Remote Medical Director Policy & Provider Relations
$191.5k - $355.6kHCSC
Health Care Service Corp. is seeking a qualified physician to manage medical policies and conduct medical reviews within the provider community. This role requires a current M.D. or D.O. license and five years of clinical experience. The physician will oversee medical review processes and collaborate with assigned provider communities. The compensation ranges from $191,500 to $355,600 annually, with additional benefits including a 401(k) plan and paid parental leave. #J-18808-Ljbffr
$202k - $303k
...Job Description The Medical Director participates in the broad... ..., and medical policy processes, and support... ...business. The incumbent also provides input into the development... ...support our Provider Relations team as requested.... ...may be opportunity for remote work within all jobs posted...Remote workPolicyContract workWork at officeLocal areaWork from homeHome officeAfternoon shift$250k - $350k
...company, is a specialized medical group dedicated to providing accessible medical care to... ...longitudinal care management, remote monitoring, and real-time... ...Position Title: Medical Director – Intention MA... ...protocols and organizational policies · Conduct periodic ride-...Remote workPolicy- ...manages team responsible for health plan provider relations activities. Supports network... ...knowledge of and compliance with Molina policies and procedures. Collaborates with network... ...providers regarding cost control initiatives, medical cost ratio (MCR), non-emergent...Remote workPolicyContract workWork at office
- ...JOB DESCRIPTION Job Summary Provides subject matter expertise and... ...leadership for health plan provider relations activities. Supports network... ...and compliance with Molina policies and procedures. Essential Job... ...issue resolution, electronic medical record (EMR) connectivity,...Remote workPolicyContract workWork at officeNight shift
- ...solutions firm is seeking a Medical Director to lead medical decision-making... ...compliance with Medicare policies. The role requires an MD or... ...regulations. Responsibilities include providing clinical expertise,... ...initiatives. This position includes remote work opportunities in...Remote workPolicy
- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth... ...the accuracy and validation of medical policies, and collaborating with cross-functional... ...reasoning, and leadership skills. This remote role offers a competitive salary, benefits...Remote workPolicy
- ...engagement platform is seeking a Medical Director to oversee a team responsible... ...teams to enhance medical policy and improve patient care. The company offers a remote working environment and promotes... ...inclusiveness and continuous learning, providing competitive compensation and...Remote workPolicy
$250k - $265k
...Our partner is looking for a Medical Director, Cardiometabolic &... ...delivery. Accountabilities: Provide direct virtual patient care... ...coverage. ~ Flexible vacation policy supporting rest and personal... ...individuals and families. ~ Fully remote role within the United...Remote jobPolicyFull timeFlexible hours$191.5k - $355.6k
A leading health insurance company is seeking a Physician to handle medical policies and perform reviews in a remote role. Candidates must hold an M.D. or D.O. degree with a current medical license in the U.S., and have at least 5 years of clinical experience. Strong analytical...Remote workPolicy$170 - $175 per hour
...CAI is seeking a motivated Medical Director ready to elevate organizational performance. This full-time remote role demands clinical expertise and strong decision-making capabilities. The Medical Director will ensure adherence to the highest clinical standards and participate...Remote workPolicyHourly payFull time- ...About the job Medical Director Medical Director ( Remote ) A growing outpatient facility company is hiring... ...following responsibilities Provide clinical consultation and serve... ...reviews and propose new medical policies Requirements Atleast 7...Remote workPolicy
$84k - $105k
...Transformcap is seeking a Medical Director to provide clinical support for its clinical utilization management programs. This position involves... ...specialty in Internal Medicine are required. The position offers remote work with a salary range of $84,000 — $105,000 USD. #J-188...Remote workPolicy$248.5k - $373k
...Cleveland seeks a qualified MD or DO for a remote position focused on managing health... ...to communicate effectively with medical directors. You will also provide clinical strategy and participate... ...must adhere to telecommuter policies and the workplace is drug-free. #J-...Remote workPolicy$170 - $175 per hour
...CAI is seeking a qualified Medical Director to perform utilization management responsibilities in a remote role. The ideal candidate will have at least 5 years of clinical experience and strong decision-making skills. Responsibilities include reviewing escalated cases,...Remote workPolicyHourly pay$248.5k - $373k
