Remote Medicaid Medical Policy Director
Cotiviti
- Remote job
A healthcare solutions provider is seeking a Research Medical Director responsible for providing leadership in clinical and policy research. This role involves analyzing and developing medical policies as well as interpreting medical coding guidelines. Candidates should possess an MD or DO degree with a strong background in research and project management. This position offers a competitive salary and the possibility of remote work from the United States. #J-18808-Ljbffr Cotiviti
- UnitedHealthcare is looking for a Director of Policy to take the lead in developing advocacy strategies that improve Medicaid policy. This remote role involves collaboration with national experts and requires experience in public policy analysis and advocacy within legislative...Remote job
$120k - $145k
...Overview The Medical Policy Director (MPD) is a key member of the Go To Market team. Along with... ...payment/policy editing applying Medicare, Medicaid, ICD, CPT, HCPCS and other specialty... ...and Physical Requirements: This remote role can be located anywhere in the...Remote workWork experience placementWork at officeImmediate start- ...Medicaid Policy Director Client is seeking a Medicaid Policy Director to join our Medicaid consulting team. As part of our consulting team focused on state Medicaid agencies, you will leverage your policy expertise to help Medicaid agencies implement new programs and...Remote work
- A major healthcare insurer is seeking a Medical Director in Ohio. This remote role requires an MD or DO degree and a strong background in Medicare and Medicaid. Responsibilities include reviewing clinical cases, ensuring compliance, and improving medical management operations...Remote job
$223.8k - $313.1k
Humana Inc is seeking a Behavioral Health Medical Director who will be responsible for the... ...operations of behavioral health care. This remote role requires a Doctor of Medicine or Doctor... ..., and ensuring compliance with Medicaid requirements. A comprehensive benefits...Remote job- ...health services organization is seeking a Medical Director to ensure compliance with healthcare... ...evaluate medical necessity for Medicare and Medicaid services. Required qualifications... ...clinical experience. The role supports remote work and requires participation in call...Remote job
$191.5k - $355.6k
...service corporation is seeking a Physician (M.D. or D.O) to handle medical policy responsibilities and perform medical reviews while interacting... ..., and 5 years of clinical experience. The position is 100% remote, with a competitive compensation package ranging from $191,500...Remote job$174.07k - $374.92k
9025 CVS Shared Services Resources LLC is seeking a Medical Director for a remote role to promote high-quality medical care and clinical policy. With a strong focus on improving healthcare services, you'll leverage clinical expertise and data analysis skills to drive effective...Remote job- ...Behavioral Health Medical Director - Psychiatrist- Pennsylvania Medicaid Location: This role enables associates to work virtually full-time, with the exception... ...-to-face collaboration. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable...Remote workFull timeLive inWork at officeDay shift
$258.13k - $349.24k
What you will do The Health Policy & Reimbursement Executive Director will lead development and implementation of... ...issues - specifically Medicare, Medicaid, and national health programs/reform... ...shutdowns Flexible work models, including remote work arrangements where possible...Remote workWork at officeFlexible hours- ...Community Health Plan Remote PRIMARY PURPOSE Oversees medical coordination required... ...Quality Management, Clinical Policy, Technology Assessment,... ...Managed Care Medical Directors. Board certification... ...care principles and Texas Medicaid Regulations is preferred...Remote workContract workWork at officeLocal area
- Cotiviti is seeking a Medical Policy Director to be a key member of the Go To Market team. This role focuses on being a subject matter expert... ...presentation, problem-solving, and communication skills. This remote position offers competitive salary and benefits. #J-18808-...Remote job
- The Academy of Managed Care Pharmacy is seeking a qualified individual to lead clinical strategy and medical management for our Medicaid line of business. The primary responsibilities include overseeing compliance, enhancing quality, and engaging with key stakeholders within...
