Remote Medical Director - DME Prior Authorization
Stryker Orthopaedics
- Remote job
Stryker Corporation is seeking a Medical Director to provide physician support and collaborate with clinical services operations. This role involves managing medical benefits and ensuring the provision of high-quality, cost-effective care to members. Ideal candidates will hold an M.D or D.O with board certification and at least 5 years of clinical practice experience. The role offers flexibility to work remotely from anywhere in the U.S. and competitive compensation. #J-18808-Ljbffr Stryker Corporation
$248.5k - $373k
Optum is seeking a Medical Director specializing in Prior Authorization for DME, offering a remote role based in the United States. The ideal candidate will leverage their clinical expertise to review service requests, ensuring coverage and medical necessity for durable...Remote job$275k - $325k
...Medical Director, Vision Job Category: Director Requisition Number: MEDIC... ...21, 2026 Full-Time Remote Pay or shift range: $275,... ...Serve as the senior clinical authority for ophthalmology related... ...necessity determinations for prior authorization, concurrent, and...Remote workFull timeShift work$195.2k - $341.6k
...Job Summary: The Medical Director is responsible for supporting staff by providing training, clinical consultation, and clinical... ...review for members. Essential Functions: Provide prior authorization medical reviews, consultation and clinical review services...Remote workHourly payWork at officeWeekend workAfternoon shift$250k - $300k
Integrity Healthcare is seeking a Remote Medical Director to replace a retiring physician. This long-term, non-clinical role requires residing... ...on-site meetings. The Medical Director will review prior authorization requests and collaborate with healthcare teams to ensure...Remote job- 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 jobFlexible hours
$122.44k
...Lead, organize, and develop staff in administration of the Medical Review and Prior Authorization programs for commercial stop loss programs.This role... ...Carolina's subsidiary companies. Location: This is a remote position. Typical work hours are from 8:30am - 5pm,...Remote workContract workFor contractorsWork experience placementWork at officeLocal areaMonday to Friday$174.07k - $374.92k
...of health care resources. Remote based (work from home) position... ...in Arizona and have a medical license without encumbrances... ...in Arizona) In the Medical Director role you will provide oversight... ...determinations. This includes Prior Authorization / Pre Certification /...Remote workHourly payFull timeTemporary workLocal areaWork from homeNight shiftWeekend work- ...our community. The Senior Medical Director, Utilization Management is... ...serves as the senior clinical authority for UM policy, decision-... ...engaged in utilization review, prior authorization, and medical necessity... ...position may be hybrid or remote and can live in one of the...Remote workLive in
- ...seeking an enthusiastic and highly skilled Medical Director to join our growing team. This... ...and performing utilization reviews, prior authorizations, and making crucial medical necessity... ...peer-to-peer discussions. This is a remote position requiring a "roll up your sleeves...Remote workFull timeFlexible hours
$275k - $325k
...Medical Director - Utilization Management Astrana is seeking a California-licensed Medical... ...ecosystem. What You'll Do Prior Authorization Management Review and issue timely... ...Conditions This position is fully remote, with some travel to SoCal required as...Remote work- ...expansive network reach that medical businesses need to get an... ..., along with an exceptional remote workforce across the United... ...Software Engineering, the Medical Director will lead a team of UM RN... ...medical necessity guidelines and prior authorization adjudication practices. This...Remote jobHourly payWork at officeLocal area
$200k - $270k
Join to apply for the Associate Medical Director, Cardiology role at Cohere Health . Opportunity... ...by Cohere Pay & Perks Fully remote opportunity with about 5% travel. Medical... ...and handles over 12 million prior authorization requests annually. Its responsible AI...Remote workFlexible hours$25.44 - $39.31 per hour
...Clinical Dme Data Coordinator The Clinical DME Data Coordinator provides a wide... ...reports tracking for turnaround times, authorization rates, setup success rates, return to clinic... ...US Pay Range $25.44 - 39.31/hour Remote or Onsite Onsite Job Schedule Full Time...Remote workFull timeWork at officeLocal areaShift work- ...of South Carolina is seeking a Program Manager for the Medical Review and Prior Authorization programs. This role involves overseeing compliance with... ...communication, and decision-making skills. The position is fully remote with comprehensive benefits including subsidies for...Remote job
