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

UM Medical Director DME - Pacific or Mountain Time Zone preferred - Remote

$248.5k - $373k

Unitedhealth Group

Job ID: 97560861504Posted: 2026-08-29Location: Phoenix, Arizona, United StatesSalary: $248,500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth GroupOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs.The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services.The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits for all lines of business. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinationsDocument clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirementsEngage with requesting providers as needed in peer-to-peer discussionsBe knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviewsParticipate in daily clinical rounds as requestedCommunicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policyCommunicate and collaborate with other internal partnersCall coverage rotationYou'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:M.D or D.OActive unrestricted license to practice medicineBoard certification in Physical Medicine & Rehabilitation, Internal Medicine, Emergency or Family Medicine3+ years of clinical practice experience after completing residency trainingSound understanding of Evidence Based Medicine (EBM)Proven solid PC skills, specifically using MS Word, Outlook, and ExcelPreferred Qualifications:Multiple State LicensesExperience in utilization and clinical coverage reviewProven data analysis and interpretation aptitudeProven innovative problem-solving skillsProven excellent oral, written, and interpersonal communication skills, facilitation skillsProven excellent presentation skills for both clinical and non-clinical audiencesReside in Pacific or Mountain Time Zone*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter PolicyPay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $248,500 - $373,000 annually based on full-time employment. We comply with all minimum wage laws as applicable."Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the UM Medical Director DME - Pacific or Mountain Time Zone preferred - Remote in Phoenix, AZ vacancy
  • $248.5k - $373k

     ...Medical Director Optum is a global organization that...  ...flexibility to work remotely from anywhere...  ...pursuit of accurate and timely benefit determinations...  ..., and Excel Preferred Qualifications:...  ...audiences Reside in Pacific or Mountain Time Zone Pay is based on... 
    Remote job
    Minimum wage
    Full time
    Work experience placement
    Local area

    Genoa Telepsychiatry

    Denver, CO
    3 days ago
  •  ...Management program. Location: This position is 100% remote for candidates that are able to work Mountain and Pacific time zone hours. Responsibilities: Proactively contact...  ...is required, College coursework or degree preferred 2 years of experience in sales, customer service... 
    Remote job
    Work at office
    Local area
    Weekend work
    Afternoon shift

    Healthmap Solutions, Inc.

    Brooklyn, NY
    2 days ago
  •  ...on-site at least two days per month. Remote: Candidates who live more than 50...  ...remote. This position operates on a Pacific (PST) or Mountain (MST) time schedule. Responsibilities Manages,...  ...engagement during training is mandatory. Preferred Qualifications 1+ years Personal... 
    Remote work
    Currently hiring
    Work at office
    Local area
    Home office

    Embedded Shishya

    Albuquerque, NM
    2 days ago
  • $22 - $26 per hour

    Senior Insurance Specialist - Mountain or Pacific Time Zone (Remote) Pay or shift range: $22 USD to $26 USD The estimated range is the budgeted amount...  ...government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone... 
    Remote job
    Hourly pay
    Monday to Friday
    Shift work
    Afternoon shift

    Meduit

    New York, NY
    3 days ago
  • $110k - $140k

     ...culture. Recognized by Time as one of the most...  ...actively licensed in a Pacific or Mountain State Responsibilities...  ...available). Implement medication treatment plans for eating...  ...in the patient’s time zone. Ability to provide...  ...@equip.health. #LI-Remote #J-18808-Ljbffr Equip
    Remote job
    Full time
    Work at office
    Work from home
    Monday to Friday
    Flexible hours
    Afternoon shift

    Equip

    New York, NY
    2 days ago
  • $68k - $85k

     ...culture. Recognized by Time as one of the most...  ...care is delivered remotely through our...  ...Equip’s electronic medical record in accordance...  ...experience preferred (also prefer some...  ...Ability to work Pacific Hours Working Hours...  ...your working time zone throughout the week... 
    Remote job
    16 hours
    Work at office
    Local area
    Work from home
    Home office
    Monday to Friday
    Flexible hours
    Afternoon shift

    Equip

    Phoenix, AZ
    4 days ago
  •  ...protecting executive time and ensuring alignment...  ...bonus; comprehensive medical, dental, and vision benefits...  ...Bachelor's degree preferred Demonstrated ability...  ...once/quarter Remote role based in Greater...  ...pm PT. Must reside in Pacific Time Zone. Availability outside... 
    Remote job
    Work at office

    C-SUITE ASSISTANTS

    Seattle, WA
    4 days ago
  • $248.5k - $373k

     ...Medical Director Optum is a global organization that delivers care, aided...  .... This role is part time work from home and will be 2...  ...hours per week. This can be remote work from home anywhere in the...  ...Excel, and Power Point) Preferred Qualifications: Experience... 
    Remote job
    Minimum wage
    Part time
    Work experience placement
    Local area
    Work from home

    United Health Group

    Boston, MA
    5 days ago
  • $91.2k - $114k

    Oncology Lab Genetic Counselor - Pacific Time Zone US Remote POSITION SUMMARY: Natera’s laboratory genetic...  ...Represent company at trade shows and medical conferences; Deliver presentations at...  ...will reside in the Pacific or Mountain Time Zones and be available to work a... 
    Remote job
    Contract work
    For contractors
    For subcontractor
    Work at office
    Immediate start
    Worldwide

    Natera, Inc.

