Remote Medical Director, Managed Care & Policy
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- Remote job
Health Care Service Corporation seeks a Medical Director to oversee medical policies and programs, performing reviews and engaging with provider networks. The role emphasizes analytical and strategic leadership in a 100% remote setting with Illinois licensure requirements.
Ideal candidates will have an MD or DO, board certification, and at least five years of clinical experience, plus comfort with enterprise-wide data systems and cross-functional collaboration with managed care teams.
#J-18808-Ljbffr Jobleads-US$248.5k - $373k
...3,000.00Job Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...together.The Medical Director Oncology will provide... ...case and disease management teams to achieve... ...flexibility to work remotely * from anywhere... ...clinically relevant policies and processes are...Remote workPolicyMinimum wageWork experience placementLocal area- ...Transitions Hospice Medical DirectorCoverage Territory... ...and On-Call coverage (Remote)Practice Medicine with... ..., we don't just manage care — we protect dignity,... ...What You'll DoAs Medical Director, you'll provide overall... ...organization, as neededQuality, Policy &...Remote workPolicy
$50k - $400k
...Theoria Medical is a comprehensive medical... ...patients across the care continuum with an... ...physician services, remote patient monitoring... ...(SNF) it manages. Flexible scheduling... ...– Life Insurance Policy. Employee must be... ...Seniority level: Director Employment type: Part...Remote workPolicyFull timePart timeReliefRelocation packageFlexible hoursShift workDay shift2 days per week1 day per week$286.07k - $353.38k
...Join Martin's Point Health Care - an innovative, not-for-profit... ...SummaryThe Vice President, Medical Director, Health Plan provides senior... ...across utilization management, care management, population... ...quality, pharmacy, medical policy, payment policy, and clinical...Remote workPolicyFull timeHome office$195.2k - $341.6k
...Overview Job Summary: The Medical Director is responsible for supporting staff... ...fraud, abuse, and quality of care concerns Participate in development of policies and procedures Participate in... ...improvement initiatives, case management activities and member safety activities...Remote jobPolicyHourly payWork at officeWeekend workAfternoon shift$220k - $250k
...Hospice Associate Medical Director (MD/DO)Location: Firestone... ...employee-owned primary care and hospice practice... ...for hospice patients, managing symptom control, hospice... ...direction (primarily remote/telehealth).Assist in... ...state rules, and Bloom policies through documentation,...Remote workPolicy$206.25k - $297.92k
Job title: Field Medical Director, Oncology EastLocation: Remote, US (East Coast)About the jobJoin... ...the team transforming care for people with immune challenges... ...of MSL activities. MSL managers work cross-functionally... ...internal and external policies and regulationsMedical...Remote workPolicyFull timeWork at office- ...Highmark Inc. seeks a Medical Director to lead utilization management within a physician-led team. You will review escalated cases against medical policy criteria, determine medical necessity, and... ...drive projects that improve member care while ensuring compliance with NCQA...Remote jobPolicy
- ...cloud-based, value-based care enablement AI platform... ...care providers to detect, manage, and prevent chronic... ...outcomes. We are seeking a Medical Director of Clinical Product to... ...flexible time-off policy. Additionally, we embrace a remote-first culture that supports...Remote workPolicyFull timeWork at officeFlexible hours
$275k - $325k
...specialized, value-based cancer care in the community setting. TOI offers... ...for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada... ...oversight of utilization management policies to optimize patient outcomes. Key...Remote workPolicyWork from home$173.2k - $272.6k
...Community MSL / Regional Medical Scientific Director to join our team. This remote position will be based... ..., establish, and manage collaborative professional... ...uptake across various care settings.Facilitate appropriate... ...with all company policies and applicable laws, regulations...Remote workPolicyWork experience placementWork at officeLocal areaFlexible hoursNight shift$259.5k
...integrated primary care, dental, behavioral... ...Reporting to the Chief Medical Officer (CMO), the Site Medical Director provides leadership... ...providers to MCC’s policies, procedures,... ...with the Site Clinic Manager to develop and implement... ...patient visits remotely including adequate...Remote workPolicyTemporary workShift work$70k
...in focused wound care? Integrated Wound... ...support to our Clinical Director. This position is... ..., and is fully remote. Candidates must reside... ...Assistant to the Medical Director - RN or... ...Policy and Program Development... ...corrective actions, and manage risk ~#IND102...Remote workPolicyFull timeFor contractorsWork at office$245k - $260k
PCHP Medical Director Clinical Leader Location: Mockingbird Towers... ...4th FLR, Dallas, TX Remote PRIMARY PURPOSE... ...utilization and quality management of the health plan network... ...Management, Clinical Policy, Technology Assessment... ..., high quality health care to plan members in...Remote workPolicyPermanent employmentFull timeContract workPart timeLocumPrivate practiceWork at officeVisa sponsorshipRelocation packageMonday to FridayFlexible hours$50k
