Remote Medical Director: Policy & DRG Operations
CVS Health
- Remote job
A leading health services company is seeking a Medical Director for a remote position across the United States. The role entails providing clinical expertise in medical management programs and supporting various health care services, requiring a minimum of five years of experience and an active medical license. Ideal candidates will possess strong communication skills and a thorough understanding of clinical coding and reimbursement. This position offers a competitive salary range and comprehensive benefits. #J-18808-Ljbffr CVS Health
$174.07k - $374.92k
...has an outstanding opportunity for a Medical Director. This is a remote Work at Home position and can be... ...role as Medical Director MPO (Medical Policy & Operations) you will be responsible for... ...areas. be a subject matter expert in DRG reviews and ICD‑10 code selection....Remote workOperationsPolicyHourly payFull timeTemporary workLocal areaWork from home- ...About the job Medical Director Medical Director ( Remote ) A growing outpatient facility company is hiring for... ...clinicians and provide guidance for clinical operations Conduct clinical reviews and propose new medical policies Requirements Atleast 7...Remote workOperationsPolicy
$120 - $144.53 per hour
...Group is currently seeking a Medical Director for a prominent client of... ...: $120-144.53/hr. ~100% Remote opportunity. ~6-month... .... Partners with safety operations teams to ensure consistency... ...for help. You can access our privacy policy at Privacy Policy...Remote workOperationsPolicyFlexible hours$247.84k
...Appeals Medical Director- Cardiology Appeals Medical Director – Cardiology Location: This... ...development. Please note that per our policy on hybrid/virtual work, candidates not... .../strategic advisor to enhance clinical operations. May identify cost of care opportunities...Remote workOperationsPolicyFull timeLocal areaDay shift- Vertex Pharmaceuticals seeks a Senior Director of Global Clinical Operations and Medical Writing based in Boston,... ...eligible, offering flexibility for remote work up to two days per week along... ...including a generous paid time off policy. #J-18808-Ljbffr Vertex PharmaceuticalsRemote workOperationsPolicy2 days per week
$202k - $303k
...position assists the Chief Medical Director to direct and coordinate the... ...and establishing goals and policies to improve quality and cost-... ...Provides medical expertise in the operation of approved quality... ...There may be opportunity for remote work within all jobs posted...Remote workOperationsPolicy- ...JOB DESCRIPTION Medical Director - Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible... ...using established medical policy criteria. The Medical... ...necessity reviews, appeals, grievances, and managed care operations.Remote workOperationsPolicyFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
- ...this role, you will lead the operational areas of the Utilization... ...retrospective reviews. As a Medical Director, UM you ensure all patient care... ...develop and implement medical policies, procedures, and clinical... ...Work Arrangement ~ Fully remote; must be willing to work rotational...Remote workOperationsPolicyContract workLocal areaFlexible hoursWeekend work
$220k - $240k
...Ventures. Bold is seeking a Medical Director with a strong background in... ...roleThis is a full time remote position. Key... ...the administrative/business operations teams. Be the voice of the... ...develop and implement clinical policies and procedures. Lead Quality...Remote workOperationsPolicyFull timeLocal areaHome office$500 per month
...Job Description Position: Medical Director Company: Medi-Weightloss... ...exceptional patient care. Flexible Remote Position – Provide... ...clinical standards and company policies. This is a remote... ...availability during clinic operating hours. Essential Responsibilities...Remote workOperationsPolicyFlexible hours$206.01k
...Medicine and Rehabilitation Medical Director provides administrative oversight... ...issues concerning medical policies. May also write and revise... ...week) Monday-Friday working REMOTE in the United States or... ...You'll Do: Supports operations in the form of case review on...Remote workOperationsPolicyFull timeFor contractorsWork at officeLocal areaMonday to FridayShift work$250k
...The Utilization Review Medical Director is responsible for conducting clinical... ...Utilization Management (UM) operations. This full-time, salaried... ...specific criteria, internal policies, and regulatory requirements... ...Expectations: Full-time remote role requiring consistent...Remote workOperationsPolicyFull timeTemporary workLocal area$236.5k
...clinical professional on our Medical Management/Health... ...the Chief Medical Director to direct and coordinate... ...establishing goals and policies to improve quality and... ...expertise in the operation of approved quality improvement... ...approach to work with remote, hybrid, field or...Remote workOperationsPolicyFull timePart timeWork at officeFlexible hoursWeekend work- Rhode Island Bar Assn. is seeking a Medical Director to provide support to clinical services operations and ensure quality medical care for members. The role emphasizes... ...skills are vital, along with flexibility to work remotely. #J-18808-Ljbffr Rhode Island Bar Assn.Remote jobOperationsPolicy
$256.8k - $335.4k
