Medical Director, Utilization & Medical Management
Jobleads-US
Altais is seeking a Medical Director of Utilization and Medical Management to lead UM policy and collaborate with Senior Medical Director and health-plan leadership. The role ensures high-quality, efficient care and engages physicians across the One Altais network.
The candidate will guide clinical rounds with Case Managers and management, promote UM education, and participate in interdisciplinary care teams to optimize patient outcomes.
#J-18808-Ljbffr Jobleads-US- ...Altais is seeking a Medical Director of Utilization and Medical Management for a remote, one-month opportunity. The role reports to Senior Medical Director and collaborates with the One Altais clinical leadership team to ensure high-quality, cost-efficient care across...SuggestedRemote job
$200k - $235k
Evolving Solution Services in California is seeking a Utilization Management Director to build and lead the first internal clinical utilization management function. This role involves establishing processes, policies, and team structure while partnering closely with various...Suggested$222.75k - $267.3k
...California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists.... ...experience for physicians and their patients. The Medical Director of Utilization and Medical Management will report directly to the Senior Medical Director with...SuggestedCasual workWork at officeLocal areaFlexible hours$255k - $367.03k
...primary care, care for the most medically and socially complex... ...communities we serve. Medical Director The Job With a focus on delivering... .... Leadership Directly manage a multi-disciplinary team of... ...to health outcomes and utilization rates. Use this data to identify...SuggestedFor contractorsRemote workWork from homeWeekend work$250k - $325k
...Inpatient Medical Director (SoCal) Department: HS - Providers Employment Type: Full Time Location... ...with hospitalists, specialists, care management, and health plan counterparts to drive clinical excellence, utilization management, and continuity of care across...SuggestedFull timeRemote work$186.2k - $363.09k
...Job Summary Provides medical oversight and expertise related to behavioral health... ...for health plan and/or market specific utilization management and care management behavioral health... ...working closely with regional medical directors to standardize behavioral health utilization...Work experience placementWork at officeLocal area- ...convenience. Through a combination of exceptional medical and psychological care and best-in-class... ...and About The Role As a Practice Manager , you will play a critical role in... ...throughput, appointment scheduling, and resource utilization. Collaborate with leadership to...Work at office
- ...A leading biotech company is seeking a Clinical Research Medical Director specialized in Nephrology. You will support the development and execution of clinical programs, engage in regulatory interactions, and provide clinical input for studies. The ideal candidate must...
- ...multicenter studies. The role requires close collaboration with functional partners to ensure an integrated, strategic approach, plus medical monitoring support and oversight of development projects and regulatory submission documents. You will address protocol questions...
- ...CMO/Medical Director Opportunity - West Coast Join to apply for the CMO/Medical Director Opportunity - West Coast role at UHS CMO/Medical... ...-quality care to our patients. Key Responsibilities Lead and manage a multidisciplinary team of psychiatrists and psychiatric nurse...Full timeTemporary workWork at officeRelocation package
- ...Time Summary Under the supervision of the Chief of Medicine the Medical Director will serve as an enterprise leader. The primary... ...that not more than one provider is out on scheduled vacation Manages the day-to-day operations and decision-making involving facility...Full time
- ...environments, is confident in crisis management and risk assessment, and is... ...reports to the Clinical Director and coordinates closely with... ..., treatment planning and utilization review. SCHEDULE 5 weekdays... ...ensure residential clients medication needs are met. Manage crisis...Full timeWeekday work
- ...largest specialized provider of HIV/AIDS medical care globally. Their mission is to... ...CONTRIBUTION TO OUR SUCCESS! TheMedical Director contributes to the mission and core values... ...organization by projecting, integrating and managing the philosophy of the Healthcare Center....
$410k
...welcome here. To learn more, please visit Position Summary: The Medical Director provides clinical leadership and oversight of medical... ...gathers and analyzes information skillfully. Customer Service—manages difficult customer situations, responds promptly to customer...Full timeWork at office$200k - $239.6k
...Millennials, and Best Medium Workplaces lists. Overview The Associate Director Medical Science Liaison will develop and maintain professional... ...Provide medical and scientific support to payers, commercial managed markets, and related health care organizations to facilitate...Full timeLocal areaFlexible hoursNight shift- ...Blue Zones Health in California is seeking a Corporate Medical Director for Health Insurance to oversee medical management strategies and ensure alignment with health standards. This role requires a licensed physician with leadership experience. The ideal candidate will...
