Part-Time Medical Director, Utilization Management
Santa Barbara Cottage Hospital
A health insurance provider is seeking a Medical Director in Pennsylvania to oversee clinical utilization management activities. This independent contract role requires at least five years of clinical experience and three years in managed care. Responsibilities include conducting coverage reviews, documenting clinical actions, and collaborating with providers. Candidates must hold an MD or DO with appropriate licensure and board certification, contributing to improving healthcare quality and management. #J-18808-Ljbffr
- ...Medical Director-Ortho- CM & UR Brighton Health Plan Solutions REMOTE-100% PART TIME MANAGED CARE About The Role Brighton Health Plan Solutions, a full-service health plan administrator... ...interest and experience in managed care utilization and case management to support our team...Part timeWork at officeRemote work
- ...Evolent is seeking an FMD in Radiology to play a crucial role within the utilization management team. The position involves reviewing imaging cases, ensuring compliance with medical necessity guidelines, and providing clinical rationale during peer-to-peer discussions...Suggested
$275k
...Medical Director, Hematology/Oncology (Utilization Management & Clinical Strategy) Full-Time Remote (Post-Onboarding) U.S. Licensed MD/DO A nationally recognized healthcare organization is seeking an experienced Hematology/Oncology physician to serve in a high...SuggestedFull timeRemote workRelocation packageMonday to Friday- ...Medix™ is looking for experienced Utilization Management Medical Directors for a remote contract opportunity. This role is ideal for physicians with strong... ...-volume review environment. The position offers full-time flexible hours, with a focus on conducting utilization reviews...SuggestedFull timeContract workRemote workFlexible hours
$150 - $165 per hour
...A healthcare consulting firm is seeking a Medical Director for a four-month engagement starting April 1. This role will provide clinical leadership in utilization management and oversee appeals related to Medicare Advantage and other lines of business. Responsibilities...SuggestedHourly payContract work$110.88 - $124.74 per hour
...A community-based healthcare organization is seeking a Medical Director of Utilization Management to oversee and coordinate clinical management, ensuring compliance with regulatory requirements. This role requires at least 3-5 years of health plan experience and a current...Hourly payDaily paidRemote workFlexible hours- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team, ensuring the accuracy and validation of medical policies, and collaborating with cross-functional teams. Ideal candidates...Remote work
$227.6k - $385k
...is seeking a physician to join a dedicated team focusing on utilization management. This role involves managing escalated cases electronically... ...advising on cases. Minimum qualifications require a Medical Doctor or Osteopathic Doctor degree and 5 years in clinical...$190k - $200k
...A healthcare management company is seeking a fully remote Medical Director to support their team in utilization management and clinical oversight for high-volume cases. The ideal candidate will have an MD or DO with board certification in Internal Medicine or Family Practice...Remote work- ...Evolent is seeking a FMD, Radiology to join their utilization management team. This role requires serving as a physician match reviewer for imaging cases and ensuring compliance with medical review processes. Ideal candidates will have a minimum of five years' experience...
- ...Evolent is seeking a Vascular Surgery Field Medical Director to join our utilization management team. This role allows you to make a significant impact in patients’ lives while enjoying better work-life balance in a collaborative environment. The ideal candidate will have...
$8,000 per month
...Medical Director, Reproductive Endocrinology — Telehealth (Part-Time, Remote) About Gala Health Gala Health is a fast-growing women's health telehealth platform serving thousands of patients across weight management and hormone replacement therapy. We are launching a direct...Part timeRemote workFlexible hours- ...A leading healthcare organization is looking for a Cardiology Field Medical Director. In this role, you will be pivotal in utilization management, conducting specialty reviews and providing clinical rationale for appeals. Required qualifications include an MD/DO degree...
