Remote Medical Director, Utilization Management
Ishe
UnitedHealth Group's Optum unit seeks a Medical Director to provide physician support for enterprise clinical services, oversee benefit coverage determinations, and ensure high-quality, cost-effective care for plan members. You will collaborate with a multidisciplinary team, review clinical cases, communicate with network and non-network providers, and participate in occasional holiday and call coverage while working remotely from anywhere in the U.S. #J-18808-Ljbffr
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Medical Director, Utilization Management in Brooklyn, NY vacancy
$275k - $325k
...affiliate locations of care across five states and growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona Oregon FloridaThe Medical Director role provides clinical...Remote workWork from home$248.5k - $373k
...$373,000/yearJob Area: Medical & Clinical OperationsCompany... ...experience, and manage health care costs.The Medical Director provides physician support... ...clinical knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementLocal area- ...WellMed, part of Optum, seeks an Internal/Family Medicine physician to lead utilization management. You will determine medical necessity, review cases, and drive UM protocol improvements within a collaborative, patient‑focused team across Texas markets. The role emphasizes...Remote work
Colorado
San Antonio, TX1 day ago - ...Optum is seeking a Medical Director to provide physician support for Enterprise Clinical Services, overseeing clinical coverage determinations and utilization management. You will collaborate with leadership to maintain processes for benefit coverage, quality improvement...Remote work
Tnafp
Brooklyn, NY4 days ago - ...To support Utilization Management operations, the full-time Utilization Review Medical Director will conduct clinical reviews of Durable Medical Equipment (DME) requests remotely, ensuring compliance with Medicare and Medicaid guidelines while maintaining productivity...Remote workFull time
Virtual Vocations Inc
United States5 days ago $248.5k - $373k
...$373,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...medicine physician to join our Utilization Management team. Optum is a clinician-... ...work and live.The Medical Director for Utilization Management... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Health is hiring a Radiation Oncology Medical Director to oversee oncology utilization, policy implementation, and review processes in a remote, home-based role. The position supports... ..., peer-to-peer reviews, and case management. The role requires MD/DO, board certification...Remote jobWork from home
- UnitedHealth Group seeks a Medical Director to lead clinical coverage reviews and benefit determinations within Enterprise... ...knowledge, communication, and remediation of utilization management. You can work remotely from anywhere in the United States, with responsibilities...Remote job
- The Oncology Institute is seeking a Medical Director to provide clinical expertise in assessing medical necessity, appropriateness, and efficiency of oncology care with a focus on utilization management for case reviews and clinical decision making. In this collaborative...Remote job
$248.5k - $373k
...Medical Director For Utilization ManagementWellMed, part of the Optum family of businesses, is seeking an... ...medicine physician to join our Utilization Management team. Optum is a clinician-led care... ...'ll enjoy the flexibility to work remotely from anywhere within the U.S. as you...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeUnitedHealth Group
San Antonio, TX5 days ago$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...seamless experience, and manage health care costs. The Medical... ...knowledge in various utilization management activities with a... ...enjoy the flexibility to work remotely from anywhere within the U.S...Remote jobMinimum wageFull timeWork experience placementLocal area$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... ...to support Integra’s Utilization Management (UM) operations. Role functions... ...Conditions and Additional Expectations: Remote role requiring consistent...Remote workHourly payFull timeContract workTemporary workPart timeLocal areaIntegra Partners
Troy, MI14 days ago$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...seamless experience, and manage health care costs. The Medical... ...knowledge in various utilization management activities with a... ...enjoy the flexibility to work remotely from anywhere within the U.S...Remote jobMinimum wageFull timeWork experience placementLocal area- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...This position can be structured as a hybrid remote role - you would not necessarily be required to reside...Remote workPermanent employmentTemporary workRelocation package
Curative
Palm Springs, CA20 days ago - Centene Corporation is seeking a clinical professional to lead Medical Management/Health Services for 28 million members. The role drives utilization management, quality improvement, and medical review across a national organization with flexible work options. The candidate...Remote jobFlexible hours
- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...This position can be structured as a hybrid remote role - you would not necessarily be required to reside...Remote workRelocation package
