Remote Behavioral Health Medical Director — UM & Strategy
Centene Corp.
- Remote job
Centene Corporation is seeking a remote BH Medical Director to lead medical management, quality improvement, and credentialing within the Utilization Management space. The role focuses on strategic planning, data analysis, and cost containment, reporting to the Chief Medical Officer while collaborating with nursing and clinical teams. Applicants must be board-certified in Psychiatry with a current MD/DO license. Payer/Managed Care experience is highly preferred. #J-18808-Ljbffr Centene Corp.
$215k - $408.5k
...Assist the Chief Medical Officer to direct and... ...business unit. This is a remote BH Medical Director role providing... ...Utilization Management (UM) and cost containment... ...improve utilization and health care quality.... ...government programs. For Behavioral Health only - Board...Remote workFull timePart timeWork at officeFlexible hoursWeekend work$50 - $57 per hour
Molina is hiring a 1099 Behavioral Health Physician (MD/DO) to provide non-clinical utilization management services for... ...requires at least 20 hours of availability, is remote, and involves initial and concurrent medical necessity reviews, peer-to-peer reviews, and first...Remote jobHourly pay- ...Ladders is seeking a Behavioral Health Medical Director to provide medical leadership for utilization management and quality initiatives within a leading Hospitals & Medical Centers space. This remote role partners with clinical teams and quality stakeholders to support...Remote work
- ...Centene Corp. seeks a Behavioral Health Medical Director to lead medical management, quality improvement and credentialing for the business unit. Must... ...CA, OR, WA or NV; Pacific Time preference is noted. Remote-CA with full-time schedule and potential weekend/holiday...Remote workFull timeWeekend work
$124 - $128 per hour
...& Fostering Relationships Job Title: Medical Director - Behavioral Health Duration: 6-month contract with potential... ...based on performance. Location: Remote Shift Type: 8 am – 5 pm Flexible for... ...physician with active practice experience. UM Proficiency: Proven ability to handle...Remote workContract workFlexible hoursShift workWeekend work$75.3k - $135.4k
...Position Purpose: Supervises the behavioral health (BH) utilization review... ...you know? Centene is seeking a remote Supervisor, Behavioral Health... ...Monitors and tracks UM BH resources to ensure adherence... ...preferred. Understanding of medical necessity criteria for a broad...Remote workFull timePart timeWork at officeFlexible hours$89.17k - $142.68k
...Description The Sr. Behavioral Health Program Manager State... ...and BCBSNC strategy. Lead governance RAID... ...and workflows across UM CM Navigation Appeals... ...including the BH impact of medical/surgical designs such... ...you flexibility to work remotely with intentional in-person...Remote workFull timeWork at officeLocal areaFlexible hours2 days per week- CVS Health is seeking a Medical Director (Behavioral Health) to provide physician leadership and oversight for utilization management among a multidisciplinary team. This remote-based role prefers candidates in Texas and requires an active Texas medical license. You will...Remote job
$223.8k - $313.1k
...Become a part of our caring community The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical... ...information. Travel: While this is a remote position, occasional travel to Humana's offices...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$174.07k - $374.92k
We’re building a world of health around every individual — shaping... ...Position Summary This is a remote-based (work from home) role.... ...resources. In this role as Medical Director (Behavioral Health), you will: Provide... ...state licensures and provide UM coverage across multiple different...Remote workHourly payFull timeTemporary workLocal areaWork from homeWeekend work- CVS Health seeks a Medical Director (Behavioral Health) to lead utilization management with a focus on high-risk cases and medical necessity decisions. The role is remote-based with a preference for candidates residing in Texas and requires Texas licensure or eligibility...Remote job
- CVS Health is seeking a Medical Director (Behavioral Health) for a remote-based role with preference for Texas residents. The leader will provide physician oversight for utilization management and guide high-risk cases and medical necessity decisions. The ideal candidate...Remote job
$65k - $88.6k
...community The Licensed Behavioral Health Utilization Management... ...and communication of medical services and/or... ...segment, and organizational strategy and operating... ...and resolve within a remote environment Preferred... ...Behavioral Health UM experience, performing...Remote workFull timeTemporary workApprenticeshipWork from homeHome officeMonday to Friday$80k - $95k
...of operations at a growing outpatient behavioral health practice where your leadership will make... ...care. Enjoy Friday afternoons working remotely, with additional flexibility possible... ...candidates with 2+ years of outpatient medical practice operations experience and 1+ year...Remote workMonday to Friday- TWF is seeking former clinical leaders to join as independent consultants. This remote engagement focuses on the Southeast behavioral health sector, with a NC-state emphasis and a dotted-line reporting path to the Founder. You will bring senior clinical experience to scale...Remote jobHourly pay
