Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Medical Director, Utilization & Policy

Vālenz Health®

Phoenix, AZ
  • Remote job

Valenz Health is seeking a Part-Time Medical Director to provide physician leadership for medical management and utilization review programs. You will align clinical decisions and policies with evidence-based medicine, regulations, and organizational standards in a fully remote role based in the United States. You will collaborate with operational leadership to develop standards, oversee medical necessity determinations, and drive quality improvement across programs, fostering high-quality, #J-18808-Ljbffr Vālenz Health®

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Remote Medical Director, Utilization & Policy in Phoenix, AZ vacancy
  • $275k - $325k

     ...growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona...  ...insights, and oversight of utilization management policies to optimize patient outcomes.  Key Responsibilities... 
    Remote work
    Policy
    Work from home

    The Oncology Institute

    Cerritos, CA
    3 days ago
  •  ...To support Utilization Management operations, the full-time Utilization Review Medical Director will conduct clinical reviews of Durable Medical...  ...Equipment (DME) requests remotely, ensuring compliance with...  ...criteria and internal policies Maintain continuous case throughput... 
    Remote work
    Policy
    Full time

    Virtual Vocations Inc

    United States
    3 days ago
  •  ...Medical DirectorCurative is seeking an enthusiastic...  ...highly skilled Medical Director to join our growing team...  ...and performing utilization reviews, prior authorizations...  .... This is a remote position requiring a "...  ..., established medical policies, and evidence-based guidelines... 
    Remote work
    Policy
    Full time

    CURAtive

    Austin, TX
    3 days ago
  •  ...the operational areas of the Utilization Management (UM) program...  ...retrospective reviews. As a Medical Director, UM you ensure all patient care...  ...develop and implement medical policies, procedures, and clinical...  ...Work Arrangement ~ Fully remote; must be willing to work rotational... 
    Remote work
    Policy
    Contract work
    Local area
    Flexible hours
    Weekend work

    AmeriHealth Caritas

    Newtown Square, PA
    5 days ago
  • $240k - $250k

     ...Medical Director Utilization ManagementWe are looking for physicians who have expertise in Internal Medicine...  ...and perspectives.This is a remote-first role that may require travel to...  ...across the care continuum–including policy, prior authorization, payment accuracy... 
    Remote work
    Policy
    Flexible hours

    Cohere Health

    Boston, MA
    4 days ago
  • Integra Partners seeks an experienced Utilization Review Medical Director to lead clinical reviews of DMEPOS requests within a remote UM environment. You will ensure decisions meet...  .../Medicaid guidelines and internal policies while maintaining timely throughput and documented... 
    Remote job
    Policy

    Integra Partners

    Brooklyn, NY
    6 days ago
  • The Oncology Institute is seeking a Medical Director to provide clinical expertise in assessing...  ...efficiency of oncology care with a focus on utilization management for case reviews and...  ...contribute to data-driven insights and policy development. #J-18808-Ljbffr Oncology... 
    Remote job
    Policy

    Oncology Institute, Inc.

    Cerritos, CA
    2 days ago
  • UnitedHealth Group in Minnesota seeks a Medical Director to provide physician support for...  ...effective, high-quality care, advances utilization management, and communicates policies to network and non-network physicians. Remote work from anywhere in the U.S. is supported... 
    Remote job
    Policy

    Texas Health Institute

    Brooklyn, NY
    2 days ago
  • $248.5k - $373k

     ...,000.00/yearJob Area: Medical & Clinical OperationsCompany...  ...physician to join our Utilization Management team. Optum...  ...and live.The Medical Director for Utilization...  ...the flexibility to work remotely * from anywhere within...  ...medicine guidelines, and UM policies and procedures with... 
    Remote work
    Policy
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Work from home

    UnitedHealth Group

    San Antonio, TX
    3 days ago
  • CVS Health is hiring a Radiation Oncology Medical Director to oversee oncology utilization, policy implementation, and review processes in a remote, home-based role. The position supports the enterprise oncology initiatives with emphasis on prior authorization, peer-to-... 
    Remote job
    Policy
    Work from home

    ISHE

    Phoenix, AZ
    2 days ago
  •  ...Medical Director Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location: Pittsburgh, PA Schedule: Monday Friday...  ...case evaluations using established medical policy criteria. The Medical Director will... 
    Remote work
    Policy
    Full time
    Contract work
    Part time
    Private practice
    Monday to Friday
    Flexible hours

    Veterans Sourcing Group

    Pittsburgh, PA
    5 days ago
  • $248.5k - $373k

     ...medicine physician to join our Utilization Management team. Optum is a...  ...work and live. The Medical Director for Utilization Management...  ...medicine guidelines, and UM policies and procedures with counsel...  ...*All employees working remotely will be required to adhere... 
    Remote work
    Policy
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Work from home

    Chicago Derm

    San Antonio, TX
    4 days ago
  • $150 per hour

    The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment...  ...plan–specific criteria, internal policies, and regulatory requirements. This...  ...and Additional Expectations: Remote role requiring consistent availability... 
    Remote work
    Policy
    Hourly pay
    Full time
    Contract work
    Temporary work
    Part time
    Local area

    Integra Partners

    Troy, MI
    27 days ago
  •  ...UnitedHealth Group (Optum) is seeking a Medical Director to provide physician support to Enterprise Clinical Services, shaping clinical coverage...  ..., and drive patient-centered care while advancing operational policies in a large, multi-disciplinary team. #J-18808-Ljbffr
    Remote work
    Policy

    RXinsider

    United States
    3 days ago
  • UnitedHealth Group's Optum division seeks a Medical Director to provide physician support for...  ...ensure appropriate medical review and policy adherence. The position requires an MD...  ...license, and 5+ years of clinical practice. Remote work is available nationwide in the... 
    Remote job
    Policy

