Remote Part-Time Medical Director - Utilization Management
Jobgether SRL
Jobgether SRL is seeking a remote, part-time physician leader to oversee medical necessity reviews across home health, acute, post-acute and outpatient services for Medicare Advantage populations.
You will collaborate with treating physicians, nursing teams and external agencies to promote evidence-based care and appropriate resource utilization, applying CMS rules, coverage determinations and MCG criteria in a flexible remote role.
#J-18808-Ljbffr$224k - $364k
...States FL, United States (Remote) Job Description The Medical Director will work closely with... ...perform all types of utilization management (UM) reviews,... ...approved resources to render timely decisions on medical... ...Benefits for intern, part-time and seasonal employees...Part timeRemote workTemporary workWork experience placementInternshipSeasonal work- Centene Corp seeks a Medical Director PRN to support the CMO in directing the physician component of utilization management for the health plan units. The position is remote in Indiana, part-time (~20 hours/week), with Thursdays and Fridays as the highest priority. Board...Part timeRemote workRelief
$236.5k
...Assist the Chief Medical Director to direct and coordinate... ...the medical management, quality... ...leadership of all for utilization management, cost... ...services, ensuring timely and quality decision... ...to work with remote, hybrid, field or... ...including full-time or part-time status....Part timeRemote workFull timeWork at officeFlexible hoursWeekend work- ...Medical Director, Utilization Management (Home Health, Acute & Post-Acute)HJ Staffing is seeking an... ...experienced physician leader for a remote Medical Director, Utilization... ...be available during Eastern Time / EST business hours)Employment Type: Part-Time / Contract (6-Month...Part timeRemote workContract workLocal areaWork from home
$275k - $315k
...Title: Medical Director of Utilization Management Summary: Step into a strategic leadership position as the Clinical Lead for a prominent Health Plan... ...: $275,000 - 315,000 / year High-impact leadership role with a hybrid schedule (3 days remote / 2 days onsite)...Remote workFull timeWork at officeMonday to FridayShift work2 days per week- ...CAI is a global services firm seeking a Medical Director to ensure utilization management meets the highest clinical standards. The position is full-time and remote, enabling work from home while contributing to critical case reviews and policy development. The role...Remote workFull timeWork from home
$103.37 per hour
...Medical Director PRN### Medical Director PRNApply: Remote-IN: Part time: Posted Today: 1670748**Position Purpose:** Assist the CMO to direct and coordinate the physician component of the utilization management functions for the health plan business units. **Key Details...Part timeRemote workHourly payFull timeReliefWork at officeFlexible hours- ...promote the delivery of safe and effective medical care, the part-time Pennsylvania Licensed Medical Director, Psychiatry will manage utilization management and care management... ...effective health care delivery while working remotely in the Tri-State Area. Key...Part timeRemote work
- ...GuideWell Mutual Holding Corporation is seeking a Medical Director to lead all utilization management reviews (Pre-service, Post-service, Concurrent Review and Appeals) and to collaborate with physician providers and Case Managers on complex cases. The ideal candidate...Remote work
- ...HJ Staffing is seeking an experienced physician leader for a remote Medical Director, Utilization Management role. You will serve as the primary clinical authority for home health authorizations and support acute, post-acute, appeals, and reviews for Medicare Advantage...Remote work
- ...CAI is seeking a Medical Director to ensure utilization management responsibilities are performed in accordance with the highest and most current clinical standards. This full‑time, remote role supports our nationwide client base while offering worksite flexibility....Remote workFull time
- ...CAI is seeking a Medical Director for a fully remote, full-time role to ensure utilization management aligns with top clinical standards. You will lead medical policy reviews, determine medical necessity, and guide the CMDM team. The position emphasizes physician expertise...Remote workFull time
- ...CAI is seeking a Medical Director to oversee utilization management, ensuring compliance with current clinical standards. This full-time, remote role requires board-certified MD/DO with licensure in PA, NY or WV and at least 5 years of direct patient care. You will...Remote workFull time
$240k
...clinically driven, tech-enabled utilization management company offering expert... ...opportunities An award-winning remote work environment Position Summary Our Medical Director, also known as a Physician Advisor... ...appropriately and in a timely manner to licensing/CME requests...Remote workFull timeTemporary workWork at officeWork from homeShift workRotating shiftWeekend work- ...Medical Director, Arbitrations And Um Md FloatThe Medical Management team ensures that Blue Shield is on the cutting edge of medical... ...learning.This is a part-time position with a 0.6 FTE scheduleResponsibilitiesIn... ..., and retrospective utilization management cases, as assigned...Part timeFull timeTemporary workWork at officeLocal areaWork from homeHome officeFlexible hours2 days per week