- ...Optum is seeking a Behavioral Clinical Program Manager to lead analytics and collaboration with ABA providers nationwide. This remote role focuses on improving client outcomes, compliance, and billing practices while partnering with Care Advocacy and Network teams....Remote workFlexible hours
- ...County of San Juan is seeking a Licensed Behavioral Health Utilization Management Professional 2 to support coordination, documentation, and determinations for medical services and benefits. This is a fully remote position within the United States. The role requires...Remote work
$120k - $160k
Director, AI Strategy & Mental Health Application Deadline: 14 November 2026 Department: YSE-Youth Strategies... ...Type: Permanent - Full Time Location: Remote Reporting To: SVP, Youth Strategies... ...Apply knowledge of model and system behavior, safety evaluations, red‑teaming,...Remote workPermanent employmentFull time$85k - $110k
...Join to apply for the Behavioral Health Program Manager role... ...University of Maryland Talent Strategy @ University of... ...with the Director of Behavioral Health... ...professional health or medical-related program management... ...Referral Specialists (Remote) - INTERNSHIPS Behavioral...Remote workFull timeContract workInternshipWork at office- ...WellSense Health Plan, a Massachusetts-based nonprofit health insurer, is seeking a Behavioral Health Utilization Manager. This role requires clinical judgment to assess outpatient... ...with standards. The role supports remote work, offers competitive pay, and excellent...Remote work
- ...Community Health Choice is seeking a Behavioral Health Utilization Manager with nursing credentials to conduct concurrent and discharge reviews using... ...and experience in psychiatric/managed care settings, with remote work arrangements and strong clinical decision-making...Remote work
$110k - $130k
...About Blackbird Health Blackbird Health... ...brain, body, and behavior interact to address... ...Summary As our Director of Behavioral Health... ...level operational strategy and everyday... ...excellence. In this 100% remote role, you will... ...collaborate across Medical Services and Clinical...Remote work- Behavioral Health Care Manager I (3rd Shift -After Hours) Join... ...needs to ensure access to medically necessary quality... ...setting in accordance with UM Clinical Guidelines... ...to advance our strategy but will also lead to... ...Care Manager (BHCM) - Remote Florida, United States...Remote workFull timeContract workTemporary workPart timeLocal areaShift workNight shiftWeekend work1 day per week
$72.8k - $130k
...you do with our team will directly improve health outcomes by connecting people with the... ...Connecting. Growing together. The Applied Behavior Analysis (ABA) Practice Management Specialist... ...8 AM- 5 PM, flexible time zoneLocation: Remote - NationwideYou will enjoy the...Remote workMinimum wageFull timeWork experience placementLocal areaMonday to FridayFlexible hours- Behavioral Health Program Director - New Site Join to apply for the Behavioral Health Program Director - New... ...Collaborate on motivational strategies and treatment plans. Conduct regular... ...closely with the Utilisation Management (UM) director to align program strategies...Local areaMonday to FridayAfternoon shift
$90k
...healthcare affordable, improve the health of patients, and restore the... ..., Guidehealthleverages remotely-embedded Healthguides and a... ...reporting, clinical review, medical and behavioral health assessments, and... ...and data. Participation in QM/UM Committee Meetings including...Remote jobBi-weekly payFull timeTemporary workFor contractorsWork experience placementWork from homeHome officeWeekend work- ...Our client is seeking a Medical Director, Behavioral Health for a temp-to-perm opportunity with a remote behavioral health organization. This role provides clinical leadership across psychiatric and substance use programs, supporting patient safety, regulatory compliance...Remote workPermanent employmentTemporary work
$200.28k - $360.5k
...This is a remote position requiring active... ...clinical vision for the health plan(s) for all... ...interdisciplinary Medical Management team,... ...interdisciplinary UM team, including regular... ..., which includes strategies that ensure a high... ...senior medical director, and quality...Remote workFull timeContract workTemporary workPart timeWork experience placementInternshipImmediate startFlexible hours$105k - $120k
...innovative leaders in pediatric health. One in three American... ...in category winners like One Medical, Hims, Spring Health, Cityblock... ...team and lead a growing team of behavioral health providers. You'll work... .... This position is fully remote, with optional in-person work...Remote workFlexible hours$70.66k - $115.63k
...proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon... ...to ensure access to medically necessary quality behavioral... ...setting in accordance with UM Clinical Guidelines and... ...designed to advance our strategy but will also lead to personal...Full timeContract workTemporary workWork experience placementWork at officeLocal area1 day per week
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