Remote Medical Director, Medicaid Care Strategy
Jobleads-US
- Remote job
Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote setup.
The role involves evaluating moderately complex to complex clinical scenarios, reviewing medical records, and determining appropriate authorization within regulatory guidelines. The Medical Director will engage with external physicians through peer-to-peer discussions, support regional market priorities, and participate in care management as needed.
#J-18808-Ljbffr Jobleads-US- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote capacity, supporting a cluster that includes Indiana, Ohio, Kentucky, Virginia, Wisconsin and Illinois. The responsibilities include medical determinations on services...Remote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations within a high-complexity environment. The role involves evaluating... ...support regional priorities, with travel as needed and a remote-based work setup. #J-18808-Ljbffr Jobleads-USRemote job
- ...Humana Inc is seeking a Medical Director to lead Medicaid care strategy and operations. You will evaluate complex clinical data to authorize services and... ...ensure regulatory compliance across your cluster. This remote role requires an MD or DO, ABMS/ABPN board...Remote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote-eligible role spanning multiple states, including Wisconsin. The position involves reviewing complex clinical cases, ensuring regulatory compliance, and guiding care...Remote job
- ...Humana Inc. is seeking a Medical Director to shape Medicaid care strategy and oversee complex clinical determinations. The role focuses on regulatory compliance, utilization management, and care coordination across inpatient and outpatient settings. The position requires...Remote job
- ...Humana Inc. seeks a Medical Director to lead Medicaid care strategy and operations in a remote role across multiple states. The role involves determining authorization decisions, reviewing complex cases, and engaging with external physicians to discuss determinations...Remote job
- ...The Medical Director role at Humana Inc. is a remote leadership position focused on Medicaid care strategy and operations. You will analyze complex clinical data, review records, and authorize services within regulatory guidelines. The role involves peer discussions...Remote job
- ...Humana Inc. is seeking a Medical Director focused on Medicaid care strategy and operations, with at least five years post-training clinical leadership experience... ...value-based care across Medicaid populations. Remote, with travel as needed. #J-18808-Ljbffr Jobleads-USRemote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations. The role requires medical degree, board certification, and licensure in at least one cluster state with readiness to obtain others. Responsibilities include clinical review, peer...Remote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations. The role includes complex clinical review, peer-to-peer discussions... ...to support regional priorities. The position is remote-based with travel as needed and requires board-certified...Remote job
- ...Humana Inc. seeks a Medical Director to lead Medicaid care strategy and operations. The role involves reviewing complex clinical scenarios, determining authorization... ...teams and external physicians. You’ll work remotely within a designated cluster, travel occasionally, and...Remote job
- ...Humana Inc. seeks a Medical Director to lead Medicaid care strategy and operations. The role involves complex clinical determinations, regulatory compliance... ...across outpatient and inpatient settings. This remote position requires licensure in cluster states and travel...Remote job
- ...Humana, Inc. is seeking a Medical Director to lead Medicaid care strategy and operations, reviewing complex clinical scenarios and ensuring regulatory compliance. The role involves peer-to-peer discussions with external physicians, collaboration on value-based care,...Remote jobWeekend work
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote nationwide role. This senior physician will evaluate requested services, levels of care, and sites of service within regulatory guidelines, leveraging CMS policies and...Remote job
- ...Geisinger in Pennsylvania is seeking a Medical Director to lead the clinical strategy for its Medicaid line. This role involves... ...departments to deliver high-quality care. The ideal candidate will... ...The position offers onsite/hybrid/remote options with periodic travel...Remote work
- ...Humana Inc. seeks a Medical Director to oversee Medicaid care strategy and operations across assigned clusters, applying clinical judgment to authorize services within regulatory requirements. The role involves complex case reviews, peer discussions with external physicians...Remote job
- ...Medicorp, Inc. is seeking an IPA Medical Director to lead clinical strategy and enhance performance within affiliated... .... This hybrid position combines remote work, clinical practice, and site... ...physician groups in achieving value-based care goals. The ideal candidate will...Remote work