...Sr. Medical Director, Global Medical Affairs (Myeloid Malignancies) Princeton... ..., NJ HQ. This is note a remote opportunity. Summary of... ...and adherence to company policies and compliance standards.... ...and with integrity in all our operations and interactions It is the...Remote workOperationsPolicySummer workWork at officeLocal area2 days per week- ...environment. You will oversee clinical operations, ensure quality of care, and... ...program participants Provide medical care including evaluation, diagnosis... ...setting up your home office (for remote or hybrid roles) Family friendly policies, including paid new parent leave...Remote workOperationsPolicyTemporary workHome officeFlexible hoursShift work
$200.28k
...This is a remote position that will require a board... ...psychiatrist and Idaho medical license. If candidate... ...practice standards and policies developed by Magellan... ...clinical lead senior medical director, and quality... ...committee work and JOC (Joint Operations Committee)....Remote workOperationsPolicyContract workTemporary workWork experience placementInternshipImmediate startFlexible hours$280.84k - $393.18k
...Senior Medical Director Policy & Outcomes Find joy in serving others with IEHP! We welcome you to... ...Director - P&O oversees the day-to-day operations as it relates to developing, executing... ...a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga...Remote workOperationsPolicyTemporary workLocal areaFlexible hours$215k - $408.5k
...clinical professional on our Medical Management/Health... ...: Full time Medical Director for our Oklahoma Health... ...goals and policies to improve quality and... ...medical expertise in the operation of approved quality improvement... ...approach to work with remote, hybrid, field or...Remote workOperationsPolicyFull timePart timeWork at officeFlexible hoursWeekend work$70k - $93k
...Diagnosis-Related Group (DRG) Quality Analyst. This is a remote office opportunity. The Quality... ...Security and Regulatory policies, procedures and programs... ...understanding of medical terminology and human physiology... ...analytics and digital operations and solutions company. We...Remote workOperationsPolicyWork at office- Description **Medical Mutual employees must submit their... ...Provides strategic and operational leadership for the... ...Itemized Bill Reviews (IBRs), DRG validation, clinical coding audits, payment policy application, and post... ...you are working remote or in the office, employees...Remote workOperationsPolicyCasual workWork at office
- ...Medical Director This is a professional position of a highly complex... .... The Medical Director must operate in accordance with the terms... ...According to PMS Human Resources Policy 205.006, "Healthcare... ...Exempt/Non-Exempt Exempt Remote Eligible No Benefits Eligible...Remote workOperationsPolicyFull timeWork at officeLocal areaRelocation packageNight shift
$206.01k
...of government contracts. We operate one of the most sophisticated... ...The Behavioral Health Medical Director provides medical leadership... ...developing and implementing medical policies and standards, evaluating... ...0-hours/week) Monday-Friday REMOTE in South Carolina. You will...Remote workOperationsPolicyFull timePart timeFor contractorsWork experience placementLocal areaMonday to Friday- The Medical Director provides physician support to Enterprise Clinical Services operations and collaborates with leadership and staff to establish... ...coverage review policies, render coverage determinations... ...audiences All employees working remotely will be required to adhere...Remote jobOperationsPolicy
- ...mental health needs. The SUD Medical Director will serve as the founding clinician and operational architect of this work,... ...unique challenges of conducting remote clinical clearance and virtual... ...agree to Charlie Health's Privacy Policy and Terms of Service. By submitting...Remote workOperationsPolicyLocal area
- 6AM City, LLC is seeking an experienced medical professional to lead clinical drug research at ProSciento. The role requires... ...include evaluating clinical trials, developing policies for clinical operations, and ensuring communication with sponsors. An Advanced Cardiac...Remote jobOperationsPolicy
$288.2k - $360.2k
...company based in Japan with operations in the U.S. (Sumitomo Pharma... ...Risk Management (PVRM) Senior Medical Director will be responsible for the... ...safety governance policies and keeping senior leadership... ...Travel Requirements: Primarily remote role with periodic on-site meetings...Remote workOperationsPolicyWork at officeLocal areaWorldwideFlexible hours$190k - $200k
...re seeking a board‑certified Medical Director (Internal Medicine or Family... ...team. This role is fully remote and focuses on utilization management... ...as needed. Consult on SUD policy and MCM cases when required.... ...or other health plan operations. Performance Expectations...Remote workOperationsPolicyFull time- ...physician to serve as Clinical Medical Director in support of CMS Healthcare... ...This is a high-impact, policy-adjacent role combining clinical... ...with federal health program operations. The Clinical Medical... ...VA, however we are open to remote candidates in the following...Remote workOperationsPolicy
$250k - $265k
...Medical Director, Cardiometabolic & Endocrinology Care This position... ...multidisciplinary teams including operations, product, sales, and client... .... ~ Flexible vacation policy supporting rest and personal... ...individuals and families. ~ Fully remote role within the United...Remote workOperationsPolicyFull timeFlexible hours
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