Remote Medical Director, Utilization & Quality Oversight
$190k - $200kSPECTRAFORCE
A healthcare management company is seeking a fully remote Medical Director to support their team in utilization management and clinical oversight for high-volume cases. The ideal candidate will have an MD or DO with board certification in Internal Medicine or Family Practice, along with 4–7 years of clinical experience. Responsibilities include providing medical leadership, conducting case reviews, and collaborating on quality improvement initiatives. Salary ranges from $190,000 to $200,000, reflecting the roles seniority.
J-18808-Ljbffr
$190k - $200k
...healthcare management company is seeking a fully remote Medical Director to support their team in utilization management and clinical oversight for high-volume cases. The ideal... ...conducting case reviews, and collaborating on quality improvement initiatives. Salary ranges...Remote work$110 - $130 per hour
...A healthcare staffing company is seeking a Medical Director to lead utilization management and quality improvement for Medicare inpatient care. This remote role requires board-certified physicians with active medical licenses in FL and TX. Key responsibilities include...Remote work$225.7k - $428.9k
...leading healthcare organization is seeking a Full-time Medical Director to oversee medical management and quality improvement initiatives. This role requires an MD... ...Louisiana state license and experience in utilization management. Responsibilities include directing medical...Remote jobFull timeFlexible hours- ...Centene Corp. is looking for a Remote Medical Director to direct medical management and enhance quality improvement for our members. You will provide medical leadership... ...board certification, and have experience in utilization management. Competitive compensation and...Remote workFlexible hours
- Humana Inc is seeking a Medical Director National OP Medicare to utilize clinical expertise and medical judgment in determining... ...and internal teams to ensure quality care and effective resource utilization. Humana offers a remote work model with competitive salary and...Remote work
$255k - $285k
...currently looking for a Medical Director – Population Health and Clinical Oversight in United States.... ...responsible healthcare utilization and financial performance... ...strategies align with quality, outcomes, and value-... ...compensation package. Fully remote work opportunity...Remote jobFull timeFlexible hours$192.6k - $260.6k
...Director, Clinical Quality Risk & Portfolio Oversight Overview The Director, Clinical Quality Risk & Portfolio... ...effectiveness. This position is open to remote working. Key Responsibilities... ...comprehensive benefits including medical, dental, and vision coverage,...Remote workFull timeTemporary workLocal areaFlexible hoursShift work$250k - $325k
...Medical Director - Utilization Management (Part Time) Department: HS - UM Employment... ...provides physician oversight for medical necessity, appropriateness... ...cost efficiency and quality outcomes. Serve as... ...This is a Remote - US based position. The...Remote workPart time- ...Now Hiring: Medical Director – Utilization Management 100% Remote | Must work PST hours Medicare Advantage | Inpatient... ...compliant care decisions that support quality outcomes, cost efficiency, and... ...standards, audits, and delegated oversight Identify utilization trends and contribute...Remote workImmediate start
$223.8k - $313.1k
...caring community The Medical Director National OP Medicare... ...requirements in daily utilization management and coverage... ...to support quality, coordination, and appropriate... .... Provide oversight or input, as applicable... ...Travel: While this is a remote position, occasional...Remote jobBi-weekly payFull timeTemporary workApprenticeshipWork from homeHome office- ...Obran Cooperative is seeking a Medical Director to provide clinical oversight for California-based Home Healthcare Agencies. This part-time role requires... ...regulatory compliance and clinical governance. The position is remote with a commitment of 8-10 hours per month, offering a...Remote workPrice workPart time
$240.12k - $315.16k
...We're hiring an Associate Medical Director to join our Utilization Management Team.... ...management and adherence to quality standards. You will report... ...Work Location: This is a remote position, open to candidates... ...performance. Provide oversight to ensure the team meets...Remote workFull timeImmediate startWork from homeHome office$238k - $357.5k
...UnitedHealth Group is seeking a Medical Director Oncology who will perform utilization review determinations and support case and disease management teams for... ...outcomes. This role offers the flexibility to work remotely from anywhere in the U.S. The ideal candidate...Remote work$140k - $175k
