Remote Medical Director, Utilization & Policy
Vālenz Health®
- 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®
$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 workPolicyWork from home- ...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 workPolicyFull time
- ...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 workPolicyFull time
- ...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 workPolicyContract workLocal areaFlexible hoursWeekend work
$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 workPolicyFlexible hours- 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 jobPolicy
- 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 jobPolicy
- 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 jobPolicy
$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 workPolicyMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- 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 jobPolicyWork from home
- ...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 workPolicyFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
$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 workPolicyMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$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 workPolicyHourly payFull timeContract workTemporary workPart timeLocal area- ...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-LjbffrRemote workPolicy
- 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 jobPolicy
- 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 jobPolicy
- 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 jobPolicyContract workWeekend work
- ...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 workPolicyFull timeLocal areaImmediate start
- ...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 workPolicy
$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 workPolicyMinimum wageFull timeWork experience placementLocal area$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 workPolicy$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 workPolicyMinimum wageFull timeWork experience placementLocal area$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 workPolicyMinimum wageFull timeWork experience placementLocal area- ...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 workPermanent employmentTemporary workRelocation package
$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 workPolicyTemporary workLocal area$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 workPolicyFull timePart timeWork at officeFlexible hoursWeekend work- ...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 workPolicyPrivate practice
$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 workPolicyMinimum wageWork experience placementLocal areaWeekend work- ...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 workPolicyPrivate practice
$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 workPolicyWeekly payFull timeContract workWork at officeLocal areaWork from home
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