...Physicians Love Theoria Medical Here,... ...presence matter. You’ll care for patients over... ...seeking a Medical Director and Attending... ...- Life Insurance Policy ~ CME and licensure... ...Collaborate with NPs/PAs to manage daily patient care... ...Care, Remote Patient Monitoring...Remote workPolicyTemporary workLocal areaRelocation packageFlexible hoursNight shift2 days per week1 day per week$50k
...presence matter. You’ll care for patients over... ...Theoria Theoria Medical is leading the... ...seeking a Medical Director and Attending Physician... ...- Life Insurance Policy Malpractice... ...Collaborate with NPs/PAs to manage daily patient care... ...Care, Remote Patient Monitoring...Remote workPolicyTemporary workPart timeLocal areaFlexible hoursNight shift2 days per week1 day per week- ...to ensure high-quality patient care, staff performance, and... ...compliance. Supervise clinical teams, manage workflows, and collaborate... ...accreditation standards Develop policies, procedures, and best practices... ...Onsite with some hybrid/remote options; occasional travel; frequent...Remote workPolicy
- ...physician leader to serve as Medical Director and drive the next... ...multidisciplinary care model with particular... ...evaluation, medication management, early childhood inclusive... ...University location. Remote work from home day... ...Inquiries regarding this policy should be directed to...Remote workPolicyFull timeWork from home
$248.5k - $373k
....00/yearJob Area: Medical & Clinical OperationsCompany... ...our Utilization Management team. Optum is a clinician-led care organization that... ...live.The Medical Director for Utilization... ...to work remotely * from anywhere within... ...guidelines, and UM policies and procedures with...Remote workPolicyMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided by technology to help millions of... ...and implementation of policies and procedures and clinical... ...week. This can be remote work from home... ...ongoing relationship management activities with existing...Remote jobPolicyMinimum wagePart timeWork experience placementLocal areaWork from home$250k - $350k
...Healthcare, an Essen Health Care company, is a specialized medical group dedicated to... ...care, longitudinal care management, remote monitoring, and real‑time... ...Position Title: Medical Director – Intention MA Location... ...and organizational policies Conduct periodic ride...Remote workPolicy$71.1k - $97.8k
...Become a part of our caring community The Senior Patient... ..., or performance management frameworks. Experience... ...Travel: While this is a remote position, occasional travel... ..., Humana provides medical, dental and vision benefits... ...Opportunity Employer It is the policy of Humana not to...Remote workPolicyFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$219k - $244.5k
...to the table. You care about the science... ...understand how data management decisions affect... ...downstream analysis, medical review, and... ...player-coach role: the Director is expected to set... ...GCP, and company policies and procedures.ResponsibilitiesProvide... ...is a US based remote position, with...Remote workPolicyWork at officeLocal area$150k - $175k
...difference in people's lives. Our medical devices, software and... ...motivated people who care about others, put... ...offering flexibility to work remotely. You’ll partner with your... ...regulatory standards and company policies. This role combines people management with hands-on...Remote workPolicyMinimum wageOngoing contractFull timeContract workTemporary workWork at officeLocal areaWorldwideNight shift3 days per week- ...Requirements System Medical Director, Pre-Surgical... ...efficiency. Develop triage policies and clinical criteria... ...enhancements. Provide remote and on-site clinical... ...Strong communication, management, and process improvement... ...perioperative care, and working effectively...Remote workPolicyFull timeLocal areaImmediate start
- ...IDG and On-Call coverage (Remote) Practice Medicine with... ...Transitions Hospice , we don't just manage care — we protect dignity,... .... What You'll Do As Medical Director, you'll provide overall medical... ..., as needed Quality, Policy & Compliance Establishing...Remote workPolicyRelief
- ...their team of Inbound Patient Care Coordinators in the Clinical Department... ..., and enforcing company policies and procedures. The role is... ...performance. Job Duties Manage an assigned team of employees... .../management experience in a remote contact center ~ Proficient...Remote workPolicyFlexible hours
- UnitedHealthcare is seeking a Nation-level Medical Director for Clinical Program... ...CMO to test innovative care models and drive real-world evidence... .... The position offers remote work within the U.S. and requires... ...clinical leadership, policy expertise, and analytics capabilities...Remote workPolicy
- ...profit, we support patient care, research, teaching,... ...drive groundbreaking medical discoveries and invite... ...Clinical Research Program Manager to join its... ...hospital and regulatory policies• Maintain centralized training... ...Details (if applicable)Remote TypeOnsiteWork Location...Remote workPolicyFull timeWork at officeLocal area
$243k - $269k
...we support patient care, research,... ...drive groundbreaking medical discoveries and invite... ...SummarySite Medical Director of Infection... ...inform the strategy, policies, and guidelines to... ...Infection Control Manager and Infection Preventionist... ...benefits package.Remote TypeOnsiteWork...Remote workPolicyFull timeLocal area
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