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

Remote Medical Director, Utilization Management

The Mississippi Bar

San Antonio, TX
  • Remote job

WellMed Medical Management, Inc. is seeking a Medical Director for Utilization Management to support the UM program and optimize medical necessity determinations across plans.You'll work remotely from anywhere in the United States, require an MD/DO/MBBS with board certification in Family or Internal Medicine, an active unrestricted license, and 5+ years of post-residency clinic experience, collaborating with CMS criteria and care-management protocols.J-18808-Ljbffr The Mississippi Bar

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Medical Director, Utilization Management in San Antonio, TX vacancy
  •  ...GuideWell Mutual Holding Corporation is seeking a Medical Director to lead all utilization management reviews (Pre-service, Post-service, Concurrent Review and Appeals) and to collaborate with physician providers and Case Managers on complex cases. The ideal candidate... 
    Remote work

    GuideWell

    United States
    5 days ago
  • $275k - $325k

     ...and growing, Starling Oncology is changing oncology for the better. For more information, visit  Utilization Management Medical Director Oncology Work Location: REMOTE (work from home)   California         Nevada               Arizona               Oregon... 
    Remote work
    Work from home

    Starling Oncology

    Cerritos, CA
    a month ago
  • $248.5k - $373k

     ...$373,000.00/yearJob Area: Medical & Clinical OperationsCompany...  ...medicine physician to join our Utilization Management team. Optum is a clinician-...  ...work and live.The Medical Director for Utilization Management...  ...the flexibility to work remotely * from anywhere within the... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Work from home

    UnitedHealth Group

    San Antonio, TX
    16 hours ago
  • $248.5k - $373k

     ...family medicine physician to join our Utilization Management team. Optum is a clinician-led care...  ...way clinicians work and live. The Medical Director for Utilization Management will support...  ...'ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you... 
    Remote work
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area
    Work from home

    AzCEP

    United States
    2 days ago
  • The Oncology Institute is seeking a Medical Director to provide clinical expertise in assessing medical necessity, appropriateness, and efficiency of oncology care with a focus on utilization management for case reviews and clinical decision making. In this collaborative... 
    Remote job

    Oncology Institute, Inc.

    Cerritos, CA
    4 days ago
  • $150 per hour

    The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment...  ...to support Integra’s Utilization Management (UM) operations. Role functions...  ...Conditions and Additional Expectations: Remote role requiring consistent... 
    Remote work
    Hourly pay
    Full time
    Contract work
    Temporary work
    Part time
    Local area

    Integra Partners

    Troy, MI
    a month ago
  • Centene Corporation is seeking a clinical professional to lead Medical Management/Health Services for 28 million members. The role drives utilization management, quality improvement, and medical review across a national organization with flexible work options. The candidate... 
    Remote job
    Flexible hours

    Centene Corporation

    Wakeeney, KS
    4 days ago
  •  ...Bickham Services Unlimited, LLC is seeking a Medical Director, Utilization Management to lead clinical utilization reviews for inpatient and post-acute...  ...align with CMS, policies, and evidence-based criteria. Remote opportunity in New Jersey for a board-certified... 
    Remote work

    Bickham Services Unlimited, LLC

    United States
    3 days ago
  •  ...listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Medical Director, Utilization Management (Home Health, Acute & Post-...  ...as a key clinical authority within a remote utilization management environment. You... 
    Remote work
    Full time
    Part time
    Local area

    jobgether

    United States
    5 days ago
  • $75.3k - $135.4k

     ...Supervises the behavioral health (BH) utilization review clinicians to ensure...  ...activities of BH utilization management team. Key details : Centene is hiring a remote Supervisor, Behavioral Health...  ...preferred. Understanding of medical necessity criteria for a broad... 
    Remote work
    Full time
    Part time
    Work at office
    Local area
    Flexible hours

    Centene Corporation

    Texas
    7 days ago
  •  ...supervision of clinical staff performing utilization reviews and specialty reviews using...  ...criteria. You will mentor reviewers, ensure medical necessity decisions are accurate, and maintain...  .... This role supports a flexible remote work model with occasional on-site collaboration... 
    Remote job
    Flexible hours

    Comagine Health

    Brooklyn, NY
    1 day ago
  •  ...family, is seeking an experienced physician to join the Utilization Management team. The Medical Director for Utilization Management will support WellMed...  ...determinations and suggesting program improvements. This remote-friendly role offers the chance to influence care on... 
    Remote work

    AzCEP

    United States
    2 days ago
  • $236.5k

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

    Centene

    Austin, TX
    16 hours ago
  •  ...Job Description Job Description: Manager of Clinical Utilization Management - Denial Compliance Location...  ..., CA Position Type: Hybrid (85% remote, 15% onsite in Northridge, CA);...  ...with physician reviewers, medical directors, and other relevant departments.... 
    Remote work
    Permanent employment
    Full time
    Temporary work
    Flexible hours

    Vivo HealthStaff

    Burbank, CA
    25 days ago
  •  ...CorroHealth is seeking a Medical Director, Concurrent Review, to evaluate hospitalizations nationwide...  ...provide expert recommendations. This remote position offers a predictable schedule and a path to expand knowledge in Utilization Review. Ideal candidates hold an MD/DO... 
    Remote work

