Inpatient Medical Director: Utilization Review Expert
$223.8k - $313.1kHumana
A leading healthcare company is seeking a Medical Director to provide expert clinical reviews and advance patient outcomes. This remote position emphasizes collaboration and structured decision-making. Ideal candidates will have significant clinical experience and demonstrated analytical abilities. Join a dedicated team focused on effective utilization management while enjoying a competitive compensation range of $223,800 - $313,100 annually, plus a bonus incentive plan. #J-18808-Ljbffr
$223.8k - $313.1k
A leading healthcare company is seeking a remote Medical Director for inpatient review. This position requires expertise in assessing medical necessity and involves conducting complex case analyses. Candidates should have an MD or DO, a minimum of 5 years of clinical experience...SuggestedRemote work$223.8k - $313.1k
...caring community The Medical Director relies on medical background and reviews health claims. The... ...advancing the quality of inpatient care through clinical... ...those experienced in Utilization Review are encouraged... ...Role Overview Perform expert clinical review of...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work$223.8k - $313.1k
...our caring community The Medical Director relies on fundamentals of... ...Guidance on following and reviewing Home Health, SNF, DME, dual... ...Intermediate to advanced skills utilizing Microsoft Office and... ...Qualifications Experience in an inpatient and/or outpatient...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$223.8k - $313.1k
...our caring community The Medical Director uses their medical background... ...includes computer-based review of moderately complex to complex... ...predominantly arise from inpatient, outpatient, or post-acute care... ...on quality management, utilization management, case management,...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$227.6k
...a physician team, ensures that utilization management responsibilities are... ...clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate... ...require a physician subject matter expert. Other duties as assigned....SuggestedFor contractorsPrivate practiceWork at officeLocal area$170 - $175 per hour
...Medical Director Req number: R7707 Employment type: Full time... ...Medical Director to ensure utilization management responsibilities... ...ll Do Conduct electronic review of escalated cases against medical... ...a physician subject matter expert What You'll Need...Hourly payFull timeApprenticeshipPrivate practiceWork at officeLocal areaRemote workWorldwide- ...feasibility, protocol writing or optimization, medical monitoring and pharmacovigilance. Parexel... ...in learning more about the Medical Director role. *Candidates with a subspecialty in... .... In addition, you will also: Review all individual adverse experience reports...Contract workRemote work
$288.2k - $360.2k
...Pharmacovigilance and Risk Management (PVRM) Senior Medical Director will be responsible for the medical... ...aspects of clinical trials including review/addressing safety queries related to... ...as a medical safety subject matter expert (SME) on behalf of PVRM for: Study Protocols...Work at officeLocal areaRemote workWorldwideFlexible hours$120 - $135 per hour
...week. As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you... ...a resource to Initial Clinical Reviewers. What You Will Be Doing:... ...completed by the subject matter expert. Provides clinical rationale...Full timePart timeWork at officeImmediate start- A leading clinical research organization seeks a Medical Director to provide medical monitoring for clinical projects in oncology. Ideal... ...least 2 years of relevant experience. Responsibilities include reviewing adverse experience reports, providing FDA reports, and...Remote work
- ...and room availability. Lead end-of-day reviews and escalate critical issues to leadership... ...and no-show rates Hospital and ED utilization reduction Clinical documentation and care... ...BLS Certification, be able to respond to medical emergencies (Preferred). Knowledge, Skills...Contract workWork at office
$50k - $120k
...Why OWG Surrogacy? 1. Competitive Base Compensation Earn $50,000 – $120,000+ depending on your experience, location, and medical history. 2. Comprehensive Bonus & Benefit Package ($8,000 – $12,000+) We offer a strong and well-structured benefit package, including...Relocation package- A leading healthcare provider seeks a Medical Director to oversee clinical cases and ensure compliance with guidelines. This role requires... ...board certification, and 10 years’ clinical experience. You'll review healthcare services for Medicare and Medicaid, ensuring they...Work at officeRemote work
$209.6k - $313.38k
...of development and marketed assets. The Medical Director, Global Medical Strategy is a key... ...applicable. The Medical Director is the medical expert for assigned program (disease and... ...plans (ph4, IST, post-hoc analyses) Review educational grants Serve as escalation...Temporary workLocal areaFlexible hours$284.32k - $355.4k
...individual for the position of Senior Medical Director, Clinical Research (Neurology) to join... ...level, site-level and subject-level data review and interpretation, including documentation... .... · Serve as the subject matter expert for neurology, representing Clinical Research...WorldwideFlexible hours$31.83 - $63.65 per hour