    UnitedHealth Group

    Minneapolis, MN
    4 days ago
  • UnitedHealth Group is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on clinical coverage...  ...to optimize care and cost effectiveness.The role allows remote work from anywhere in the United States, with responsibilities... 
    Remote job
    Policy

    UnitedHealth Group

    Los Angeles, CA
    4 days ago
  • A healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making...  ...ensuring compliance with national guidelines and company policies. Ideal candidates will have significant clinical experience... 
    Remote job
    Policy
    Contract work
    Weekend work

    Integrated Resources, Inc ( IRI )

    New York, NY
    4 days ago
  •  ...Description & Requirements System Medical Director, Pre-Surgical Optimization...  ...Improve preoperative clinic utilization, reduce elective case...  ...efficiency. Develop triage policies and clinical criteria to...  ...process enhancements. Provide remote and on-site clinical support... 
    Remote work
    Policy
    Full time
    Local area
    Immediate start

    AMN Healthcare

    Chicago, IL
    1 day ago
  •  ...is seeking a physician leader to direct medical management and credentialing programs across...  ...providing medical leadership for utilization management, quality improvement, and cost...  ...committees to drive performance improvements and policy alignment, ensuring high-quality, cost-... 
    Remote work
    Policy

    Centene Corporation

    Wausau, WI
    4 days ago
  • $248.5k - $373k

     ...373,000/yearJob Area: Medical & Clinical OperationsCompany...  ...costs.The Medical Director provides physician...  ...knowledge in various utilization management activities...  ...the flexibility to work remotely * from anywhere within...  ...proprietary coverage review policies, render coverage... 
    Remote work
    Policy
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    Los Angeles, CA
    2 days ago
  • $110 - $130 per hour

     ...Title: Medical Director Location: Remote Duration: 6 Months with possible extension/Conversion FTE...  ...the Chief Medical Director to lead utilization management, quality improvement, credentialing...  ...unit as needed. Consult on SUD policy and MCM cases when required.... 
    Remote work
    Policy

    SPECTRAFORCE

    Wausau, WI
    4 days ago
  • $386.5k

     ...$579,500/yearJob Area: Medical & Clinical OperationsCompany...  ...- starting with Utilization Management. The Medical Director, Clinical AI Innovation...  ...models to ensure medical policies are accurately interpreted...  ...the flexibility to work remotely * from anywhere within the... 
    Remote work
    Policy
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    Minnetonka, MN
    4 days ago
  • $248.5k - $373k

     ...373,000/yearJob Area: Medical & Clinical OperationsCompany...  ...costs.The Medical Director provides physician...  ...knowledge in various utilization management activities...  ...the flexibility to work remotely * from anywhere within...  ...proprietary coverage review policies, render coverage... 
    Remote work
    Policy
    Minimum wage
    Full time
    Work experience placement
    Local area

    UnitedHealth Group

    Phoenix, AZ
    2 days ago
  •  ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California:   Please consider becoming...  ...This position can be structured as a hybrid remote role - you would not necessarily be required to reside... 
    Remote work
    Permanent employment
    Temporary work
    Relocation package

    Curative

    Palm Springs, CA
    26 days ago
  • $280.84k - $393.18k

     ...President of Health Services, the Senior Medical Director Policy & Outcomes (Sr. Medical Director - P&...  ...downstream connections to utilization management, population health, and other...  ...a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga... 
    Remote work
    Policy
    Temporary work
    Local area

    Inland Empire Health Plan

    Rancho Cucamonga, CA
    2 days ago
  • $236.5k

    Position Purpose:Assist the Chief Medical Director to direct and coordinate the...  ...leadership of all for utilization management, cost containment...  ...and establishing goals and policies to improve quality and cost-...  ...flexible approach to work with remote, hybrid, field or office... 
    Remote work
    Policy
    Full time
    Part time
    Work at office
    Flexible hours
    Weekend work

    Centene

    Texas
    2 days ago
  •  ...Candidates must have an active medical license in PA, NY, or WV ,...  .... Description: Medical Director Job Description This job,...  ...physician team, ensures that utilization management responsibilities are...  ...electronically and using Medical Policy criteria sets to evaluate the... 
    Remote work
    Policy
    Private practice

    Saxon Global

    United States
    2 days ago
  • $248.5k - $373k

     ...$373,000.00Job Area: Medical & Clinical OperationsCompany...  ...of a team of medical directors, for the overall...  ...Additionally, performs Utilization Management reviews and...  ...and implementation of policies, procedures and clinical...  ...flexibility to work remotely * from anywhere within... 
    Remote work
    Policy
    Minimum wage
    Work experience placement
    Local area
    Weekend work

    UnitedHealth Group

    Minneapolis, MN
    3 days ago
  •  ...Job Title: Medical Director Location: Remote Duration: 6 Months CTH Job Description:...  ...of a physician team, ensures that utilization management responsibilities are performed...  ...cases electronically and using Medical Policy criteria sets to evaluate the medical... 
    Remote work
    Policy
    Private practice

    eTeam

    United States
    3 days ago
  • $130 per hour

     ...LTSS Medical Director - Massachusetts Contract: 09/21/2026 to 10/04/2027 (Contract to Hire...  ...and community-based services review, utilization management, and communication with...  ...and implementation of local clinical policies and procedures, quality improvement initiatives... 
    Remote work
    Policy
    Weekly pay
    Full time
    Contract work
    Work at office
    Local area
    Work from home

    ALLMED Staffing

    United States
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Medical Director, Utilization & Policy. Be the first to apply!