Remote Medical Director, Utilization Management
$248.5k - $373kOptum
- Remote job
Optum, through WellMed, seeks a Medical Director for Utilization Management in San Antonio, Texas. The role involves making critical utilization management determinations to improve healthcare delivery. Candidates should possess an M.D. or D.O., with over 5 years of experience. Flexibility for remote work is offered, with a competitive salary ranging from $248,500 to $373,000 annually. WellMed strives to enhance the health of the community by providing quality care. #J-18808-Ljbffr Optum
- ...leading healthcare provider in the United States is seeking a Medical Director to join their work-from-home team. The role involves... ...denials, and educating physicians about best practices in utilization management. Ideal candidates are licensed physicians with board...Remote jobWork from home
$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... ...to support Integra’s Utilization Management (UM) operations. This full-time,... ...and Additional Expectations Full-time remote role requiring consistent...Remote workFull timeTemporary workLocal area$275k - $300k
The Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California, Nevada, Arizona, Oregon, or Florida. This role involves conducting medical reviews of oncology treatment plans and collaborating...Remote job- 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
$140 - $145 per hour
TEEMA is seeking a Medical Director to provide utilization management, medical necessity review, and operational leadership support. The ideal candidate will... ..., and expertise in various medical specialties. This remote position offers a compensation rate of $140 to $145 per...Remote jobHourly pay- Crains Cleveland is seeking a Cardiovascular Utilization Management Reviewer to join their Utilization Management team. This role allows you to leverage your expertise in cardiology in a fully remote setting, contributing to case reviews and patient care improvement. Ideal...Remote jobFull timePart timeFlexible hours
$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 jobMinimum wageWork experience placementLocal area$248.5k - $373k
...Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician... ...together. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- Wisconsin Psychiatric Association Inc is looking for a Cardiovascular Utilization Management Reviewer to contribute to patient care in a non-clinical setting. This remote role allows for collaboration with a dynamic team and offers both part-time and full-time options,...Remote jobFull timePart time
$275k - $300k
...affiliate locations of care across five states and growing, TOI is changing oncology for the better. Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role...Remote workWork from home- 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 a blend of clinical experience, leadership, and the ability to guide a team while ensuring compliance with...Remote jobContract workWeekend work
$248.5k - $373k
...leading healthcare organization in San Antonio is seeking a Medical Director for Utilization Management to support healthcare services. This role involves... ...bilingual fluency are preferred. The position offers remote work flexibility and a competitive salary range of $24...Remote jobWork at office$250k - $325k
...Medical Director - Utilization Management (Part Time) The Part-Time Medical Director Utilization Management, Outpatient Services provides physician oversight... ...communication and clinical judgment. This is a Remote - US based position. The national target base salary...Remote workPart time- ...operational supervision of clinical staff conducting utilization reviews and specialty review activities. This fully remote position requires a strong background in health... ...skills. This role supports quality management initiatives aimed at improving healthcare services...Remote work
- Highmark Health in Denver is seeking a Product Manager for Behavioral Health & Wellness to shape our product vision within the Utilization Management function. This role involves... ...to delivery. With options for hybrid or remote work, you will need to communicate effectively...Remote work
$86.4k - $138.6k
Highmark Health is seeking a Product Manager for Behavioral Health & Wellness to develop product vision and strategy within Utilization Management. This role encompasses product lifecycle... ...’s degree. The position offers hybrid or remote options and involves working closely with...Remote work$101.74k - $163.8k
Manager, Clinical Utilization Management & Transitions of Care Requisition Number: RNINP... ...April 28, 2026 Full‑Time Remote Salary range: $101,740 USD... ...management inpatient medical necessity reviews and transitions... .... Collaborate with the Director of Clinical Utilization...Remote workFull timeTemporary workPart timeWork experience placementWork at officeTrial periodFlexible hours- ...Clinical Nurse, Medical Management/Utilization Management Saratoga Medical is hiring for a Clinical Nurse, Medical Management/Utilization Management in Falls Church, Virginia. Package includes competitive rate, paid time off and benefit options. This is a great...Remote workFull time
- ...oversee clinical staff conducting utilization reviews. This fully remote position requires strong leadership... ...and a proactive approach to quality management. Key responsibilities include supervising... .... Outstanding benefits include medical insurance, paid time off, and a...Remote job
$275k - $300k
...listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Medical Director, Utilization Management Oncology based in the United... ...annual salary: $275,000 - $300,000 USD Remote work flexibility within eligible U.S....Remote workFull time- Providence Health & Services is seeking a Clinical Program Manager RN for full-time evening shifts at Providence Little Company of Mary... ...will hold a nursing degree and possess relevant experience in Utilization Management. Join us to be part of a supportive environment...Remote jobFull timeAfternoon shift
- ...Istss is seeking a Behavioral Medical Director to provide oversight and direction in managing the Utilization Management Program. This role requires interaction with Psychiatrists... ...treatments. With flexibility to work remotely from anywhere in the U.S., the candidate will...Remote work
$268k - $414k
...Leading Age Virginia is seeking a Behavioral Medical Director to provide oversight to the Utilization Management Program and interact with clinical professionals.... ...Psychiatry. This role offers the flexibility to work remotely from anywhere within the U.S. The position...Remote workLocal area$135 - $150 per hour
...Job Posting: Medical Director (Utilization Review / Peer-to-Peer) Location: Position is Remote (anywhere in the U.S.) Department: Utilization Review – Medical Director Employment... ...and fair decision-making. Appeals Management: Reviews and adjudicates member or provider...Remote workHourly payFull timeContract work- ...A national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating... ...Responsibilities include performing clinical reviews, providing utilization management determinations, and ensuring compliance with regulatory...Remote workMonday to Friday
$250k
A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests... ...salary of $250,000 annually and various benefits, with remote work opportunities available in Michigan and other...Remote workFull time$27.72 - $46.2 per hour
...BPN. As a Behavioral Health Utilization Care Manager, you will be assigned to... ...do concurrent reviews for medical necessity. You will be working... ...location will be entirely remote. This position does require... ...staff regularly with medical directors. Within the scope of their...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work- ...Job Description Job Description: Manager of Clinical Utilization Management - Denial Compliance Location... ..., CA Position Type: Hybrid (85% remote, 15% onsite in Northridge, CA);... ...with physician reviewers, medical directors, and other relevant departments....Remote workPermanent employmentFull timeTemporary workFlexible hours
- ...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...Remote workContract workPrivate practice
$190k - $200k
...We're seeking a board‑certified Medical Director (Internal Medicine or Family Practice) to support our team. This role is fully remote and focuses on utilization management (UM), quality review, and clinical oversight for high‑volume cases. You will work closely with...Remote workFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director, Utilization Management. Be the first to apply!
- health insurance manager San Antonio, TX
- director sr. director clinical operations San Antonio, TX
- part time medical director San Antonio, TX
- clinic operations manager San Antonio, TX
- medical director physician advisor San Antonio, TX
- public health project manager San Antonio, TX
- medical project manager San Antonio, TX
- medical director neurology San Antonio, TX
- health account manager San Antonio, TX
- behavioral health supervisor San Antonio, TX


