Remote Behavioral Medical Director — Quality & Utilization Leader
Centene Corporation
- 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
- 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
- Humana is seeking a Behavioral Health Medical Director to lead care strategy and operations. The role involves... ...across the assigned cluster. Fully remote with occasional travel for training... ...clinical experience including utilization and case management in #J-18808-Ljbffr...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 work- ...seeking a clinical professional responsible for leading medical management, quality improvement, and credentialing within a health services team... .... The role focuses on providing medical leadership for utilization management, cost containment, and quality initiatives, performing...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
- ...Quantum Health, the leader in healthcare navigation... ...of adding a Medical Director to our incredible team... ...outcomes Performs utilization review and case management... ...medical or behavioral health conditions, procedures... ...to us. #LI-HW1 #LI-Remote What’s in it for...Remote workPermanent employmentFull timeCasual work
$223.8k - $313.1k
...caring community The Behavioral Health Medical Director is responsible for... ...services Experience in utilization management review and case... ...Travel: While this is a remote position, occasional travel... ...efforts are leading to a better quality of life for people with...Remote workFull timeTemporary workApprenticeshipWeekend work- 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
- 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 job
- Humana seeks a Behavioral Health Medical Director to lead behavioral health care strategy and operations. The... ..., with extensive experience in utilization management and care coordination within... ...plan setting. The position is fully remote, nationwide in the US, with EST business...Remote job
- Humana is seeking a Behavioral Health Medical Director to lead behavioral health care strategy and operations... ...including regulatory compliance and utilization management across inpatient and... ...years in project management. Fully remote with occasional travel; standard hours...Remote job
$223.8k - $313.1k
...our caring community The Behavioral Health Medical Director is responsible for behavioral... ...services Experience in utilization management review and case... ...prior experience focusing on quality, utilization, and/or case... ...Work Style Fully Remote Occasional travel to Humana...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to FridayFlexible hours$143 per hour
...seeking a highly qualified Behavioral Health Medical Director to provide clinical... ...and strategic guidance in a remote environment. This role partners... ...clinical reviews, utilization strategies and practice pattern... ...with utilization management, quality management, case...Remote workHourly pay$124 - $128 per hour
...Fostering Relationships Job Title: Medical Director - Behavioral Health Duration: 6-month contract... ...conversion based on performance. Location: Remote Shift Type: 8 am - 5 pm Flexible... ...review activities pertaining to utilization review, quality assurance, and medical review of...Remote workContract workFlexible hoursShift workWeekend work- ...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 work
$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$140k - $175k
...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$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- 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
- Centene Corp. is seeking a Remote Behavioral Medical Director for the Central Region to lead medical management, quality improvement, and credentialing on a national scale. You will guide utilization management, review complex cases, and support performance improvement...Remote jobFlexible hours
- A diversified healthcare organization is seeking a clinical professional to lead medical management services. Responsibilities include overseeing utilization review, coordinating quality improvement initiatives, and collaborating with various clinical teams to ensure optimal...Remote jobFlexible hours
- ...Corporation is seeking a full-time Medical Director to join the Medical Management/Health Services team. You will oversee utilization management, quality improvement, and credentialing, and... ...offers flexible work arrangements (remote, hybrid, field or office) with competitive...Remote jobFull timeWork at officeFlexible hours
- 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
$248.5k - $373k
...373,000/yearJob Area: Medical & Clinical OperationsCompany... ...costs.The Medical Director provides physician... ...coverage determinations, quality improvement and cost... ...knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeWork experience placementLocal area$186.2k - $363.09k
Molina Healthcare is seeking a qualified professional for medical oversight in behavioral health and chemical dependency services. Ideal candidates... ...role involves providing clinical leadership, ensuring quality compliance, and collaborating across various healthcare programs...$143 per hour
The Jacobson Group is seeking a highly qualified Behavioral Health Medical Director to provide clinical leadership and strategic guidance in a remote environment. This role involves collaboration with senior leadership to enhance behavioral healthcare management practices...Remote workHourly pay$7,050 - $9,166.66 per month
ColumbiaCare Services, Inc. is hiring a Quality Assurance Director to be on-site at our Portland Service Center. In this full-time role, you will oversee the implementation of Evidence-Based Practices and ensure program fidelity to meet state standards. Qualified candidates...Full time$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 start- ...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
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