    Brooklyn, NY
    3 days ago
  • $217.6k - $294.4k

     ...Washington, Idaho or Utah. This is a part-time non-benefited position with a...  ...of the Utilization Management (UM) team, our Associate Medical Director BH and UM Medical Directors provides...  ...or child psychiatry required with preference for being board certified in both.... 
    Remote job
    Part time
    Immediate start
    Work from home
    Flexible hours

    Cambia Health Solutions

    Salt Lake City, UT
    1 day ago
  • $211.17k - $269.25k

    The Physical Health Medical Director plays a key role within the...  ...candidate to work primarily remote. While there is no...  ...as needed. It's strongly preferred that the selected candidate...  ...OneNote—to complete timely utilization reviews in Alliance’s UM platform and perform tasks... 
    Remote job
    Full time
    Work at office
    Relocation
    Flexible hours
    Weekend work

    Alliance Health

    Charlotte, NC
    14 minutes ago
  • $80k

     ...posting is specific to the Pacific Time Zone in the US. Quality Assurance...  ...This is a fully remote position. However, all candidates...  ...short conversation with our director of QA Engineering If that...  ...military status, disability, medical condition, genetic information... 
    Remote work
    Full time
    H1b
    Local area
    Worldwide
    Visa sponsorship
    Monday to Friday

    QA Wolf

    New York, NY
    1 day ago
  •  ...Medical Director Optum is a global organization that delivers...  ...flexibility to work remotely * from anywhere within...  ...of accurate and timely benefit determinations...  ...licenses as needed Preferred Qualifications: Active...  ...Experience in managed care UM activities/ coverage... 
    Remote job
    Local area
    Weekend work

    Reliant Medical Group

    Minneapolis, MN
    2 days ago
  • $248.5k - $373k

     ...Medical Director Optum is a global organization that delivers...  ...flexibility to work remotely from anywhere within...  ...pursuit of accurate and timely benefit determinations...  ...as needed Preferred Qualifications: Active...  ...Experience in managed care UM activities/ coverage... 
    Remote job
    Minimum wage
    Work experience placement
    Local area
    Weekend work

    United Health Group

    Miami, FL
    1 day ago
  • $44k - $59k

     ...telehealth outpatient medical nutrition therapy...  ...approach. This is a fully remote, full-time role offering a...  ...that fits both your preferences and your patients’ needs...  ...on Demand). Time Zone & Schedule Our...  ...EST). Candidates in Pacific or Mountain time zones have the... 
    Remote work
    Full time
    Private practice
    Local area
    Flexible hours
    Afternoon shift

    Rippling

    New York, NY
    1 day ago
  • $60k - $65k

     ...Application Specialist - Mountain & Pacific is a dedicated...  ...-5pm Pacific & Mountain time zones, with one weekend day preferred. What you bring: A bachelor...  ...package that includes full medical/dental/vision coverage,...  ...for performance bonus and remote working flexibility. Project... 
    Remote work
    Local area
    Flexible hours
    Weekend work

    Project Kitty Hawk

    New York, NY
    3 days ago
  • $44k - $59k

     ...telehealth outpatient medical nutrition therapy...  ...approach. This is a fully remote, full-time role offering a...  ...that fits both your preferences and your patients’ needs...  ...programs Time Zone & Schedule: Our operations...  ...EST). Candidates in Pacific or Mountain time zones have the... 
    Remote work
    Full time
    Temporary work
    Private practice
    Work at office
    Local area
    Flexible hours
    Afternoon shift

    Simplex Health

    New York, NY
    5 days ago
  • $248.5k - $373k

     ...SPECT, PET scans, DME/Home Ventilator, Genetic...  ..., the team handles UM functions for the...  ...to work remotely * from anywhere within...  ...provided at the right time for each member Work with medical director teams focusing on inpatient...  ...principles Preferred Qualifications:... 
    Remote work
    Minimum wage
    Work experience placement
    Local area

    NHSHP

    Torrance, CA
    9 hours ago
  • $225k - $300k

    100% Remote, Medical Director Job Title: Physician-CW - Medical...  ...Estimated full-time salary ranges from $2...  ...experience MCG/InterQual preferred Responsibilities:...  .... Flexible to time zones. Once properly trained...  ...experience (if any) in the UM area from the payer... 
    Remote work
    Full time
    Contract work
    Private practice
    Flexible hours

