Remote Behavioral Medical Director — Quality & Utilization Leader
Centene Corporation
Kansas City, MO
- Remote job
Centene Corporation is seeking a clinical leader to assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing. The role provides medical leadership for utilization management, cost containment, and quality improvement activities, ensuring timely and quality decision making. You will support performance improvement initiatives, review complex medical cases, and collaborate with care management teams and provider networks to improve #J-18808-Ljbffr Centene Corporation
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Behavioral Medical Director — Quality & Utilization Leader in Kansas City, MO vacancy
- ...Centene is seeking a Medical Doctor or Doctor of Osteopathy to lead clinical management on our Medical Management/Health... ...team in Missouri. The role involves medical leadership for utilization management, quality improvement, and cost containment across complex cases....Remote job
- ...Plans, Inc. is seeking an Enterprise Medical Director to shape healthcare delivery... ...Jefferson Health’s network. This fully remote position requires a medical... ...management experience, focusing on utilization management and healthcare quality improvement. The ideal...Remote job
- Centene Corporation is seeking a clinical leader to direct medical management, quality improvement, and credentialing for the Medical Management... ...team. You will partner with the Chief Medical Director to optimize utilization, cost containment, and care quality for Centene’...Remote job
$280k - $310k
A distinguished behavioral health organization seeks a Medical Director to lead psychiatric consultation and clinical innovation within the Collaborative Care... ...clinical experience and proven leadership skills. A fully remote position with a competitive salary range of $280,00...Remote workConcert Health
Kansas City, MO3 days ago- ...Altais is seeking a Medical Director of Utilization and Medical Management for a remote, one-month opportunity. The role reports to Senior Medical Director and collaborates... ...Altais clinical leadership team to ensure high-quality, cost-efficient care across the continuum....Remote job
- Centene Corporation is seeking a Medical Director to lead utilization management, quality improvement, and medical review activities. You will partner with Chief Medical Director to shape goals, policies, and cost-effective care for a diverse member population. The role...Remote job
- ...New Hampshire seeks a Full-time Medical Director to lead medical management, quality improvement and credentialing for... ...the health plan. You will direct utilization management, drive cost containment... ...a flexible work model including remote/hybrid options and collaboration...Remote workFull timeFlexible hours
- ...Behavioral Health Utilization Manager The Behavioral Health Utilization Manager... ...with a focus on clinical quality and compliance. Key... ...standards. Collaborate with Medical Directors when clinical complexity... ...Demands: Primarily remote role with periodic travel...Remote workWork at office
- ...seeking a Physical Health Medical Director to lead medical... ...The role is primarily remote with occasional on-site... ...in managed care and utilization management. You will... ...clinical operations, and behavioral health teams to... ...levels of care, drive quality improvement, and align...Remote work
PsychPros, Inc.
Durham, NC1 day ago - ...seeks a Physiatrist (PM&R) to serve as Medical Director, providing clinical oversight across our... ...-acute and long-term care network with remote direction and periodic on-site support.... ...care standards, ensure documentation quality and compliance, and collaborate with facility...Remote job
- Centene is seeking a Director of Utilization Management Hospice CoE to guide enterprise strategy, governance, and operations for hospice and palliative... ...care across Medicaid and Marketplace populations. Based remotely in Missouri, you will lead policy application, performance...Remote job
- ...Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh,... ...on physical health utilization management and... ...collaborates with medical, behavioral health, and care management... ...teams to uphold quality, compliance, and... ...accommodating primarily remote work with a North #J-...Remote work
Beacon Hill
Raleigh, NC3 days ago $245k - $260k
PCHP Medical Director Clinical Leader Location: Mockingbird Towers 4th FLR, Dallas, TX Remote PRIMARY PURPOSE Oversees medical coordination... ...required for effective utilization and quality management of the health... ...role of pharmacy and behavioral health in managing health...Remote workPermanent employmentFull timeContract workPart timeLocumPrivate practiceWork at officeVisa sponsorshipRelocation packageMonday to FridayFlexible hours- ...Humana Inc is seeking a Medical Director for Behavioral Health to oversee complex behavioral health care strategies. This remote position requires a Doctor of Medicine or Osteopathy... ...extensive experience in clinical services and utilization management. Your role involves...Remote job
- A leading health care company is seeking a Behavioral Medical Director to oversee utilization management. This remote role involves direct interaction with behavioral health providers and requires strong clinical oversight skills. Candidates must hold a Doctor of Medicine...Remote job
