Remote Neurology Medical Director CMS Quality
Virtix Health
A leading healthcare organization is seeking a Neurologist Medical Director to ensure compliance with clinical guidelines for Medicare beneficiaries. The role involves conducting case reviews, offering clinical guidance, and improving care delivery. Candidates must be board-certified and hold an active medical license. This position is primarily remote, offering a full-time work schedule with comprehensive benefits including medical coverage and opportunities for career growth. #J-18808-Ljbffr
$79.72k - $128.12k
...information contained in the beneficiary’s medical record. Responsible for performing quality reviews of medical records to... ...conjunction with the Associate Director and Director of DRG Validation to... ..., Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics,...Remote workCmsFull timeTraineeshipWork experience placementLocal area$78.7k - $134.9k
...care, where coordinated, quality service is the norm and... ...clinical review and medical record operations supporting... ...work including remote electronic health record... ...discussions Assists Director and Manager as needed to... ...OffSeason Data Collection CMS Cost Audits RADV...Remote workCmsWork experience placement$246.1k - $344.2k
...community The Corporate Medical Director - Trainer provides... ...clinical guidelines, CMS references, HMCP MA policies... ...needs. Support quality auditing functions by... ..., Emergency Medicine, Neurology, and General Surgery... ...ATrainer This is a remote position Work at Home...Remote workCmsFull timeTemporary workApprenticeshipTraineeshipWork at officeWork from homeHome officeMonday to FridayWeekend work$248.5k - $373k
...- $373,000.00Job Area: Medical & Clinical OperationsCompany... ...removing barriers to quality care. The work you do... ...flexibility to work remotely * from anywhere within... ...and Grievances Medical Director is responsible for ongoing... ...Managed Healthcare, and CMS regulatory responses....Remote workCmsMinimum wageWork experience placementLocal areaWork from home$198k - $330k
Position SummaryYou will lead global medical activities for oncology assets and work closely... ...States and is hybrid, with a mix of remote and on-site work expected. Travel will be... ...Centers for Medicare and Medicaid Services (CMS) website at SummaryLocation: USA - Pennsylvania...Remote workCmsFull timeLocal areaWork from home$280.84k - $393.18k
...Health Services, the Senior Medical Director Policy & Outcomes (Sr. Medical... ...performance as per DHCS, DMHC, CMS, and CCA clinical... ...to key activities including quality management, grievance and appeals... ...work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho...Remote workCmsTemporary workLocal area$248.5k - $373k
...3,000.00Job Area: Medical & Clinical OperationsCompany... ..., the Medical Director provides... ...responsible for the overall quality, effectiveness and... ...to work remotely * from anywhere within... ...requirements (e.g., CMS, NCQA, URAC, state... ...certification in Neurological Surgery through...Remote workCmsMinimum wageWork experience placementWork at officeLocal area$248.5k - $373k
...00 - $373,000.00Job Area: Medical & Clinical OperationsCompany... ...of a team of medical directors, for the overall quality, effectiveness and coordination... ...the flexibility to work remotely * from anywhere within the... ...standards and requirements (e.g., CMS, NCQA, URAC, state /...Remote workCmsMinimum wageWork experience placementLocal areaWeekend work$284.63k
...DPosition SummaryAs SERM Senior Medical Director, Oncology, you will lead... ...OncologyProven record of high-quality, timely decision-making and creative... ...week, with flexibility for remote work for the remainder.How we... ...and Medicaid Services (CMS) website at SummaryLocation:...Remote workCmsFull timeWork at officeLocal area2 days per week$248.5k - $373k
...- $373,000.00Job Area: Medical & Clinical OperationsCompany... ...together.The Medical Director for the Oncogenetic... ...the flexibility to work remotely * from anywhere within... ...Responsibilities:Work to improve quality and promote evidence-... ...compliance standards (CMS, NCCN, ASCO guidelines)...Remote workCmsMinimum wageWork experience placementLocal area- System Physician Advisor Medical Director Responsibilities and Job Description... ...while ensuring the highest quality of care is provided. This... ...Medicare and Medicaid Services (CMS) rules and regulations related... ...providers involved in remote utilization review and physician...Remote workCmsContract workFor contractorsMonday to FridayWeekend work3 days per week
$248.5k - $373k
...3,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...and live.The Medical Director for Utilization... ...the flexibility to work remotely * from anywhere within... ...current and proficient in CMS criteria hierarchy and... ...confidentialityProvides quality assurance and education...Remote workCmsMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Overview The Contractor Medical Director (CMD) is responsible for researching... .... The role collaborates with CMS and other Medicare... ...promoting program integrity and high‑quality care for Medicare beneficiaries... ...or Home Health and Hospice. Remote Work Requirements Wired (ethernet...Remote workCmsContract workFor contractorsLive inLocal areaImmediate start2 days per week
- ...home location in United States. This is a remote opportunity within the Detroit North and... ...therapies). ~ Chance to serve as a quality improvement subject matter expert. ~ Ability... ...(QAPI) program in alignment with CMS, state, and organizational standards....Remote workCmsFull timeWork from homeMonday to FridayShift workWeekend work
