Remote Utilization Management Medical Director - Contract
Medix
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 full-time flexible hours, with a focus on conducting utilization reviews, managing medical necessity, and collaborating with clinical teams. Strong candidates will have an MD or DO, board certification, and significant experience in this field, making a direct impact on care quality. #J-18808-Ljbffr
- ...A healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making. This role demands... ...for quality in healthcare. The position offers a contract employment type and requires working 40 hours a...Contract workRemote workWeekend work
$120 per hour
...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... ...manner Type of engagement: W2 ongoing contract 6+ months/ with potential for conversion...Contract workRemote workOngoing contractPermanent employmentFull timeImmediate start$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...Contract workRemote workHourly payFlexible hours- ...Medical Director – Utilization Management Location: Remote – Preference EST or nearby Pittsburgh PA, NY, WV Duration: 6+ Months Contract Role with possible extension. Position Overview As part of a physician team, the Medical Director ensures utilization management...Contract workRemote workPrivate practice
- ...Title : Medical Director Location: Remote Duration : 7 months contract to hire Employment: Contract To Hire Medical Director Job Description This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the...Contract workRemote workPrivate practice
- ...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 across multiple lines of business Contract-to-hire pathway for long-term opportunity...Contract workRemote workFull timeImmediate start
- ...Medical Director – Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location: Pittsburgh, PA Schedule: Monday... ...Core Hours: 40 Hours/Week Employment Type: Contract with Possibility of Full-Time Conversion Work...Contract workRemote workFull timePart timePrivate practiceMonday to FridayFlexible hours
$310k - $368.5k
...As the associate medical director (AMD) reporting to the... ...leadership and clinical management to ensure patient care... ...outcomes across contracted IPA networks. ~ Minimum... ...focusing on quality, utilization, patient experience,... ...Travel: While this is a remote position, occasional...Contract workRemote workFull timeTemporary workApprenticeshipWork from home- ...roles that are 100% remote or hybrid, you must have... ...is required by contract, law, or regulation will... ...We offer integrated managed care products, pharmaceutical... ...areas of the Utilization Management (UM) program... ...retrospective reviews. As a Medical Director, UM you ensure all...Contract workRemote workLocal areaFlexible hoursWeekend work
$150 - $165 per hour
...A healthcare consulting firm is seeking a Medical Director for a four-month engagement starting April 1. This role will provide clinical leadership in utilization management and oversee appeals related to Medicare Advantage and other lines of business. Responsibilities...Contract workHourly pay$202k - $303k
...Medical Director The Medical Director participates in the broad array of activities of... ...not limited to, Medical and Pharmacy Utilization Management, quality management, member care... ...interpretation of integral medical policy, contract benefits and State and Federal...Contract workRemote workWork at officeLocal areaWork from homeHome officeAfternoon shift$130 - $140 per hour
...Medical Director - Utilization Management (Remote) We are actively seeking experienced Utilization Management Medical Directors for a high-impact payer... ...Compensation: $130–140/hour Employment Type: Contract-to-Hire | Initial 6–12 Month Engagement ~ Potential...Contract workRemote workPermanent employmentFull timeImmediate start$130 - $145 per hour
...in the NCCI Procedure to Procedure and Medically Unlike Edit work group meetings to provide... ...clinical and coding training to contract staff as needed Extensive knowledge... ...Experience in the health insurance industry, a utilization review firm, or another health care...Contract workRemote workHourly payFor contractorsLive in$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- ...Community Health Plan Remote PRIMARY PURPOSE Oversees medical coordination required for effective utilization and quality management of the health plan... ...Managed Care Medical Directors. Board certification... ...Uniformed Managed Care Contract, and the Uniform Managed...Contract workRemote workWork at officeLocal area
- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team, ensuring... ..., analytic reasoning, and leadership skills. This remote role offers a competitive salary, benefits including...Remote work
- ...of the CMO, the Associate Medical Director is responsible for the administration... ...and Directors of Health Management and QI and Disease... ...and continued evaluation of utilization review and quality assessment... ...of covered benefits in NHP contracts Medical issues related to...Contract workRemote workWork at officeLocal areaWork from homeHome officeWeekend work
- ...System Physician Advisor Medical Director Responsibilities and Job Description... ...other leadership related to case/utilization management and revenue cycle including the... ...working relationships with contracted providers involved in remote utilization review and physician...Contract workRemote workFor contractorsMonday to FridayWeekend work3 days per week
$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, ensuring... ...experience and a current NY Physician license. The position is remote, allowing for a flexible schedule, and involves...Remote workHourly payDaily paidFlexible hours$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$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical... ...requests to support Integra’s Utilization Management (UM) operations. This full-time,... ...Additional Expectations: Full-time remote role requiring consistent...Remote workFull timeTemporary workLocal area$248.5k - $373k
...Medical Director Oncology Optum is a global organization that delivers... ...Director Oncology will provide utilization review determinations and support case and disease management teams to achieve optimal... ...enjoy the flexibility to work remotely from anywhere within the U.S...Remote workMinimum wageWork experience placementLocal area- ...(1099) Require a DC or Maryland State Medical License About MRIoA Founded in 1983, Medical... ...) specializing in technology-driven utilization management and clinical medical review solutions.... ...Reviews. This is a flexible remote opportunity requiring just 1–2 hours per...Contract workRemote workFor contractorsFlexible hours
$178 per hour
...Medical Director $178 Fully remote 40 hours per week • Active medical state licensure required for PA, NY, or WV. • Contract with the possibility of full-time hire. Estimated full... ...physician team, ensures that utilization management responsibilities are...Contract workRemote workFull timePart timePrivate practiceFlexible hours- ...A health insurance provider is seeking a Medical Director in Pennsylvania to oversee clinical utilization management activities. This independent contract role requires at least five years of clinical experience and three years in managed care. Responsibilities include...Contract workPart time
- ...A leading healthcare organization is seeking a Per Diem Medical Director to oversee Utilization Management. The role involves collaborating with physicians, enhancing care quality, and developing policies within a managed care environment. Candidates should have at least...Remote workHourly payDaily paid
- Humana Inc in Columbus, Ohio is seeking a Medical Director for National OP Medicare to leverage... ...for service authorization and utilization management. This role requires strong clinical judgment... ...a structured environment and may involve remote work. #J-18808-Ljbffr Humana IncRemote work
- 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
$250k - $410k
...Job Description Overview: The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical oversight, education, and... ...knowledge of state, federal, and payor regulatory and contract requirements along with familiarity in quality...Contract workFull timePart timeRelocation package$240.12k - $315.16k
...Hi, we're Oscar. We're hiring an Associate Medical Director to join our Utilization Management Team. Oscar is the first health insurance company built... ...Medical Director. Work Location: This is a remote position, open to candidates holding an active medical...Remote workFull timeImmediate startWork from homeHome office
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