- ...Associate Medical Director Rooted in Wyoming! We are Blue Cross Blue Shield Wyoming: a... ...the professional community exist with prior authorizations, peer-to-peer discussions and CME opportunities... ...with administrative experience. Remote work is a consideration following...Remote workFull timeWork at officeLocal areaWork from homeVisa sponsorshipWork visa
- A leading healthcare organization is seeking a Medical Director to oversee clinical coverage reviews and benefit determinations. The ideal... ...ensuring quality care. This position offers flexibility to work remotely from anywhere in the U.S., with a competitive salary range...Remote job
- ...Parkland Community Health Plan Remote PRIMARY PURPOSE Oversees medical coordination required for... ...Texas for Managed Care Medical Directors. Board certification in the relevant... ...Operations Reviews prior authorization, concurrent, and pre-service and...Remote workContract workWork at officeLocal area
$240k - $275k
...Medical Director, Physiatrist Job Category: Director Requisition Number... ...: MEDIC001037 Full-Time Remote Miami, FL 33146, USA Pay or... ...Serve as the senior clinical authority for MSK related questions, escalations... ...determinations for prior authorization, concurrent,...Remote workFull timeShift work- ...healthcare equipment provider is seeking a detail-oriented Operations Supervisor to manage remote DME operations. This role involves verifying insurance coverage, handling prior authorizations, and ensuring compliance with healthcare regulations. Ideal candidates will have...Remote job
$250k - $300k
...Strategic Medical Director, MSK United States Opportunity Overview: The Strategic... ...relationships Pay & Perks: Fully remote opportunity with about 25% travel... ...providers and handles over 12 million prior authorization requests annually. Its responsible AI...Remote workFlexible hours$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on fundamentals of CMS Medicare... ...and reviewing Home Health, SNF, DME, dual Medicare/Medicaid requests. The Medical... ...Additional Information Workstyle: remote work at home Hours: Must be able to...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- PRN DME Clinical Coordinator/ASC Technician Apply for this part‑time PRN position... ...administration of orthoses and durable medical equipment (DME) to orthopedic practices... ...custom measurement, patient education, prior authorization, collection of deductible/coinsurance,...Part timeReliefWork at office
- ...Specialty Infusion Pharmacy and work Remotely (USA) . Join us in Simplifying Complex... ...No Weekends or Holidays ~ Affordable Medical, Dental, and Vision Insurance Plans... ...Responsibilities include: Completes prior authorization reviews in a timely manner through their...Remote jobImmediate startMonday to FridayFlexible hours
$65k
...Operations Supervisor to help drive the success of our fully remote Durable Medical Equipment (DME) operations. This role plays a key part in... ...processing. Strong knowledge of insurance procedures, prior authorizations, and compliance is essential. Compensation Starts...Remote jobWork at office$250k
...The Utilization Review Medical Director is responsible for... ...Durable Medical Equipment (DME) and related requests... ..., high-volume authorization review queue and requires... ...additional clinical dialogue prior to rendering a... ...Expectations: Full-time remote role requiring consistent...Remote workFull timeTemporary workLocal area$150k - $200k
...evidence-based, cost-effective medication utilization strategies and... .... One supervisor oversees prior authorization and related functions,... ...work arrangement, however, remote status will also be considered... ...clinical programs. Support Director, Clinical Pharmacy and other...Remote workHourly payWork at officeAfternoon shift- ...Position Type: Hybrid (85% remote, 15% onsite in Burbank, CA)... ...plan standards for associated medical groups. Key Responsibilities... ...reviewers, medical directors, and other departments. 3.... ...2. Minimum of five years in prior-authorization, appeals & grievance, or health...Remote workPermanent employmentTemporary work
- ...Director, Clinical & Medical Operations - Archimedes Location US-MO-Earth City ID... ...Position Type Full-Time Remote Yes Company Archimedes... ...focus of this roll is to lead our prior authorization, channel optimization and health economics...Remote workFull timeWork experience placementWork at office
$91.7k - $163.7k
...Clinical Program Manager oversees a remote team of Behavioral Health Care Advocates... ...relationships with leadership and medical directors Cover for management team as needed... ...utilization management experience including prior authorizations, concurrent reviews, appeal processes...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaMonday to Friday- ...Management (RCM) Consultant – Laboratory Billing Location: Remote (U.S-based) Type: Contract About the Role: BigRio... ...billing compliance, and payer engagement Advise clients on prior authorizations, documentation standards, and eligibility workflows...Remote workContract work
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