Medical Director, Physiatrist | PM&R Outcomes & Utilization
6AM City, LLC
Job Description Job Description We have an opening for a M edi cal Director - Physiatrist with a Large Managed Care Organization in NJ! The M edi cal Director - Physiatrist will focus on identifying opportunities to improve clinical outcomes, care efficiency, and patient experience while reducing operational costs . The M edi cal Director - Physiatrist will collaborate with leaders to enhance provider relations hips, educate them on best practices,and ensure quality care. The M edi cal Director - Physiatrist will look at data trends and data interpretation aroundutilization, cost and quality reports.
REQUIREMENTS FOR M EDI CAL DIRECTOR – PHYSIATRIST :
PM&R Board certified by the American Board of Physical M edi cine and Rehab ilitation ( ABPMR ) Active Unrestricted MD or DO License &NJ License Required 5+ years of clinical experience Utilization management experience focusing on PM&R cases Requires some knowledge of health insurance payer business including business operations. HOURS OF THIS POSITION FOR M EDI CAL DIRECTOR – PHYSIATRIST : Monday- Friday, 8:00 am – 5:00 pm but will need flexibilitySALARY FOR M EDI CAL DIRECTOR – PHYSIATRIST :
Star ts at $207,000K - $250,000 (depending on experience it can increase) + Upto20% bonusBENEFITS FOR M EDI CAL DIRECTOR – PHYSIATRIST :
M edi cal, dental and vision plans 401K with 3% company match (fully vested after 3 years) Company will also contribute an additional 4% into an employee’s Savings and Investment Plan Tuition Reimbursement 29 Days of PTO ( Star ting Jan. 1st) | PTO is pro-rated depending on when they star t in the year 12paid holidays For more information about this position please apply to this job posting or email your resume to Executive Search Recruiter, Melanie Williams at View email address on click.appcast.io About Us: HealthCare Support is a national niche recruitment firm that has a singular focus - placing top talent in the dynamic healthcare industry. Servicing local providers to national organizations, we place administrative to executive-level professionals in the clinical and non-clinical healthcare arena.#DHMW924
#LI-MW1
Company Description HealthCare Support is a national recruitment firm that has a singular focus – placing top talent in the dynamic healthcare industry. We place administrative to executive level professionals in the clinical and non-clinical healthcare arena. Launched in 2002, HealthCare Support has quickly grown to be a leader in the healthcare recruitment field and has access to a proprietary database of over 3.5 million talented candidates. Servicing local providers to national organizations, our delivery model is tailored to meet our client’s unique needs. Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. Company Description HealthCare Support is a national recruitment firm that has a singular focus – placing top talent in the dynamic healthcare industry. We place administrative to executive level professionals in the clinical and non-clinical healthcare arena. Launched in 2002, HealthCare Support has quickly grown to be a leader in the healthcare recruitment field and has access to a proprietary database of over 3.5 million talented candidates. Servicing local providers to national organizations, our delivery model is tailored to meet our client’s unique needs. Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. #J-18808-Ljbffr 6AM City, LLC- ...the “Best Places to Work in PA.” The Medical Director provides medical guidance and support... ...the full spectrum of Capital’s Clinical Utilization Management activities and programs. Supports... ...clinical review findings, actions and outcomes in accordance with policies, and...SuggestedFor contractorsFlexible hoursWeekend work
- ...Now Hiring: Medical Director – Utilization Management 100% Remote | Must work PST hours Medicare Advantage | Inpatient & Post-Acute Focus We’re... ...based, and compliant care decisions that support quality outcomes, cost efficiency, and regulatory excellence. What You’ll...SuggestedImmediate startRemote work
$130 - $140 per hour
...Remote Medical Director - Utilization Management (6-12 month contract, potential for long-term hire!) Must hold MD license in PA, NY or WV. Job... ...discussions with providers to facilitate collaborative clinical outcomes. Required Qualifications Medical Degree (MD or DO) from...SuggestedHourly payContract workRemote workFlexible hours$240.12k - $315.16k
...Hi, we're Oscar. We're hiring an Associate Medical Director to join our Utilization Management Team. Oscar is the first health insurance company... ...to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment...SuggestedFull timeImmediate startRemote workWork from homeHome office$240.12k - $315.16k
...Description Hi, we're Oscar. We're hiring an Associate Medical Director to join our Utilization Management Team. Oscar is the first health insurance... ...to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based...SuggestedFull timeImmediate startRemote workWork from homeHome office$79.8k - $126k
...Judi Health is seeking a Medical Director (Texas Licensed) for a remote position. The role will involve overseeing clinical support for Capital Rx's utilization management programs and making clinical determinations for patient care. Qualified candidates must have an active...Remote work$100 - $140 per hour
...Altais Health Solutions is seeking a Medical Director of Utilization and Medical Management to oversee and improve healthcare delivery processes. This role demands collaboration with various healthcare providers and leadership across multiple committees. Qualified candidates...Hourly payDaily paid- ...Medical Director – Utilization Management Remote | Full-Time (40 hrs/week) We are partnering with a national health plan organization to identify an experienced Utilization Management Medical Director to support a high-volume, payer-side clinical review operation. This...Full timeContract workImmediate startRemote work
$248.5k - $373k
