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
- ...Crains Cleveland is seeking a Cardiovascular Utilization Management Reviewer to join their Utilization Management team. This role allows you... ...communication skills are essential. Opportunities for both part-time and full-time flexible schedules are available. #J-18808-Ljbffr...Part timeFull timeRemote workFlexible hours
- ...Psychiatric Association Inc is looking for a Cardiovascular Utilization Management Reviewer to contribute to patient care in a non-clinical... ...allows for collaboration with a dynamic team and offers both part-time and full-time options, ensuring a work-life balance while impacting...Part timeFull timeRemote 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 reviews and communicates effectively with prescribers and members. Candidates must be graduates...SuggestedRemote work$275k
...Remote 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$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...SuggestedHourly payDaily paidRemote 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...Hourly payContract work- ...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
- ...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...
$201.81k - $227.03k
...Position: Medical Director of Utilization Management Location: 120 Broadway New York (Must Reside in NY/NJ/CT) Work Schedule: Full-Time Compensation: $201,807.75 - $227,033.72 Annual Salary A little about us VillageCare is a community-based, not-for-profit...Full time$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...$240.12k - $315.16k
...Oscar Health is seeking an Associate Medical Director to join their Utilization Management Team. In this role, you will determine the medical appropriateness of various services, oversee a team of physicians, and influence departmental strategy while ensuring adherence...Immediate startRemote work$240.12k - $315.16k
...Overview Oscar is hiring an Associate Medical Director to join the Utilization Management Team. This role determines the medical appropriateness of inpatient... ...18 PTO days per year, and an additional bank of sick time, floating holidays and CME days. Responsibilities Provide...Immediate startRemote workWork from home$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 Specialty Services, Inc is seeking an IM-EM/Cardiology Field Medical Director to join their Utilization Management team. You will play a crucial role in reviewing cardiology-related service requests and ensuring they meet medical necessity guidelines. This position...
- ...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...
- ...POSITION The Clinical Product Consultant for Utilization Management is a member of the Customer Success... .... Ability to travel 20-50% of the time, to domestic locations for client or business... ...benefits package with three medical plans and a Health Savings Account company...Live outLocal areaRemote workFlexible hours
- ...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
$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- ...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 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...
$500 per month
...Overview Reporting to the Director of Clinical Practice and supported... ...Clinical Supervisor is a part‑time, university‑based, clinical... ...Post‑Observation (POP) cycles utilizing Touro GSE established... ...communication skills. Strong time management and organizational skills...Part timeWork at office- ...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
- ...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
- ...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
$93.4k - $116.8k
...opportunities Generous paid time off (PTO), starting at 30... ...for you and your loved ones, Medical, Dental, Vision, Life Disability... ...of VNS Health Plans Medical Management clinical and non clinical staff... ...to the development, utilization, and evaluation of internal processes...Work experience placementWork at officeFlexible hours- ...LoansIntel is seeking a part-time Medical Director based in the greater Atlanta area, responsible for clinical supervision of Health Guides across multiple sites. The role involves ensuring quality of care and collaboration with various healthcare providers. The ideal...Part time
$235k
...SCOPE OF ROLE : The Associate Medical Director will provide psychiatric and... ...services (approximately 10% of time to be spent on administrative... ...Health Clinics (CCBHC). Part time : 25-30 hours/week Essential... ...evaluations and medication management services for children, adolescents...Part timeLocal area$150 - $170 per hour
...CareCentrix is seeking a Part-Time Physician Reviewer to conduct utilization reviews, ensuring medical necessity across various services. This role involves collaboration... ...3 years of clinical practice and utilization management experience. The position offers flexible...Part timeHourly payFlexible hoursWeekday work- ...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
- NewYork-Presbyterian seeks a Care Manager for Behavioral Health at Gracie Square Hospital in New York City. This full-time position requires conducting managed care and utilization management reviews, ensuring the best patient experience during their treatment journey....Full time
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