- ...2026-07-03 Position Title: Plan Performance Medical Director- Missouri Medicaid Market Job Description: Plan Performance Medical... ...essential face-to-face collaboration. Please note that per our policy on hybrid/virtual work, candidates not within a...Full timeTemporary workLocal areaDay shift1 day per week
$223.8k - $313.1k
...certification in Psychiatry and five years of clinical experience. This remote role may require occasional travel to Humana's offices. The... ...year, eligible for bonus incentives and comprehensive benefits, including medical, dental, and vision coverage. #J-18808-Ljbffr HumanaRemote work$178k - $205k
...Senior Manager, Health Policy BerryDunn is seeking a Senior Manager, Health Policy to lead complex client engagements and contribute... ...policy considerations Strong understanding of Medicare and Medicaid programs Experience with commercial health insurance and...Remote work- ...Apple Health Eligibility Policy Manager (HCPM/AHSO/EPICS) Are... ...chance to directly shape Adult Medicaid and the Affordable Care Act (... ...of staff who represent the Director of HCA and speak with the authority... ...order to receive affordable medical services. About the...Remote workTemporary workWork at office
$1,020 per month
...INITIATIVE SENIOR DIRECTOR, HEALTH PLANS The Context... ...dollars spent on medical care alone. The amount... ...institutions to redesign their policies and invest... ...North Carolina to use Medicaid dollars to provide patients... ...role and is fully remote within the US. THI expects...Remote workFull timeTemporary workInterim roleWork at officeFlexible hoursShift workWeekend workAfternoon shift- ...Corporation is looking for a full-time Clinical Care Manager to support Medicaid members, primarily focused on those currently or formerly... ...experience in clinical care. You will have flexibility to work remotely if residing in certain areas in Washington, providing support...Remote jobFull time
$186.3k
...Job Overview The Senior Medical Director provides strategic medical and scientific subject... ...industry either directly or indirectly. #LI-Remote #LI-NITINMAHAJAN IQVIA is a... ...process and maintains a zero tolerance policy for candidate fraud. All information and...Remote workFull timePart timeImmediate startWorldwide- UnitedHealthcare is hiring a Clinical Care Manager in Tacoma, WA, to support Medicaid members in their reentry process. This role involves... ...experience. The position offers a full-time schedule with remote work options for those in Thurston or Pierce County. #J-18808-...Remote jobFull time
$40 - $54 per hour
...in Tacoma, WA, to provide targeted case management services for Medicaid members. The role requires a Bachelor's degree and a current RN... ..., assist in care planning, and work with community resources. Remote work flexibility is provided for local candidates. Salary ranges...Remote jobHourly payLocal area$40 - $54 per hour
...for a full-time Clinical Care Manager in Tacoma, WA, to support Medicaid members by providing essential care coordination and education.... ...certification. Candidates will enjoy the flexibility to work remotely if located in Thurston or Pierce County. A competitive hourly pay...Remote jobHourly payFull time- The University of Minnesota School of Nursing is seeking a Clinical Care Manager to work with Medicaid members in Tacoma, WA. This full-time role focuses on providing care coordination and support to individuals leaving incarceration. Responsibilities include managing...Remote jobFull timeFlexible hours
$178.85k - $234.74k
Oscar is hiring a Director, Public Policy to lead the development of public policy strategies. This remote role requires 10+ years in public policy environments, including 7+ years in healthcare policy. The Director will supervise public policy professionals, collaborate...Remote job- A leading clinical research organization is searching for a Medical Director specializing in Pain Management. In this remote role, you'll provide medical and clinical advisory expertise across various therapeutic areas. Key responsibilities include advising project teams...Remote job
$174.07k - $374.92k
Hispanic Alliance for Career Enhancement seeks a Medical Director to oversee medical policy and support medical management programs in Arizona. This fully remote role requires an active medical license and at least two years of experience in health care delivery. Responsibilities...Remote job- A leading clinical research organization is looking for a Medical Director specializing in Pain Management. This remote role involves providing medical advisory expertise across therapeutic areas, reviewing clinical trial protocols, and supporting project teams. Candidates...Remote job
- RHO Inc is seeking a Medical Director specializing in Pain to provide medical, clinical, and scientific advisory expertise across multiple... ...design, and excellent communication skills. This role allows for remote work anywhere in the United States. #J-18808-Ljbffr RHO IncRemote job
- IQVIA LLC in Durham, North Carolina, is seeking a Sr Medical Strategy Director to provide strategic medical and scientific expertise. The ideal candidate will contribute to proposal development, client meetings, and serve as a consultant throughout clinical trials. This...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medicaid Medical Policy Director. Be the first to apply!
- public health project manager New York, NY
- healthcare facilities manager New York, NY
- senior director clinical development New York, NY
- clinical research manager New York, NY
- director of health and wellness New York, NY
- project manager health New York, NY
- medical and health service manager New York, NY
- director clinical pharmacology New York, NY
- clinical director New York, NY
- medical director physician advisor New York, NY