- Job SummaryWe are seeking a Medical Director with clinical specialization (varying therapeutic... ...limited to Gastroenterology/Hepatology, Neurology/Psychiatry, Nephrology, Cardiology, and... ...role also has the ability to be fully remote with the right experience**.ResponsibilitiesProvide...Remote workContract workWork from home
$248.5k - $373k
...2193 **Job category:** Medical & Clinical Operations Optum... ...at Optum, the Medical Director provides leadership,... ...responsible for the overall quality, effectiveness and... ...through Friday. This can be remote work from home anywhere... ...requirements (e.g., CMS, NCQA, URAC, state /...Remote workCmsMinimum wageFull timeWork experience placementLocal areaWork from homeMonday to Friday$222.75k - $371.25k
...meaningful impact in the real world.The Medical Director, Oncology Clinical Development is the physician... ...locations at least two days per week. Remote work is available on other days.Basic... ...for Medicare and Medicaid Services (CMS) website at SummaryLocation: USA - Pennsylvania...Remote workCmsFull timeLocal areaRelocation2 days per week- ...Centene Corp. is seeking a Remote Medical Director, Appeals to lead medical management, utilization review, and quality improvement for our national program. You will provide medical leadership across utilization management, cost containment, and clinical quality initiatives...Remote work
- ...Medical Director Utilization Management Location: Remote Preference EST or nearby Pittsburgh PA, NY, WV Duration: 6+ Months Contract Role with possible extension... ...Director ensures compliance with NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition...Remote workCmsContract workPrivate practice
$223.8k - $313.1k
...community The Behavioral Health Medical Director is responsible for behavioral... ...guidelines, state policies, CMS policies and determinations,... .... Travel: While this is a remote position, occasional travel to... ...efforts are leading to a better quality of life for people with...Remote workCmsWeekly payFull timeTemporary workApprenticeshipWeekend work$222.75k - $371.25k
...together.We are seeking an experienced Medical Director for the role of Medical Director Clinical... ...posted locations at least two days per week. Remote work is available on other days.Position... ...for Medicare and Medicaid Services (CMS) website at SummaryLocation: UK - London...Remote workCmsFull timeLocal areaRelocation2 days per week$248.5k - $373k
...0 - $373,000.00/yearJob Area: Medical & Clinical OperationsCompany:... ...Review team at Optum, the Medical Director provides leadership,... ...enjoy the flexibility to work remotely * from anywhere within the U.S... ...standards and requirements (e.g., CMS, NCQA, URAC, state / federal and...Remote workCmsMinimum wageFull timeWork experience placementLocal areaMonday to FridayFlexible hours- ...UnitedHealth Group is seeking a Medical Director to oversee medical review services and utilization management workflows. The role involves... ...activities, and ensuring high standards across clinical criteria. Remote work within the U.S. is supported, with potential weekend...Remote workWeekend work
- ...evaluates an effective, data-driven, quality assessment and performance... ...the assigned area to achieve CMS Conditions for Coverage and... ...and utilization of Corporate Medical Advisory Board Recommended Algorithms... ...United States. This is a remote opportunity within the Queens/...Remote workCmsWork experience placementWork from homeMonday to FridayShift workWeekend work
- DescriptionMount Sinai Health System is seeking a Senior Medical Director of Quality and Patient Engagement.The Senior Medical Director (SMD) for... ...0 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery,...Full timeTraineeshipLocal area
- ...Medical Director Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location: Pittsburgh, PA Schedule: Monday Friday... .... Ensure compliance with NCQA, URAC, CMS, DOH, DOL, and other regulatory standards....Remote workCmsFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
$300k
...of Massachusetts Chan Medical School (UMass Chan) seeks... ...the Facility Medical Director (FMD) for The Cape Cod... ...Oversee the delivery of high-quality clinical care and... ...ensure compliance with CMS, Joint Commission, DMH,... ...eligible for a hybrid/remote schedule combining regularly...Remote workCmsDaily paidContract workLocumH1bNight shiftWeekend workDay shift$217k - $284.8k
At Eisai, satisfying unmet medical needs and increasing the benefits... ...that is breaking through in neurology and oncology, with a strong... ...from you.The Global Medical Director will provide medical leadership... ...ParticipationSummaryLocation: United States, Remote; New Jersey, NutleyType: Full...Remote workFull timeTemporary work- ...A diversified healthcare organization is seeking a clinical professional to lead medical management services. Responsibilities include overseeing utilization review, coordinating quality improvement initiatives, and collaborating with various clinical teams to ensure optimal...Remote workFlexible hours
$248.5k - $373k
...$373,000.00Job Area: Medical & Clinical OperationsCompany... ...costs.The Medical Director provides physician... ...coverage determinations, quality improvement and cost effectiveness... ...flexibility to work remotely * from anywhere within... ...Certification in Neurology through the American...Remote workMinimum wageWork experience placementLocal area
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