$236.5k
...professional on our Medical Management/Health Services team.... ...Assist the Chief Medical Director to direct and... ...leadership of all for utilization management, cost containment... ...services, ensuring timely and quality decision... ...including full-time or part-time status. Total...Part timeFull timeWork at officeRemote workFlexible hoursWeekend work- ...POSITION The Clinical Product Consultant for Utilization Management is a member of the Customer Success... ...skills Ability to travel 20-50% of the time, to domestic locations for client or... ...applicable) Customizable benefits package (3 medical plans with Health Saving Account...Live outLocal areaRemote workFlexible hours
- ...in the United States seeks a Clinical Product Consultant for Utilization Management. The role involves providing clinical insights, ensuring... ...company offers a comprehensive benefits package, including generous paid time off and educational assistance. #J-18808-Ljbffr...Remote workFlexible hours
- ...A healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making. This role demands a blend of clinical experience, leadership, and the ability to guide a team while ensuring compliance...Contract workRemote workWeekend work
$85k - $106.3k
...health care services. Manages providers, members, team... ...requests for medical services and renders clinical... ...regulations. Delivers timely notification detailing... ...discharge planners in utilization tracking, care coordination... ...consults with medical directors when case does not...Work experience placementFlexible hoursWeekend work- ...Dane Street is looking for an Associate Medical Director to serve the needs of one of our larger... ...by Labor and Industries. This is a part-time position, not likely to require more than... ...The ability to apply critical thinking, manage time efficiently, and meet specific deadlines...Part timeWork from home
- ...If you do not wish to submit a service request via a non-Clover website, please click Cancel. Traditional Medicare covers hospitals (Part A) and doctors (Part B), and you pay standard rates for services. You can go to any doctor, hospital or other provider that accepts...
- ...A healthcare consulting firm is seeking a part-time Associate Medical Director to support client needs, focusing on auditing and dispute resolution in complex cases. Candidates must possess a Medical Degree, be licensed in Washington, and have experience in healthcare...Part timeRemote workWork from home
$78.5k - $90k
A leading behavioral health facility in New York City seeks a full-time Care Manager for Behavioral Health. This role focuses on conducting managed care and utilization management reviews, optimizing patient experiences from admission to discharge. The ideal candidate will...Full time- Health Pros North West is seeking a part-time Medical Doctor (MD) to provide medical support services for incarcerated individuals at a local... ...entails developing treatment plans, conducting exams, and managing patient care. Candidates must possess a valid Washington MD...Part timeLocal areaRemote work
- Children of Promise NYC is looking for a Medical Director in Brooklyn, NY, to lead and oversee health services for children impacted by mass incarceration. This part-time role requires a licensed physician to ensure compliance with health regulations while providing high...Part time
$235k
...SCOPE OF ROLE : The Associate Medical Director will provide psychiatric and... ...(approximately 10% of time to be spent on administrative... ...Behavioral Health Clinics (CCBHC). Part time : 25-30 hours/week... ...psychiatric evaluations and medication management services for children,...Part timeLocal area- ...York is seeking an Associate Medical Director. This role involves providing... ...Behavioral Health Clinics. As part of the responsibilities, you will support clinic management, oversee medication management... ...York State licensure. This part-time role offers a unique opportunity...Part time
$78.5k - $90k
...care by taking your career - to the next level. Care Manager Behavioral Health - Utilization Management In this role, the Care Manager conducts... ...treatment teams and external agencies. This is a full-time day shift position, (9am - 5PM) Monday - Friday. Required...Full timeMonday to FridayShift workDay shift- ...The Brooklyn Hospital Center seeks a Medical Director and Lead Physician of their newly established... ...Evaluates Diabetes Disease Management program outcomes and develops clinical... ...Support staff: Medical assistants and part-time CDE EMR system: Epic No teaching or...Part timeFull timeTraineeshipLive inLocal area
$135k - $165k
...Quality Services, Regional Director Operations, and VP of... ...solution strategies utilizing knowledge of theory,... ...process systems, timely response to change in... ...Promotes adherence to safe medication management guidelines and... ...following benefits to Part-time (22.5+ hours/week...Part timeFull timeTemporary workLocal areaImmediate startFlexible hours- A healthcare institution is seeking an Assistant Medical Director to ensure high-quality medical care at school-based health centers. You'll... ...Family Medicine or Pediatrics Residency. This position is a half-time role, complementing patient care duties. #J-18808-Ljbffr...Part time
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