Remote Medical Director Consultant - Health Plan Strategy
ADP
Health Plan of San Joaquin is hiring a Medical Director – Consultant for a remote role based in California. You will provide clinical oversight of utilization, quality, pharmacy, credentialing, and health equity functions to ensure delivery of cost-effective, high-quality care while supporting regulatory and accreditation requirements.
The position emphasizes collaboration with leadership, supervision of medical management activities, and participation in multiple committees; requires MD, CA
#J-18808-Ljbffr- ...Health Plan of San Joaquin is seeking a physician leader for a consultant Medical Director role, remote in California. You will provide clinical oversight for utilization, quality, pharmacy, credentialing, and health equity to ensure quality, cost-effective care aligned...Remote workHealth Insurance
- ...market. The range is subject to change. Health Plan of San Joaquin is currently hiring a consultant Medical Director. This is a remote position; must reside in California.... ...possibilities and translates them into breakthrough strategies. Ability to execute and monitor...Remote workHealth InsuranceContract workCurrently hiring
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- ...Health Plan of San Joaquin is seeking a Medical Director consultant to provide clinical oversight of utilization management, quality, pharmacy, credentialing and health... ...with independent judgment. The position is remote and requires residence in California, with collaboration...Remote workHealth Insurance
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- ...Cotiviti seeks a Client Medical Director to lead medical policy and payment integrity initiatives for a major health plan. This role collaborates with the Go To Market team, reviews... ...payment policy while working from a remote location within the continental U.S. #J...Remote workHealth Insurance
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...Senior Medical Director, Medical Strategy & Scientific Affairs United States... ...teams work across consulting and communications... ...position may be performed remotely within the United... ...to support your health, well-being, professional... ..., retirement plans, generous paid time...Remote workHealth InsuranceFreelance- ...The Ohio State University Wexner Medical Center seeks a Director of Wellness and Health Coaching to lead strategy, operations, and fiscal... ...well-being through onsite and remote programs. The Director collaborates with OSU Health Plan, HR, YP4H, Buckeye Wellness, and...Remote workHealth Insurance
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...GroupOptum Tech is a global leader in health care innovation. Our teams... ...across the Indiana Health Plan. As an individual contributor... ...have the flexibility to work remotely* as you take on some tough... ...experience developing technology strategies, roadmaps, business cases,...Remote workHealth InsuranceMinimum wageFull timeWork experience placementLocal area$275k - $315k
...Title: Medical Director of Utilization Management Summary: Step into... ...Clinical Lead for a prominent Health Plan's Utilization Management (UM... .... You will oversee clinical strategy, quality improvement, and... ...leadership role with a hybrid schedule (3 days remote / 2 days onsite)...Remote workHealth InsuranceFull timeWork at officeMonday to FridayShift work2 days per week- ...About Us Virtue Health operates a Private Stop Loss... ...attachment points and renewal strategy. Your advocacy can... ...notices and claimant medical records to identify high... ...strongly preferred given the remote and multi-state nature... ..., self-funded health plans, and TPA operations...Remote workHealth InsuranceFull timeTemporary work
$292.3k
...500/yearJob Area: Medical & Clinical OperationsCompany... ...directly improve health outcomes by... ...a Senior Medical Director, Population Health... ...population health strategies, clinical... ...flexibility to work remotely * from anywhere within... ...working within health plans, health care...Remote workHealth InsuranceMinimum wageFull timeWork experience placementLocal area$109k - $141k
Commercial Strategy and Operations Manager Virta Health Remote Manager Business 6d ago $109k - $141k About this role... ...partner with the largest health plans, employers, and government organizations... ...‑7 years at a leading management consulting firm, investment bank, or...Remote workHealth InsuranceCurrently hiringWork at office$249.84k - $374.76k
...Job Description The Senior Medical Director is a strategic clinical and... ...for advancing the health plan’s line of business focus through... ...line of business leadership on strategy, population health, medical... ...There may be opportunity for remote work within all jobs posted...Remote workHealth Insurance$270k - $310k
...States Location/Remote United States... ...and physical health solutions that... ...navigation, in-home medical care, or 24/7... ...The Medical Director (Behavioral... ...partners with health plans, providers,... ...and provider consultations. Partner with... ...and implement strategies that improve...Remote workHealth InsuranceFull timeWork from homeFlexible hours- ...Remote Full time R-102088 Job Description:... ...home care resources, health information management... ...Sharecare enables health plan sponsors, health... ...Job Summary: The Medical Director of Population Health and... ...enterprise-wide medical strategy or direct patient panel...Remote workHealth InsuranceFull time