    CorroHealth Inc

    United States
    2 days ago
  •  ...WellMed, part of the Optum family, seeks a Medical Director for Utilization Management to lead and optimize our UM program. This role focuses on medical...  ...program improvements while fostering a collaborative, remote-friendly work environment across the U.S. You will... 
    Remote work

    Ishe

    United States
    5 days ago
  • $180 per hour

     ...REMOTE MEDICAL DIRECTOR – UTILIZATION MANAGEMENT & APPEALS $180/hour | W-2 Contract | Monday–Friday | 100% Remote | Potential Extension The Jacobson Group is seeking a Medical Director to support a health plan's Utilization Management and Appeals programs. This... 
    Remote work
    Contract work
    Work at office
    Monday to Friday

    The Jacobson Group

    United States
    14 hours ago
  •  ...UnitedHealth Group is hiring a Medical Director to provide physician support for Enterprise Clinical...  ...necessity decisions. The role emphasizes utilization management, evidence-based medicine and cross-functional teamwork. Remote work within the United States is... 
    Remote work

    Sacbar

    Los Angeles, CA
    5 days ago
  •  ...CVS Health is seeking a Medical Director (Behavioral Health) for a remote-based role. The provider will lead utilization management, oversee behavioral health care management, and guide clinical policy and program development. Ohio licensure and board certification... 
    Remote work
    Full time
    Weekend work

    CVS Health

    United States
    3 days ago
  •  ...CVS Health is seeking a Medical Director (Behavioral Health) to lead the utilization management team remotely. You will provide psychiatric leadership, oversee high-risk cases, and ensure medical necessity decisions to deliver high-quality care for diverse health plans... 
    Remote work

    CVS Health

    Wausau, WI
    5 days ago
  • $78.62k - $105.16k

     ...Pay Plan Title: NurseManager, Utilization Management Working Title: Nurse Manager, Utilization Management – Physical Health Cost Center:...  ...Posting Salary Range: $78,624 - $105,158 Office Location: Remote within North Carolina POSTING DETAILS: Make an Impact... 
    Remote work
    Full time
    Work experience placement
    Work at office
    Local area
    Immediate start
    Work from home
    Flexible hours

    TRILLIUM HEALTH RESOURCES

    North Carolina
    6 days ago
  • System Physician Advisor Medical Director Responsibilities and Job Description Overview:The...  ...and other leadership related to case/utilization management and revenue cycle including the Lee Health...  ...contracted providers involved in remote utilization review and physician... 
    Remote work
    Contract work
    For contractors
    Monday to Friday
    Weekend work
    3 days per week

    Lee Health

    Fort Myers, FL
    3 days ago
  •  ...HJ Staffing is seeking an experienced physician leader for a remote Medical Director, Utilization Management (Home Health, Acute & Post-Acute) role. In this position, you will serve as the primary clinical authority for home health authorization requests while supporting... 
    Remote work
    Full time
    Contract work
    Part time
    Local area
    Work from home

    HJ Staffing

    Remote
    1 day ago
  • $54.1k - $116.77k

     ...family and one community at a time. Behavioral Health Utilization Management Clinician Remote | Louisiana Preferred | Sunday - Thursday Schedule...  ...behavioral health services and treatment plans to determine medical necessity and appropriateness of care Apply... 
    Remote work
    Hourly pay
    Full time
    Temporary work
    Local area

    CVS Health

    New Hampshire
    1 day ago
  • $286.07k - $353.38k

     ...to Work" since 2015.Position SummaryThe Vice President, Medical Director, Health Plan provides senior clinical leadership across the...  ...health plan strategy.Provide clinical leadership across utilization management, care management, population health, quality, pharmacy, medical... 
    Remote work
    Full time
    Home office

    Martin's Point Health Care

    Portland, ME
    2 days ago
  •  ...Medical Director Utilization Management Location: Remote Preference EST or nearby Pittsburgh PA, NY, WV Duration: 6+ Months Contract Role with possible extension. Position Overview As part of a physician team, the Medical Director ensures utilization management... 
    Remote work
    Contract work
    Private practice

    Anveta, Inc

    Washington DC
    5 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 Medicare/Medicaid guidelines and internal policies while maintaining timely throughput and... 
    Remote job

    Integra Partners

    Brooklyn, NY
    3 days ago
  • $250k - $350k

     ...company, is a specialized medical group dedicated to providing...  ...primary care, longitudinal care management, remote monitoring, and real-time...  ...quality, reduce avoidable utilization, and expand access for...  ...Position Title: Medical Director Intention MA Location... 
    Remote work

    Essen Health Care

    Boston, MA
    5 days ago
  •  ...company is hiring a Physical Health Medical Director to work remotely in North Carolina. The Physical...  ...within the Physical Health Medical Management Team, providing clinical oversight,...  ...goals related to clinical quality, utilization management, and care coordination.... 
    Remote work
    Temporary work
    Work experience placement
    Work at office
    Relocation
    Flexible hours
    Weekend work
    Aberdeen, NC
    a month ago
  • $190k - $200k

    We're seeking a board‑certified Medical Director (Internal Medicine or Family Practice) to support our team. This role is fully remote and focuses on utilization management (UM), quality review, and clinical oversight for high‑volume cases. You will work closely with... 
    Remote work
    Full time

    SPECTRAFORCE

    New York, NY
    1 day ago

Do you want to receive more vacancies?

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