...Health Institute is seeking a qualified Medical Director responsible for reviewing appeals and... ...requires a thorough understanding of medical policies and a collaborative approach with team... ...benefits package available for remote employees within the U.S. #J-18808-Ljbffr...Remote workPolicy$248.5k - $373k
...Corporation is seeking an Appeals and Grievances Medical Director to oversee clinical review and adjudication of... ...benefits package such as equity stock purchase and 401(k) contributions. Remote work is available with adherence to telecommuter policies. #J-18808-Ljbffr...Remote workPolicy- ...Humana Inc is seeking a Medical Director to leverage their medical expertise in service authorizations... ...and quality outcomes. This full-time, remote role involves reviewing clinical... ...national clinical guidelines and Humana policies. The ideal candidate possesses an MD or...Remote workPolicyFull time
$246.1k - $344.2k
...Humana Inc. is looking for a Corporate Medical Director to work remotely from anywhere in the USA. This leadership role involves making critical... ...medical decisions and ensuring compliance with healthcare policies while maintaining a focus on quality. The ideal candidate...Remote workPolicy$246.1k - $344.2k
...located in Columbia, SC, is seeking a Corporate Medical Director responsible for evaluating health claims and... ...various teams to ensure compliance with policies while maintaining a clear focus on quality improvement. This remote position requires an MD or DO degree and extensive...Remote workPolicy- ...healthcare company in Michigan is seeking a Medical Director to oversee clinical decisions and... ...compliance with national guidelines and policies. The ideal candidate needs an MD or DO... ...populations. This position allows for occasional remote work, with responsibilities primarily...Remote workPolicyCasual work
$223.8k - $313.1k
...Humana Inc is seeking a full-time Medical Director to oversee medical determinations on rehabilitation... ...compliance with regulations. This remote position requires an MD or DO degree... ...and vision coverage, a 401(k) plan, and generous time off policies. #J-18808-Ljbffr...Remote workPolicyFull time- ...healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making. This role demands a... ...compliance with national guidelines and company policies. Ideal candidates will have significant...Remote workPolicyContract workWeekend work
$130 - $140 per hour
...Remote Medical Director - Utilization Management (6-12 month contract, potential for long-term hire... ...escalated cases utilizing established medical policy criteria, ensuring clinical accuracy.... ...in peer-to-peer discussions with providers to facilitate collaborative clinical...Remote workPolicyHourly payContract workFlexible hours- ...community. Description Medical Director, Liver Transplant Program... ...Emory University location. Remote work from home day options may... ...). Inquiries regarding this policy should be directed to the... ...to ensuring equal access and providing reasonable accommodations to...Remote workPolicyWork from home
$110 - $130 per hour
...Title: Medical Director Location: Remote Duration: 6 Months with possible extension/Conversion FTE We’re... ...support discharge planning, mentor provider relationships, and help reduce readmissions... ...unit as needed. Consult on SUD policy and MCM cases when required. Qualifications...Remote workPolicy- ...Job Title: Medical Director – Utilization Management (Contract to Hire) Location: Fully Remote (U.S. Only) Work Authorization: U.S. Citizen required Overview Seeking experienced... ...Do Review escalated cases against medical policy criteria to determine medical necessity...Remote workPolicyContract workFlexible hours
- ...Purpose: The Medical Director, Utilization Management... ...members. This fully remote role will be responsible... ...hospitals and other providers. UPMC offers... ...with the established policies of the Health Plan.... ...protocols, and standards related to quality and...Remote workPolicyWork at office
$195.5k - $250k
...Medical Director The American Red Cross is seeking a Medical Director to provide expert consultation, education, and oversight in transfusion... ..., and help shape medical policies and procedures. This... ...This position is designed as a remote role, allowing flexibility in...Remote workPolicyLocal areaRelocation package- ...insurance Job Title: Medical Director – Hospice Location:... ...committed to providing compassionate, high-quality... ...implementation of clinical policies, procedures, and... ...care, geriatrics, or related field. Strong understanding... ...Flexible schedule (remote/telehealth options...Remote workPolicyFull timeLocal areaWork from homeFlexible hours
$223.8k - $313.1k
...A leading healthcare provider is seeking a Medical Director to oversee the clinical evaluation... ...of healthcare services related to Medicare and Medicaid.... ...ensuring compliance with policies, and contributing to... ...clinical experience. This remote position offers a competitive...Remote workPolicy
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