Remote Medical Director: Utilization & Clinical Oversight
CareCentrix
CareCentrix, Inc. is looking for a remote State Licensed Medical Director to provide clinical oversight and conduct medical necessity reviews. The role involves providing guidance on clinical issues and participating in quality improvement activities. The ideal candidate will have a medical degree with a valid license, at least 5 years of clinical practice, and expertise in Home Health and DME. The position offers the opportunity to collaborate with multidisciplinary teams and partake in clinical education activities. #J-18808-Ljbffr
$190k - $200k
...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...Remote work$275k - $300k
...partner is looking for a Medical Director, Utilization Management Oncology based... ...that oncology treatments are clinically appropriate, evidence-... ...decision-making and clinical oversight Requirements: Medical... ...275,000 – $300,000 USD Remote work flexibility within...Remote jobFull time$135 - $150 per hour
...Job Posting: Medical Director (Utilization Review / Peer-to-Peer) Location: Position is Remote (anywhere in the U.S.) Department: Utilization... .... You will serve as a vital clinical advisor, lead programs that... .... Quality & Compliance Oversight: Participates in or chairs internal...Remote workHourly payFull timeContract work$275k - $300k
...million patients, including clinical trials, transfusions, and other... ...oncology for the better. Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California... ..., data-driven insights, and oversight of utilization management...Remote workWork from home- ...Now Hiring: Medical Director – Utilization Management 100% Remote | Must work PST hours Medicare Advantage | Inpatient... ...Utilization Management) to help lead clinical integrity and medical necessity... ..., audits, and delegated oversight Identify utilization trends and...Remote workImmediate start
- ...We offer remote work opportunities (AK, AR, AZ, CO... ...Oversees and participates in clinical quality reviews, peer... ...of care in the medical management system. Collaborates... ...guidance and clinical oversight for Medical Management... ...Improvement • Utilization Management, health...Remote workContract workTemporary workWork at officeLocal areaFlexible hours
- ...CenCal Health is seeking a Medical Director to oversee clinical management and ensure quality care for... ...this position involves clinical oversight in utilization management and care strategies. The... ...principles. This role is hybrid or remote, and requires local residency or...Remote workLocal areaRelocation
- ...A health care organization is looking for a Medical Director for its National Utilization Management Team. This remote position requires reviewing medical records and making clinical determinations, requiring at least 5 years of clinical experience post-residency. The...Remote workWeekend work
$250k
...Integra Partners is seeking a full-time Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. The role requires... ..., and maintaining high productivity standards in a remote setting. The position offers a competitive salary...Remote workFull time$250k
...national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. This... ...of $250,000 annually and various benefits, with remote work opportunities available in Michigan and other...Remote workFull time$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- A health insurance startup is looking for an experienced Medical Director to oversee utilization reviews and prior authorizations. This remote position demands a strong clinical background with a doctorate in medicine and board certification. The ideal candidate will have...Remote workFlexible hours
- ...Stryker Corporation is seeking a Medical Director to provide essential physician support for clinical coverage and medical claims... ...members while engaging in various utilization management activities. The... ...years of clinical experience. Remote working options are available...Remote work
- ...A national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating... ...skills. Responsibilities include performing clinical reviews, providing utilization management determinations, and ensuring compliance with...Remote workMonday to Friday
- ...U.S. healthcare organization is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in inpatient care. The... ...experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient outcomes...Remote job
- ...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
$238k - $357.5k
...UnitedHealth Group is seeking a Medical Director Oncology to support case management and optimize clinical outcomes for oncology... ...The role involves performing utilization review determinations, collaborating... ...The opportunity allows for remote work within the U.S., and the...Remote work$275k - $300k
...Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California, Nevada, Arizona, Oregon, or... ...in oncology, along with at least 5 years of clinical experience in the field. The position offers a competitive...Remote work- ...A healthcare provider is seeking a licensed physician in Utah to serve as Medical Director for partner medspa locations. This remote position includes responsibilities such as medical oversight, approving treatment protocols, and ensuring compliance with regulations. Candidates...Remote work
- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities... ...are MD/DO with 8+ years of clinical experience, strong communication,... ..., and leadership skills. This remote role offers a competitive salary, benefits...Remote work
$279.5k
...Texas Health Institute is seeking a Medical Director to oversee clinical review processes and ensure cost-effective care for members. This remote position requires an M.D. or D.O. with... ...strong skills in Evidence Based Medicine, utilization review experience, and a proven...Remote work$146k - $277k
...Syneos Health, Inc. is seeking a Board Certified Ophthalmologist for the role of Sr Medical Director/Medical Director. This remote position involves providing medical oversight for clinical studies, ensuring compliance with FDA regulations and GCP guidelines, and offering...Remote work- ...Crains Cleveland is seeking a Cardiovascular Utilization Management Reviewer to join their... ...your expertise in cardiology in a fully remote setting, contributing to case reviews and... ...minimum of five years in the field. Strong clinical and communication skills are essential....Remote workFull timePart timeFlexible hours
$130 - $140 per hour
...Remote Medical Director - Utilization Management (6-12 month contract, potential for long-term hire!) Job Summary Medix is partnering with a premier... ...management who can seamlessly integrate into a high-impact clinical review team. You will support the organization’s...Remote workHourly payContract workFlexible hours$110.88 - $124.74 per hour
...community-based healthcare organization is seeking a Medical Director of Utilization Management to oversee and coordinate clinical management, ensuring compliance with... ...current NY Physician license. The position is remote, allowing for a flexible schedule, and involves...Remote workHourly payDaily paidFlexible hours- ...enthusiastic and highly skilled Medical Director to join our growing team.... ...overseeing and performing utilization reviews, prior authorizations... ...Director will serve as a key clinical expert, ensuring appropriate... ...peer discussions. This is a remote position requiring a "roll...Remote workFull timeFlexible hours
$248.5k - $373k
...WellMed, part of the Optum family, is seeking an experienced Medical Director for Utilization Management in San Antonio, Texas. The role includes... ...relevant medical degree, board certification, and significant clinical practice experience. The salary range for this full-time...Remote workFull time$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra’s Utilization... ...and Additional Expectations Full-time remote role requiring consistent availability during standard...Remote workFull timeTemporary workLocal area$211.17k - $269.25k
...A healthcare organization seeks a Medical Director for Physical Health, offering a full-time remote opportunity based in North Carolina. This role involves providing clinical oversight and expertise to ensure high-quality service delivery and compliance with standards...Remote workFull time- ...TRIAD MSO is looking for a Remote Medical Director in Tulsa, Oklahoma. This part-time role involves providing expertise and oversight to mid-level practitioners in a flexible, remote setting, allowing for additional earnings through supervisory engagements without direct...Remote workPart timeFlexible hours
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