Remote Medical Director, Physical Health & Utilization
$211.17k - $269.25kAlliance
A healthcare organization seeks a Medical Director for Physical Health, offering a full-time remote opportunity based in North Carolina. This role involves providing clinical oversight and expertise to ensure high-quality service delivery and compliance with standards. Candidates must possess an M.D. or D.O. degree, board certification, and extensive clinical experience. The position includes responsibilities in quality management, operational support, and participation in various clinical committees. A generous benefits package and competitive salary range of $211,172 - $269,245 per year are offered. #J-18808-Ljbffr
$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews... ...and Medicaid guidelines, health plan–specific criteria, internal... ..., Family Medicine, or Physical Medicine & Rehabilitation... ...Additional Expectations Full-time remote role requiring consistent...Remote workFull timeTemporary workLocal area- ...Medical Director Do you crave an intellectually stimulating... ..., part of Evernorth Health Services, a division... ...'ll start training remotely in a structured environment... ...(ABMS or AOA) in Physical Medicine and... ...state and federal laws, Utilization Review Accreditation...Remote workLocal areaWork from homeMonday to Friday
- ...Purpose: The Medical Director, Utilization Management is responsible for assuring... ...comprehensive high-quality health care to UPMC Health Plan members. This fully remote role will be responsible for... ...for your total well-being - physically, emotionally, and financially...Remote workWork at office
$206.01k
...senior management team, the Physical Medicine and Rehabilitation Medical Director provides administrative... ...medical review utilization data, researches new medical... ...Monday-Friday working REMOTE in the United States or... ...the Following: Health insurance industry...Remote workFull timeFor contractorsWork at officeLocal areaMonday to FridayShift work- ...operational areas of the Utilization Management (UM)... ...retrospective reviews. As a Medical Director, UM you ensure all... ...Work Arrangement Remote role Monday... ...medical policy related to health management, compliance... ...use of behavioral and physical health services....Remote workLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shift
- ...JOB DESCRIPTION Medical Director - Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible... ...activities within a health insurance/payer environment... ...Non Behavioral Health (Physical Health) Team requires...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
- ...Reporting to the Senior Medical Director of UM, the Per Diem UM... ...network providers. Utilizing evidence-based... ...Management policies; meeting health plan inter-rater... ...Work Arraignment: Remote and not to exceed 15 hours... ...use of behavioral and physical health services. Participates...Remote workDaily paidContract workWork at officeLocal areaFlexible hoursAfternoon shift
$211.17k - $269.25k
...The Physical Health Medical Director plays a key role within the Physical Health Medical Management Team... ...goals related to clinical quality, utilization management, and care coordination.... ...successful candidate to work primarily remote. While there is no expectation to be...Remote workFull timeWork at officeRelocationFlexible hoursWeekend work- ...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
- ...leading U.S. healthcare organization is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in... ...clinical experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient outcomes...Remote work
$250k
...A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment... ...salary of $250,000 annually and various benefits, with remote work opportunities available in Michigan and other states...Remote workFull time$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$250k
...Integra Partners is seeking a full-time Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. The... ...guidelines, and maintaining high productivity standards in a remote setting. The position offers a competitive salary of $25...Remote workFull time$223.8k - $313.1k
...A leading healthcare organization is seeking a Medical Director in Jefferson City, Missouri. The role involves conducting clinical reviews of inpatient records and making utilization management determinations. Candidates should possess an MD or DO, an active medical license...Remote work- ...A leading healthcare company in Washington, D.C. is seeking a Medical Director to oversee inpatient medical necessity reviews and utilization management. This role requires strong analytical and communication skills, as well as 5+ years of clinical experience post-residency...Remote work
- ...A health insurance startup is looking for an experienced Medical Director to oversee utilization reviews and prior authorizations. This remote position demands a strong clinical background with a doctorate in medicine and board certification. The ideal candidate will...Remote workFlexible hours
- ...Stryker Corporation is seeking a Medical Director to provide essential physician support for clinical... ...to members while engaging in various utilization management activities. The ideal... ...least 5 years of clinical experience. Remote working options are available across the...Remote work
- ...A national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with... ...Responsibilities include performing clinical reviews, providing utilization management determinations, and ensuring compliance with...Remote workMonday to Friday
$240.12k - $315.16k
...Overview Oscar is hiring an Associate Medical Director to join the Utilization Management Team. This role... ...Director. Work Location This is a remote position, open to candidates with an... ...experience in a managed care plan (health care industry). Bonus points Licensure...Remote workImmediate startWork from home- ...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
- ...Curative is building the future of health insurance with a first-of-... ...and highly skilled Medical Director to join our growing team. This... ...for overseeing and performing utilization reviews, prior authorizations... ...peer discussions. This is a remote position requiring a "roll...Remote workFull timeFlexible hours
- ...Humana Inc. is seeking a Medical Director National OP Medicare located in Washington, D.C. This... ...compliance with regulatory standards, and utilizing extensive medical judgment and... ...of post-residency experience. This is a remote position with competitive pay and benefits...Remote work
- ...Humana Inc in Columbus, Ohio is seeking a Medical Director for National OP Medicare to leverage... ...expertise for service authorization and utilization management. This role requires strong... ...operates in a structured environment and may involve remote work. #J-18808-Ljbffr...Remote work
$275k - $300k
...The Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California, Nevada, Arizona, Oregon, or Florida. This role involves conducting medical reviews of oncology treatment plans and collaborating...Remote work- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team,... ...communication, analytic reasoning, and leadership skills. This remote role offers a competitive salary, benefits including...Remote work
- ...Humana Inc. is seeking a Medical Director for a remote position based in the United States. This role involves utilizing medical expertise to authorize rehabilitation services, collaborating with team members, and ensuring compliance with national clinical guidelines....Remote work
- ...Crains Cleveland is seeking a Cardiovascular Utilization Management Reviewer to join their Utilization Management team. This role allows you to leverage your expertise in cardiology in a fully remote setting, contributing to case reviews and patient care improvement....Remote workFull timePart timeFlexible hours
- ...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...Remote workFull timeContract workFlexible hours
$248.5k - $373k
...Stryker Corporation is seeking a Medical Director to provide physician support for Enterprise... ...focuses on applying clinical knowledge in utilization management activities, conducting... ...experience. This position allows for remote work from anywhere in the U.S., offering...Remote work$84k - $105k
...Transformcap is seeking a Medical Director to provide clinical support for its clinical utilization management programs. This position involves completing medication utilization... ...Medicine are required. The position offers remote work with a salary range of $84,000 — $105,000...Remote work
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