- ...Medical Director, Clinical Payment IntegrityThe Medical Director, Clinical... ...clinical bridge between the health plan, providers, and internal... ...function, influencing future strategy, governance, program development... ...review capabilities.Fully Remote: This role is designated by...Remote workHealth InsuranceWork at office
- ...and Operations Consulting Firm focusing... ...Charlotte, NC / Remote to support an... ...Occupational Health and Safety Guidelines... ...'s (OSHA), Directorate of Standards... ...recommended strategies for reducing risksIdentify... .... For medical and dental... ...month towards the plan you elect....Remote workHealth InsuranceFull timeContract workTemporary workFor contractorsWork experience placementFlexible hours
$232.48k - $290.6k
...Overview Acentra Health exists to empower... ...Fractional (part time) Medical Director to join our... ...This position is remote within California... ..., and customers. Consult with general and... ...assessments, intervention plans, and training... ...managed care strategies, integrating delivery...Remote workHealth InsuranceContract workPart timeLocal areaFlexible hours- ...National Medical Director- REMOTE- 50% Travel ~ Full-time Catasys is... ...predictive analytics to identify health plan members with unaddressed... ...the CMO in executing on strategy, measuring outcomes and... ...provider groups, benefits consultants and employers. Develop,...Remote workHealth InsuranceFull timeWork at office
- ...UnitedHealth Group is hiring a Medical Director to provide physician support for Enterprise Clinical Services, focusing on pre-service benefit... ...for cost‑effective, high‑quality care while working remotely across the United States. Requires M.D. or D.O., ABMS/AOA...Remote workHealth Insurance
$200k - $240k
...Medical Director - Addiction Medicine (Telehealth) United States - Remote About Boulder Boulder Care is an... ...partners with leading health plans, employers, and... ...standards, quality strategy, service line evolution... .... Provide consultation and guidance on complex...Remote workHealth InsuranceFull timeTemporary workCurrently hiringWork at officeWork visaMonday to Friday$256.61k - $347.17k
...Global Safety Officer, Medical Director, Rare Disease What... ...-risk profile, safety strategy, signal management, and... ...Risk Management Plans (RMPs), risk minimization... ...and interactions with health authorities, including... ...work models, including remote and hybrid work arrangements...Remote workHealth InsurancePrivate practiceFlexible hours$225k - $275k
Overview The Client Medical Director (CMD) is a key member of the Go To Market... ...(PPM) client team at the health plan. The CMDs role is to serve... ...analytics. Defines mission and strategy with Client Engagement... ...REPOSTED 9/28/2026 #LI-JB1 #LI-Remote #director #J-18808-Ljbffr CotivitiRemote workHealth InsuranceWork at officeWork from home- ...The Medical Director is responsible for developing and sustaining... ...impacting clinical strategies and workflows that... ...of delivering quality health outcomes while reducing... ...Aledade Annual Operating Plan, currently including... ..., inclusive and remote-first culture - you've...Remote workHealth InsuranceLocal areaFlexible hours
$174.07k - $374.92k
...re building a world of health around every... ...resources. This is a remote based (work at home) based... ...Responsibilities of this Medical Director role are related to Medicare... ...Management Strategy support Collaborative... ...Appeals experience. Health Plan Experience Highly Preferred...Remote workHealth InsuranceHourly payFull timeTemporary workLocal areaWork from homeWeekend work$320k - $350k
...Senior Medical Director, Clinical Development Location: Remote Therapeutic Area: Dermatology Salary... ...clinical development strategy across multiple... ...interactions and registration planning. This is an... ...registration strategies and health authority engagement plans...Remote workHealth Insurance$213.1k - $383.58k
...SCAN is a nonprofit health organization... ...care for the most medically and socially complex... ...Physician Medical Director provides physician... ...contributes to program strategy, policy... ...based guidelines, plan policy, standard of... ...yearWork Mode - Mostly Remote: Employees who reside...Remote workHealth InsuranceFor contractorsWork at officeLocal areaRelocation$216k - $324k
...information. \n \n The Medical Director, GI Oncology and Solid... ...the Medical Affairs plans and collaborate with... ...congress/conference strategy and planning, advisory... ...standard response letters, health economics and... ...required. \n \n \n #LI-Remote \n \n Jazz Pharmaceuticals...Remote workHealth InsuranceWorldwideFlexible hours- ...Brighton, MA office; 1 day remote from home FLSA Status:... ...Position Summary The Medical Director oversees all medical... ...’s medical management strategy, providing clinical... ...execution of an annual plan for medical management... ...implement population health initiatives, including...Remote workHealth InsuranceContract workWork at officeLocal area
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