- ...solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact... ...Instagram, X and YouTube. Job Description The Scientific Director / Senior Medical Director provides specialist medical and scientific...Temporary work3 days per week
- ...Tuolumne Me-Wuk Indian Health Center in California seeks a Medical Director for Primary Care (Family Medicine). This leadership role blends direct patient care with medical staff governance, overseeing a family medicine panel and 0.2 FTE administrative time to support...
$242.79k - $364.22k
...comprehensive benefits package includes medical, dental, vision, and a 401(k) plan, ensuring... ...POSITION OVERVIEW: Title: Medical Director, Primary Care (Family Medicine)... ...practices in preventive care, chronic disease management, medication safety, and controlled-substance...Full timeImmediate startShift workWeekend workAfternoon shift- ...SCAN Health Plan is seeking an Medical Director to provide clinical leadership and oversee a multi-disciplinary team delivering high-quality, person-centered care across the health care continuum. The role emphasizes geriatrics, complex care, and home-based visits, with...Remote job
$186.2k - $363.09k
Molina Healthcare is seeking a qualified Behavioral Health Medical Director in California. The ideal candidate will provide medical oversight for behavioral health services, ensure compliance with national standards, and assist with program implementation. A minimum of...- ...Global Clinical Development Lead (Executive Medical Director) – Hematologic Malignancies West Coast Preferred Meet has been retained by a clinical stage biotech at the forefront of targeted protein degradation seeking an experienced physician leader to serve as Global...
$130k - $170k
...All Jobs Healthcare Finance Senior Manager Our mission at Facktor is to... ...(FQHCs), hospitals, health plans, medical groups, academic programs, IPAs,... ...to senior management and boards of directors. Analyze healthcare utilization, costs, reimbursement/billing, and...Full timeInterim roleSummer workWork at officeLocal areaRemote work$270k - $300k
...based on your skills and experience — talk with your recruiter to learn more. Base pay range $270,000.00/yr - $300,000.00/yr The Medical Director will be responsible for leading the development of the organization’s drug candidates. The ideal candidate should have...Full time- ...long-term relationships with your patients? Join our team as a Medical Director I in Elk Grove, California , where you'll lead compassionate... ...Monday-Friday Schedule (8:00 AM - 5:00 PM) with a manageable rotating on-call schedule As our Medical Director , you'll:...Relocation packageMonday to Friday
$225k - $250k
...your wellbeing comes first You care for pets. We care for you. Position Overview The Medical Director (MD) is responsible for providing strong leadership for the hospital, managing and mentoring associate veterinarians, and ensuring regulatory compliance relating to the...Temporary workLocumLocal areaRelocation packageWeekend work$243.8k - $304.8k
...Senior Director, Clinical and Translational Research Remote, USA... ...scientists (4) and a project manager, providing guidance, coaching... ...healthcare claims analysis, cost and utilization modeling, and total cost of... ..., legally protected medical condition, family care status...Local areaRemote workWork from homeFlexible hours- ...Job Description Job Description Position:Medical Front Office CoordinatorLocation:... ...approach to each patient, as well as our utilizing the most modern technology available. Further... ...with patients in a healthcare setting, and managing administrative tasks for the medical...Work at office
- ...leaders ready to step into true market-level ownership. As Area Medical Director, you'll own the clinical and operational performance of 10-15... ..., trust-building at every level, and the judgment to manage ambiguity without waiting for perfect information What We...10 hours per week
$165k - $185k
...alternative application process. Director of Clinical Operations Full... ...with the Director of Nursing, Medical Staff, Executive Leadership, and department managers, the Director of Clinical Operations... ..., labor productivity, supply utilization, capital planning, and resource...Full timeWork at officeLocal area
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