- ...the fortunate position of adding a Medical Director to our incredible team. This... ...provide improved outcomes Performs utilization review and case management support on complex members... ...and to protecting the sensitive data entrusted to us. #LI-HW1 #LI-Remote...Remote workPermanent employmentFull timeCasual work
Quantum Health
Remote2 days ago - ...Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh, North Carolina, with a strong focus on physical health utilization management and clinical leadership. The role collaborates... ...functions while accommodating primarily remote work with a North #J-18808-LjbffrRemote work
Beacon Hill
Raleigh, NC2 days ago - ...Humana is seeking a Behavioral Health Medical Director to lead behavioral health care... ...including regulatory compliance and utilization management across inpatient and outpatient settings... ...+ years in project management. Fully remote with occasional travel; standard hours...Remote work
Humana
Florida, NY14 hours ago - ...Bickham Services Unlimited, LLC seeks a Medical Director, Utilization Management for a 6-9 month contract based in Henderson, NV, with remote work option. Immediate start favored for reviewing inpatient and post-acute care decisions for Commercial and Medicare Advantage...Remote workContract workImmediate start
Bickham Services Unlimited, LLC
Henderson, NV1 day ago $217.6k - $294.4k
...of physicians are living our mission to make health care easier and lives better. As a member of the Utilization Management (UM) team, our Associate Medical Director BH and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations...Remote workPart timeImmediate startWork from homeFlexible hoursCambia Health Solutions
United States5 days ago$240k
...983, we’re a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory... ...and training opportunities An award-winning remote work environment Position Summary Our Medical Director, also known as a Physician Advisor, is...Remote workFull timeTemporary workWork at officeWork from homeShift workRotating shiftWeekend workMrioa
Oakland, CA4 days ago- ...Behavioral Health Medical Director Spectrum Healthcare Resources is excited... ...of Veterans Affairs. This remote-based civilian position is... ...~3+ years of experience in managed care environments. Preferred... ...domains including Utilization Management, Case Management,...Remote workWeekday work
Spectrum Healthcare Resources
United States1 day ago - ...Medical Director Curative is seeking an enthusiastic and highly skilled... ...overseeing and performing utilization reviews, prior... ...peer discussions. This is a remote position requiring a "roll... ...Operations, to optimize utilization management processes and improve member...Remote workFull timeFlexible hours
CURAtive
United States3 days ago - System Physician Advisor Medical Director Responsibilities and Job Description Overview:The... ...and other leadership related to case/utilization management and revenue cycle including the Lee Health... ...contracted providers involved in remote utilization review and physician...Remote workContract workFor contractorsMonday to FridayWeekend work3 days per week
$227.6k
...SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the... ...incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and...Remote workFor contractorsPrivate practiceWork at officeLocal areaHighmark Health
United States4 days ago$160 - $170 per hour
...Medical Director Req number: R8254 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000 associates... ...Medical Director, you will ensure utilization management responsibilities are performed in...Remote workHourly payFull timeApprenticeshipPrivate practiceWork at officeLocal areaWorldwideCAI
Phoenix, AZ1 day ago$80 - $120 per hour
...Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a specialised part-time consulting opportunity for... ...experienced in utilization management, case management, medical necessity review, care coordination, discharge planning,...Remote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hoursNight shift$240k - $250k
...Medical Director Utilization Management We are looking for physicians who have expertise in Internal Medicine including medical and surgical clinical... ...different backgrounds and perspectives. This is a remote-first role that may require travel to Boston, MA for new...Remote workFlexible hoursVenturefizz Product Management Community
United States2 days ago- ...Description & Requirements System Medical Director, Pre-Surgical Optimization... ...preoperative clinic utilization, reduce elective case... ...process enhancements. Provide remote and on-site clinical... .... Strong communication, management, and process improvement skills...Remote workFull timeLocal areaImmediate start
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director, Utilization Management. Be the first to apply!
Related searches
- healthcare program manager Brooklyn, NY
- hospital manager Brooklyn, NY
- clinical research manager Brooklyn, NY
- medical director Brooklyn, NY
- senior director clinical operations Brooklyn, NY
- director of health information management Brooklyn, NY
- director sr. director clinical operations Brooklyn, NY
- medical director remote Brooklyn, NY
- director behavioral health Brooklyn, NY
- remote healthcare project manager Brooklyn, NY