...Optum is seeking a Medical Director for Utilization Management to support WellMed. This role involves making utilization management determinations and identifying trends in service utilization. The ideal candidate will have an M.D. or D.O. degree, board certification...Remote work$250k
...Integra Partners is seeking a full-time Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. The role requires an MD or DO degree, board certification, and experience in utilization management. Responsibilities include...Full timeRemote work- ...A healthcare organization is seeking a Medical Director for Utilization Management to ensure compliant care decisions for Medicare Advantage members. This remote position requires expertise in clinical decision-making, particularly with MCG guidelines and utilization...Remote work
$150 - $165 per hour
...A healthcare consulting firm is seeking a Medical Director for a four-month engagement starting April 1. This role will provide clinical leadership in utilization management and oversee appeals related to Medicare Advantage and other lines of business. Responsibilities...Hourly payContract work- ...Medix™ is looking for experienced Utilization Management Medical Directors for a remote contract opportunity. This role is ideal for physicians with strong payer-side utilization management experience who can thrive in a high-volume review environment. The position offers...Full timeContract workRemote workFlexible hours
$110.88 - $124.74 per hour
...A community-based healthcare organization is seeking a Medical Director of Utilization Management to oversee and coordinate clinical management, ensuring compliance with regulatory requirements. This role requires at least 3-5 years of health plan experience and a current...Hourly payDaily paidRemote workFlexible hours- ...A health care organization is looking for a Medical Director for its National Utilization Management Team. This remote position requires reviewing medical records and making clinical determinations, requiring at least 5 years of clinical experience post-residency. The...Remote workWeekend work
$120 per hour
...Direct message the job poster from The Judge Group Medical Director – National Utilization Management Team (One Weekend per Month) Location: Remote (U.S. only; must reside in the U.S.) Pay Rate: $120/hour Start Date: ASAP Schedule: 40 hours per week with rotating weekend...Ongoing contractPermanent employmentFull timeContract workImmediate startRemote work- ...Evolent is seeking an FMD in Radiology to play a crucial role within the utilization management team. The position involves reviewing imaging cases, ensuring compliance with medical necessity guidelines, and providing clinical rationale during peer-to-peer discussions...
- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team, ensuring the accuracy and validation of medical policies, and collaborating with cross-functional teams. Ideal candidates...Remote work
- ...requires strong clinical knowledge in medication management and effective communication... ...with healthcare teams to improve patient outcomes. Responsibilities include developing medication... ...critical role that ensures the optimal utilization of pharmacy practices within healthcare...
$227.6k - $385k
...Health is seeking a physician to join a dedicated team focusing on utilization management. This role involves managing escalated cases... ...potentially advising on cases. Minimum qualifications require a Medical Doctor or Osteopathic Doctor degree and 5 years in clinical care...$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- ...A health insurance provider is seeking a Medical Director in Pennsylvania to oversee clinical utilization management activities. This independent contract role requires at least five years of clinical experience and three years in managed care. Responsibilities include...Contract workPart time
- ...Evolent is seeking a FMD, Radiology to join their utilization management team. This role requires serving as a physician match reviewer for imaging cases and ensuring compliance with medical review processes. Ideal candidates will have a minimum of five years' experience...
- ...Evolent Specialty Services, Inc is seeking an IM-EM/Cardiology Field Medical Director to join their Utilization Management team. You will play a crucial role in reviewing cardiology-related service requests and ensuring they meet medical necessity guidelines. This position...
$240.12k - $315.16k
Oscar Health is seeking an Associate Medical Director to join their Utilization Management Team. In this role, you will determine the medical appropriateness of various services, oversee a team of physicians, and influence departmental strategy while ensuring adherence...Remote jobImmediate start- ...Evolent is seeking a Vascular Surgery Field Medical Director to join our utilization management team. This role allows you to make a significant impact in patients’ lives while enjoying better work-life balance in a collaborative environment. The ideal candidate will...
- ...A leading healthcare organization is looking for a Cardiology Field Medical Director. In this role, you will be pivotal in utilization management, conducting specialty reviews and providing clinical rationale for appeals. Required qualifications include an MD/DO degree...
- ...ABOUT THIS POSITION The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will... ...salary + bonus, if applicable) Customizable benefits package (3 medical plans with Health Saving Account company match) We offer...Live outLocal areaRemote workFlexible hours
- ...ABOUT THIS POSITION The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will... ...bonus if applicable). Customizable benefits package with three medical plans and a Health Savings Account company match. Generous...Live outLocal areaRemote workFlexible hours
- ...A leading healthcare facility in the United States seeks a Clinical Product Consultant for Utilization Management. The role involves providing clinical insights, ensuring product accuracy, and managing implementation milestones. Candidates should have a BSN, extensive...Remote workFlexible hours
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