reflects the same care you bring to your...  ...~ Comprehensive medical, dental, and vision... 
    Remote work
    Full time
    Local area
    Flexible hours

    Insmed Incorporated

    New Jersey
    18 days ago
  •  ...Medical Director – Heart Institute Quality and Patient Safety University of Colorado Anschutz Medical Campus...  ...opportunity focusing on Pediatric cardiac care quality improvement and patient...  .... Responsibilities include setting strategy with medical and nursing leaders,... 

    Laplace Expert Ltd

    Aurora, CO
    1 day ago
  • $233k - $302k

     ...Medical Director, Quality and Value-Based PerformanceRiverside Medical Group is seeking a physician leader...  ...role focused on advancing value-based care across a growing, integrated health...  ...offers the ability to shape strategy, influence outcomes, and partner directly... 

    Parkland High School

    Newport News, VA
    2 days ago
  • $275k - $315k

     ...stages. By integrating primary care, mental health, gynecology,...  ...role in advancing Tia's clinical strategy, improving patient outcomes,...  ...improve care, designing system-wide quality improvement initiatives, and...  .... Reporting to the Chief Medical Officer, you will leverage... 
    2 days per week

    TIA Inc

    New York, NY
    3 days ago
  •  ...Divisional Lead, Quality - Behavioral HealthEmpowering...  ...and compassionate care, this is the work...  ..., group practice directors, behavioral health...  ...to work remote on occasion.Essential...  ...improvement strategies for behavioral health...  ...department utilization.Medication management,... 
    Remote work

    Jane Pauley Community Health Center Inc

    Arlington, IN
    3 days ago
  • $272.69k - $373.8k

     ...Overview: Sentara Medical Group is currently seeking...  ...as the SVBGH Medical Director of Quality, Regulatory, & Safety...  ..., evidence-based care, minimizes clinical...  ...). Coordinates local strategies and oversees data validation...  ...are available as remote work, Sentara... 
    Remote work
    Full time
    Temporary work
    Live in
    Local area
    Shift work

    Sentara Health

    Virginia Beach, VA
    3 days ago
  •  ...Medicare patients with dedicated care advocates who help them...  ...role We're hiring a Clinical Strategy & Operations Manager to own the...  ...You'll manage a growing team of remote care advocates distributed across the country. You'll own quality, capacity, onboarding, and performance... 
    Remote work
    Contract work
    Work at office

    Pinnie

    United States
    3 hours ago
  • $275k - $315k

     ...Title: Medical Director of Utilization Management Summary: Step into...  ...You will oversee clinical strategy, quality improvement, and cost-...  ...and rationales in enterprise care management software. Join...  ...role with a hybrid schedule (3 days remote / 2 days onsite)... 
    Remote work
    Full time
    Work at office
    Monday to Friday
    Shift work
    2 days per week

    Medix™

    New York, NY
    2 days ago
  •  ...FPA is to provide medical direction for the Hospice patient care program according...  ...including care gap and quality reporting, and...  ...programs.Clinical consultant as needed for Epic...  ...Develop and drive VBC strategies focused on:...  ...CQTO, IPA Medical Director and MD Leadership... 

    Endeavor Health Services

    Evanston, IL
    2 days ago
  •  ...Community Health Centers in New Orleans, LA seeks a Chief Medical Officer to lead clinical strategy and direction of the organization. The CMOs provides...  ...health professionals, ensuring affordable, high-quality care to the community. Responsibilities include establishing... 

    DePaul Community Health Centers

    Harahan, LA
    4 days ago
  •  ...Health Corporation is seeking an Executive Director, Digital Product - Medical Cost Initiatives, remote, to steer technology strategy for medical cost portfolios within CVS Healthcare...  ...teams and shape end-to-end roadmaps across care transitions, patient segmentation, and... 
    Remote work

    CVS Health

    Saint Paul, MN
    4 days ago
  •  ...Ohio State University Wexner Medical Center seeks a Director of Wellness and Health Coaching to lead strategy, operations, and fiscal oversight...  ...-being through onsite and remote programs. The Director...  ...outcomes, and advance value-based care with a focus on #J-18808-Ljbffr... 
    Remote work

    The Ohio State University Wexner Medical Center

    Columbus, OH
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Medical Director Consultant: Quality & Care Strategy. Be the first to apply!