...subject matter expertise focusing on client success in utilizing Oracle's solutions. Through the use of Oracle's... ...benefits package which includes the following: # Medical, dental, and vision insurance, including expert medical opinion # Short term disability and long...Hourly payTemporary workFlexible hours$86.4k
...vision. A core responsibility will be attending sprint/milestone reviews with the Delivery team to ensure successful implementation.... ...team to executive levels. Actively anticipate future needs and utilize metrics and qualitative input to identify asset improvement opportunities...For contractorsWork at officeLocal areaRemote work$186.49k - $278.88k
...first-in-human, mass balance and drug interaction studies. Author/reviewer of clinical pharmacology submission documents and... ...minimum of 5 business days. Company benefits: Comprehensive medical, dental, vision, prescription drug coverage, company provided basic...Contract workTemporary workLocal areaFlexible hours- ...Mental Health is seeking to hire a Clinical Director for the Elizabeth Packard Mental Health... ...of clinical programs with nursing and medical staff, develop, establish, and implement... ...in optimal treatment planning. Writes, reviews, and maintains various facility manuals...Work at officeImmediate startFlexible hoursWeekend work
$68k
..., court hearings, and school/community meetings. You will also review client charts to ensure quality service delivery and accurate treatment... ...sick leave that rolls over each year up to 10 Paid holidays* Medical, Dental, Vision benefit plan options Employee Assistance...Full timeRemote workRelocationMonday to FridayFlexible hoursDay shiftAfternoon shift$60 per hour
A technology company seeks quantitative professionals to evaluate AI-generated analyses and advance AI development. This role allows remote work and offers competitive pay of up to $60/hour. Candidates should have quantitative expertise, coding skills, and a bachelor's ...Part timeRemote work$78k - $90k
...range plan. Recommends program budget to the director. Ensures appropriate integration of multi... ...and/or move up to 25 pounds. Benefits Medical coverage, dental coverage, and vision... ...employment laws. For further information, please review the “Know Your Rights” notice from the...Full timeTemporary workPart timeInternshipWork at officeRelocation package$270.8k - $378.8k
...Become a part of our caring community The National Medical Director of Clinical Excellence & Safety is a pivotal leadership position within... ...implementation of evidence-based clinical standards, offers expert guidance to address complex clinical situations, and directs...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...This position is a Medicaid Subject Matter (SME) Expert for the Enterprise Data Warehouse supporting the State Medicaid program. This role requires significant expertise of Medicaid Enterprise System modules and data warehousing or decision support systems. This role...Remote work
$46.2k - $85.8k
A leading travel service provider in the United States seeks Specialized Travel Consultants to provide high-touch travel booking services for corporate clients. The role requires at least 5 years of business travel experience, particularly with GDS systems like Sabre. Teamwork...Remote workNight shiftWeekend workAfternoon shift$209.6k - $313.38k
...The Director will lead activities related to Early Clinical Development... ...as scientific and clinical expert in N/I translational medicine... ...for internal governance reviews to support stage-gate decisions... ...and proof-of-concept. Provide medical leadership for early-phase clinical...Temporary workLocal areaFlexible hours$130.4k - $163k
...This position reports to the Executive Director, Clinical Data Management, Oncology and is... ...with Clinical Operations, Biostatistics, Medical Monitoring, Safety, Clinical Systems, and... ...CROs and data management vendors, including review of deliverables, metrics, timelines, and...Work at officeRemote workWorldwideFlexible hours- ...treatment, effectively manage healthcare costs and improve healthcare program/operational efficiency involving clinical issues Determines medical necessity/appropriateness. Facilitates optimal outcomes. Identifies and follow through with continuous quality/compliance...
$30 - $33 per hour
...organization by providing expert clinical consultation... ...role combines strong medical acumen with compassionate... ...goals. You will review claims from a clinical... ...clinical review queue. Utilize sound clinical judgment... ...setting, with hands-on inpatient experience strongly beneficial...Contract workTemporary workWork experience placementLocal areaRemote workMonday to Friday- A leading chemical company is seeking a Capital Project Scheduler to join their team remotely, focusing on managing project schedules for strategic initiatives. The ideal candidate will have over 5 years of experience in project scheduling for Power Generation or Chemical...Remote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Inpatient Medical Director: Utilization Review Expert. Be the first to apply!
- mental health clinical supervisor Springfield, IL
- medical director remote Springfield, IL
- clinical data manager remote Springfield, IL
- healthcare consulting manager Springfield, IL
- healthcare supervisor Springfield, IL
- psychiatry medical director Springfield, IL
- remote medical coding supervisor Springfield, IL
- director behavioral health Springfield, IL
- health manager Springfield, IL
- behavioral health manager Springfield, IL