- Elevance Health is seeking a Behavioral Health Medical Director (Psychiatrist) for California Medicaid. The role is part-time (25 hours/week) with... ...distance as per policy. The Medical Director will lead utilization management across levels of care, guide clinical...Remote jobPart timeFlexible hours
- ...Medical Director Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location: Pittsburgh, PA Schedule: Monday... ...submit form as one of the following: Non Behavioral Health (Physical Health) Team requires approximately...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
$223.8k - $313.1k
## Medical Director Behavioral Health, MedicaidApplylocations: Remote Nationwide: Remote Louisiana: Remote Indianatime type: Full timeposted on: Posted Todayjob... ...* providing clinical services* Experience in **utilization management** review and case management in a health...Remote workWeekly payFull timeTemporary workWeekend work$206.01k
...Behavioral Health Medical Director Why should you join the BlueCross BlueShield... ...overseeing physician review, utilization review/quality assurance, directing... ...hours/week) Monday-Friday REMOTE in South Carolina. You... ...team member as well as a leader. Required License and...Remote workFull timePart timeFor contractorsWork experience placementLocal areaMonday to Friday$258k - $323k
Join to apply for the Behavioral Medical Director - Remote role at Optum 1 day ago Be among the first 25 applicants... ...oversight to and direction of the Utilization Management Program and performing... ...Director, Clinical, Network and Quality staff. At Optum, our clinical...Remote jobMinimum wageFull timeWork experience placementLocal area$231.9k
Remote Behavioral Medical Director - Texas Join to apply for the Remote Behavioral Medical Director - Texas... ...coordinate the medical management, quality improvement and credentialing... ...Provides medical leadership of all for utilization management, cost containment, and associated...Remote jobFull timeWork at officeFlexible hoursWeekend work- ...-value procedures and medical necessity reviews. The... ...evidence-based care, utilization management, and collaboration with medical directors to improve patient outcomes... .... You will work remotely from anywhere in the U... ...and participate in quality initiatives within a large...Remote job
$275k - $325k
...is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona... ..., clinical teams and operational leaders to support evidence-based high quality and cost-effective care delivery across...Remote workWork from home$217.6k - $294.4k
...Associate Medical Director Behavioral Health Or Utilization Management Medical Director Doe This is a part-time non... ...utilization management. Partners with leaders and staff across the organization... ...and metrics in managing health, quality and program effectiveness....Part timeImmediate startWork from homeFlexible hours- ...virtual health company is seeking a Director of Clinical Quality to oversee its clinical quality... ..., and 8+ years of experience in behavioral health, including expertise in quality improvement and utilization management. This is a remote position with a focus on maintaining...Remote job
$140k - $175k
About the Role The Director of Clinical Quality serves as Equip'... ...of the Utilization Management (UM)... ...directly to the VP of Medical Operations & Quality... ...-specific leaders and the Compliance... ...or higher in a behavioral health or clinical... ...compliance staff) in a remote or telehealth...Remote workWork at officeLocal areaWork from homeHome officeFlexible hours- A national healthcare organization is seeking a medical professional to lead and coordinate medical management efforts. Responsibilities include utilization management, medical quality improvement, and collaboration with clinical teams to optimize patient care. The ideal...Remote jobFull timeFlexible hours
$248.5k - $373k
...73,000.00Job Area: Medical & Clinical OperationsCompany... ....The Medical Director Oncology will provide utilization review... ...flexibility to work remotely * from anywhere within... ...to close clinical quality / service gaps, and... ...serving as a thought leader and point of contact...Remote workMinimum wageWork experience placementLocal area$188.27k - $260k
...provide high-quality care for every... ...acute to chronic, behavioral to physical,... ...Clinical Director, Integrated Care... ...permanent, full-time remote footprint in... ...natively utilizing AI Engineer... ...and engineering leaders to responsibly... ...including top-tier Medical, Dental, and...Remote workPermanent employmentFull timeHome officeShift workIncluded Health
Remotea month ago- Centerstone Medical Group is seeking a Program Director in Trenton, MO, to lead a team in fostering an inclusive culture, ensuring compliance, and enhancing service quality. The role requires a Bachelor's degree and relevant experience. The ideal candidate will manage...Flexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Behavioral Medical Director — Quality & Utilization Leader. Be the first to apply!
Related searches
- health account manager Kansas City, MO
- home health manager Kansas City, MO
- hospital account manager Kansas City, MO
- senior manager clinical operations Kansas City, MO
- regional director of clinical operations Kansas City, MO
- director population health Kansas City, MO
- medical director oncology Kansas City, MO
- health manager Kansas City, MO
- remote medical billing manager Kansas City, MO
- behavioral health manager Kansas City, MO