$200k - $250k
...Medical Director, Utilization ManagementWe are seeking a Medical Director, Utilization Management to lead utilization management, coverage determinations... ...right care at the right time. This position is a full-... ...combination of onsite and remote daysMonday through Friday,...Remote workHourly payFull time- ...HJ Staffing is urgently seeking a Medical Director of Utilization Management to join a leading Medicare Advantage Health Plan. This physician... ...outcomes and regulatory compliance. Location: 100% Remote Schedule: Full-Time, Monday – Friday (Must work PST hours ) Job Description...Remote workFull timeMonday to Friday
$248.5k - $373k
...00/yearJob Area: Medical & Clinical OperationsCompany... ...GroupWellMed, part of the Optum... ...to join our Utilization Management team. Optum is a... ...live.The Medical Director for Utilization Management... ...to work remotely * from anywhere within... ...based on full-time employment. We comply...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$120 - $135 per hour
...Be Doing Cardiovascular Utilization Management Reviewer (Interventional... ...Management team as a Field Medical Director, Cardiovascular Specialist... ...This position is 100% Remote and can be completed from... ...flexible schedule and both part-time and full-time options available...Part timeRemote workFull timeWork at officeFlexible hours- ...CAI is seeking a Medical Director to oversee utilization management with a focus on clinical standards. The role is full-time and remote, offering the flexibility to impact care across the organization. The ideal candidate will hold an MD/DO, board certification, and licensure...Remote workFull time
$350k
...Market Medical Director, CaliforniaLos Angeles, CaliforniaDaymark... ...avoidable acute-care utilization, and other key... ...Collaborate on hiring, team management, and day-to-day... ...will participate in remote supportive oncology on... ...experience.We are open to a part-time arrangement for this...Part timeRemote workFull time3 days per week$99.6 - $161.9 per hour
...Associate Medical Director - Part Time Work from home within Oregon, Washington... ...clinical staff on case management reviews and provide peer-to... ...understanding of care management, utilization management and quality... ...as part of a team. #LI-Remote Compensation: Pay...Part timeRemote workLive inImmediate startWork from homeFlexible hours- ...CAI is seeking a Medical Director to lead utilization management in a remote, full-time capacity. The candidate must hold an MD or DO, board certification, and an active medical license with at least five years of direct clinical care experience. This role involves...Remote workFull time
- ...TalentLNX LLC is seeking a Medical Director, Utilization Management to lead utilization management, coverage determinations... ...a national health plan. This full-time, hybrid role is based in the Orlando... ...FL area with a blend of onsite and remote days. You will guide a UM team...Remote workFull time
- SCAN is seeking an Utilization Management Physician Medical Director to lead medical necessity determinations, prior authorizations, and reviews. This physician will influence policy, provide clinical mentorship, and ensure compliant, evidence-based decision-making while...Remote job
$190k - $200k
...A healthcare management company is seeking a fully remote Medical Director to support their team in utilization management and clinical oversight for high-volume cases. The ideal candidate will have an MD or DO with board certification in Internal Medicine or Family Practice...Remote work$222.75k - $267.3k
Altais is seeking a Medical Director of Utilization and Medical Management to drive Utilization Management policy and lead interdisciplinary teams in California. You will co-chair committees, collaborate with physician leaders, and ensure high-quality, cost-conscious patient...Remote job$225k - $275k
...Job Description Job Description Medical Director (Utilization Management) - Remote Role! Compensation: $225,000 to $275,000/year Schedule: Full-time (Remote) Job Summary: The Utilization Management Medical Director is a key physician responsible for advancing...Remote workFull timeFlexible hours- ...Medical Review Institute of America is seeking a Medical Director (Physician Advisor) to lead clinical utilization management, peer review activities, and clinical quality management. This remote role reports to MRIoA leadership and offers a comprehensive compensation...Remote work
- ...MASC Medical is recruiting a part-time Medical Director of Utilization Management for a San Diego PACE program serving frail, dual-eligible older adults. This 20-hour-a-week leadership role has no patient panel or on-call duties, and you will own medical necessity determinations...Part time
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