- Centene is seeking a Director of Utilization Management Hospice CoE to guide enterprise strategy, governance, and operations for hospice and palliative care across Medicaid and Marketplace populations. Based remotely in Missouri, you will lead policy application, performance...Remote job
$284.63k
...two days per week. Remote work is available... ...clinical development medical activities for... ...improve how we cure and care for patients. We... ...Senior Medical Director to join the Cardiovascular... ...with project strategies to ensure quality... ...for Medicare and Medicaid Services (CMS)...Remote workFull timeLocal areaRelocation2 days per week$222.75k - $371.25k
...seeking an experienced Medical Director Clinical Development-... ...improve how we cure and care for patients. We are a... ...two days per week. Remote work is available on other... ...designs with project strategies to ensure quality... ...Centers for Medicare and Medicaid Services (CMS) website...Remote workFull timeLocal areaRelocation2 days per week- ...Summary Lead clinical strategy, medical management, and... ...regulatory performance for our Medicaid line of business... ...quality, cost‑effective care and strong outcomes... ...leadership role (Medical Director or Deputy) specific... ...Pennsylvania (onsite/hybrid/remote with periodic in‑state...Remote workContract workRelocation
$223.8k - $313.1k
## Medical Director Behavioral Health, MedicaidApplylocations: Remote Nationwide: Remote Louisiana: Remote Indianatime... ...*Become a part of our caring community**The... ...behavioral health care strategies and/or operations. You... ...reference sources* Learn Medicaid requirements and...Remote workWeekly payFull timeTemporary workWeekend work$175 per hour
...Hospice & Palliative Care, we are united by a mission... ...Summary The Hospice Medical Director serves as the highest-... ...symptom management strategies, ensuring adherence to... ...care planning unless remote participation is approved... ...in the Medicare or Medicaid programs. Valid driver...Remote workLocal area$85.1k - $161.58k
...the quality of patient care. Our consulting work is... ...employee contribution strategies, modeling plan design alternatives... ..., Commercial / ACA, Medicaid, Long Term Care,... ...or Hartford, CT office. Remote candidates will be considered. Benefits Medical, Dental and Vision -...Remote jobFull timeTemporary workWork at officeFlexible hours$235k
...OF ROLE : The Associate Medical Director will provide psychiatric and... ...of the CCBHC's psychiatric care including evaluation and treatment... ...efforts regarding strategies, outcomes and consequences for... ...registration Enrolled as a Medicaid Provider in NY State National...Remote workPart timeLocal area- BAYADA Home Health Care seeks a Division Director of Clinical Strategy, Innovation, and Care Delivery for Skilled Nursing. This remote executive role involves about 25% travel, with candidates in the eastern U.S. region preferred. You will shape BAYADA's clinical strategy...Remote work
$245k - $260k
PCHP Medical Director Clinical Leader Location: Mockingbird Towers... ...4th FLR, Dallas, TX Remote PRIMARY PURPOSE... ..., high quality health care to plan members in accordance... ...principles and Texas Medicaid Regulations is... ...management process. Strategy Assists the Chief Medical...Remote workPermanent employmentFull timeContract workPart timeLocumPrivate practiceWork at officeVisa sponsorshipRelocation packageMonday to FridayFlexible hours$248.5k - $373k
...$373,000/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by technology to... ...serving our Medicare, Medicaid and commercial members... ...the flexibility to work remotely * from anywhere within... ...memberWork with medical director teams focusing on inpatient...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$185k - $200k
BAYADA Home Health Care is hiring a Division Director, Clinical Strategy, Innovation, and Care Delivery. This remote position requires a visionary clinical leader with strong expertise in skilled nursing and a passion for transforming care delivery. You will shape innovative...Remote work$188k - $216k
...built around the person, so care can continue through every job... ...guided tools, coaching, therapy, medication management, and specialty... ..., the Head of Health Systems Strategy will build and own Spring Health... ...of care. This is a fully remote, full-time role, with a strong...Remote workFull timeWorldwideSleeping nights
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director, Medicaid Care Strategy. Be the first to apply!
- medical director oncology Boise, ID
- health manager Boise, ID
- remote medical billing manager Boise, ID
- behavioral health manager Boise, ID
- public health director Boise, ID
- healthcare supervisor Boise, ID
- psychiatry medical director Boise, ID
- remote medical coding supervisor Boise, ID
- clinical manager Boise, ID
- health economics manager Boise, ID