    InterSources

    Houston, TX
    5 days ago
  • $26.01 - $56.14 per hour

     ...one community at a time. Utilization Management (UM) Nurse Consultant 10...  ...team. This is a fully remote role available to...  ...S. state in the EST Zone. You’ll apply your clinical...  ...services for medical necessity and appropriate...  ...experience (strong preference for medical‑surgical... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area
    Work from home
    Monday to Friday
    Shift work
    Weekend work

    CVS Health

    Raleigh, NC
    4 days ago
  • $43.3k - $79.31k

     ...Diversion Control Investigator I - Pacific Time ZonePostulerlocations: Remote, California: USA > CO > Remote:...  ...authorities.* Collaborates with peers and directors to work through duties and...  ...skills including Microsoft Office and preferably familiarity with SAP.* Strong... 
    Remote work
    Temporary work
    Work at office
    Immediate start
    Worldwide
    Shift work

    MWI Buying Group

    California, MO
    3 days ago
  •  ...and liability, and resolves claims within authority. The position supports hybrid work: on-site two days per month within 50 miles of a Claims office; fully remote for those farther away. Time zone alignment is Pacific or Mountain. #J-18808-Ljbffr Liberty Mutual Insurance
    Remote job
    Work at office

    Liberty Mutual Insurance

    Boise, ID
    4 days ago
  • $100.77k - $111.39k

    Join to apply for the UM Director - Physical Health role...  ...,393 Office Location: Remote within North Carolina....  ...a meal for the first time. Working at Trillium Health...  ...’s degree in Nursing. Preferred Education: Master’s...  ...for this job Medical insurance Vision insurance... 
    Remote work
    Full time
    Part time
    Work experience placement
    Work at office
    Local area
    Immediate start
    Work from home
    Flexible hours

    Trillium Health Resources

    Raleigh, NC
    3 days ago
  •  ...Description Job Description MEDICAL DIRECTOR - REMOTE ARC Group has an...  ...00% remote working eastern time zone business hours. This is a direct...  ...Contractors (e.g., A/B or DME MACs and others) to develop...  ...at least three years PREFERRED QUALIFICATIONS Experienced... 
    Remote work
    Permanent employment
    For contractors
    Work experience placement
    Local area
    Immediate start

    ARC Group

    Jacksonville, FL
    28 days ago
  •  ...About This Opportunity: As the Part-Time Medical Director, you'll provide physician leadership...  ...Texas. Additional state licenses are preferred as business needs evolve. A Plus If...  ...Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary... 
    Remote work
    Part time
    Immediate start
    Flexible hours

    Valenz

    Phoenix, AZ
    a month ago
  • $45k - $125k

     ...recognition JH Cellular (Wireless Zone), an authorized Verizon retailer,...  ...local businesses. You will split your time between our Verizon retail stores, remote work, on‑site client visits, door‑...  ...B2B, or technology sales strongly preferred) Comfortable with both inside and... 
    Remote work
    Full time
    Work at office
    Local area
    Work from home
    Flexible hours
    Afternoon shift

    Wireless Zone

    Lehigh Acres, FL
    2 days ago
  • $222.75k - $267.3k

    ## UM Medical Director - CasualApplylocations: Remotetime type: Full timeposted...  ...should spend more time with patients and less time...  ...operating business hours on Pacific Standard Time.****You will focus...  ...Current Board certification, preferably in a broad based specialty such... 
    Casual work
    Work at office
    Local area
    Flexible hours

    Altais

    California, MO
    3 days ago
  • ### Medical Director Position | Substance Abuse | Part-time W2 | Serene North GA MountainsBlack Bear LodgeActiveSautee Nacoochee, GANot SpecifiedPosted August...  ...census• Location: Sautee, GA - Beautiful North Georgia Mountains• Practice Setting: The physician will see a diverse... 
    Part time
    Monday to Friday
    Weekend work

    HealthSalaries

    New York, NY
    3 days ago
  • $28.27 - $50.48 per hour

     ...Advocate, Surest - Eastern time zone - Remote role at UnitedHealthcare...  ...and the costs they pay for medical care. At Surest, we pride ourselves...  ...8AM-5PM Eastern Time Preferred Qualifications CADC, LADC...  ...Health Clinical Advocate, Pacific Time Zone - Remote College... 
    Remote work
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Local area
    Immediate start
    Relocation package

    UnitedHealthcare

    United States
    5 days ago
  •  ..., track inventory, and generate reports. Communicate with freight forwarders, customs brokers, and other stakeholders to ensure timely delivery of goods. Resolve any issues or discrepancies related to export shipments. Maintain accurate records and documentation... 
    Remote work
    Work at office

    Tranco Global

    United States
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to UM Medical Director DME - Pacific or Mountain Time Zone preferred - Remote. Be the first to apply!