...About the Role The Director of Clinical Quality serves as Equips primary owner... ...while providing direct oversight of the Utilization Management (UM) program.... ...directly to the VP of Medical Operations & Quality and... ...compliance staff) in a remote or telehealth setting....Remote workWork at officeLocal areaWork from homeHome officeFlexible hours- ...A diversified healthcare organization is seeking a clinical professional to lead medical management services. Responsibilities include overseeing utilization review, coordinating quality improvement initiatives, and collaborating with various clinical teams to ensure optimal...Remote workFlexible hours
$240.12k - $315.16k
...Associate Medical Director, Utilization Management Hi, we're Oscar. We're hiring... ...and adherence to quality standards. You will report... ...Work Location: This is a remote position, open to candidates... ...their performance. Provide oversight to ensure the team meets turn...Remote workFull timeImmediate startWork from homeHome office$186.2k - $363.09k
...healthcare organization in California seeks a Medical Director to oversee the appropriateness and... ...provided to members, enhancing quality and efficiency. The ideal candidate has... .... Responsibilities include evaluating utilization management practices, developing medical...- ...-time. This role is remote-friendly, but we are... ...City office. Role: Director of Clinical Quality and Outcomes We... ...clinical oversight. It is about turning... ...rates, goal mastery, utilization, treatment fidelity,... ...including understanding of medical necessity, audits, and...Remote workFull timeWork at officeFlexible hoursShift work
$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$79.8k - $126k
...Judi Health is seeking a Medical Director (Texas Licensed) for a remote position. The role will involve overseeing clinical support for Capital Rx's utilization management programs and making clinical determinations for patient care. Qualified candidates must have an active...Remote work- ...leading U.S. healthcare organization is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in... ...clinical experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient outcomes...Remote work
$248.5k - $373k
...Optum is seeking a Medical Director for Utilization Management to support WellMed. This role involves making utilization management determinations... ...and at least 5 years of post-residency experience. With remote work flexibility, Optum offers an annual salary ranging from...Remote work$248.5k - $373k
...Crains Cleveland is seeking an experienced Medical Director for Utilization Management to support WellMed Medical Management. The role involves making... ...for service utilization. Enjoy the flexibility to work remotely within the U.S. Applicants should have an M.D. or D.O....Remote work- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team,... ...communication, analytic reasoning, and leadership skills. This remote role offers a competitive salary, benefits including...Remote work
$223.8k - $313.1k
...healthcare organization is seeking a Medical Director in Jefferson City, Missouri. The role... ...reviews of inpatient records and making utilization management determinations. Candidates... ...additional benefits and a commitment to high-quality healthcare standards. #J-18808-Ljbffr...Remote work$250k
...A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment... ...salary of $250,000 annually and various benefits, with remote work opportunities available in Michigan and other states...Remote workFull time- ...A healthcare organization is seeking a Medical Director for Utilization Management to ensure compliant care decisions for Medicare Advantage members. This remote position requires expertise in clinical decision-making, particularly with MCG guidelines and utilization...Remote work
$248.5k - $373k
...Acadiana Renal Physicians is seeking a Medical Director for Utilization Management, supporting WellMed Medical Management. Candidates should possess... ...demands expertise in utilization management and allows remote work from anywhere in the U.S., with a competitive salary...Remote work$248.5k - $373k
...leading healthcare organization in San Antonio is seeking a Medical Director for Utilization Management to support healthcare services. This role... ...and bilingual fluency are preferred. The position offers remote work flexibility and a competitive salary range of $248,5...Remote workWork at office$248.5k - $373k
...Colorado PA is seeking a Medical Director for Utilization Management in San Antonio, Texas. This role involves making critical management determinations... ...with a comprehensive benefits package, allowing flexibility to work remotely from anywhere in the U.S. #J-18808-Ljbffr...Remote work
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