Remote Medical Director - Medicare & Regulatory Compliance
$223.8k - $313.1kHumana
A leading healthcare organization is seeking a Medical Director to oversee clinical services and ensure compliance with CMS guidelines. This remote position requires an MD or DO, with at least 10 years of clinical experience. Responsibilities include reviewing clinical cases for Medicare and Medicaid members, ensuring adherence to regulatory standards, and contributing to medical management improvements. The role offers competitive compensation ranging from $223,800 to $313,100 annually, alongside comprehensive benefits. #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Medical Director - Medicare & Regulatory Compliance in Montpelier, VT vacancy
$223.8k - $313.1k
...organization is seeking an experienced Medical Director to review clinical cases and... ...necessity of services for Medicare and Medicaid members. This remote position requires an MD or DO... .... The role emphasizes compliance with regulatory standards and offers a competitive...Remote workHumana
Hartford, CT4 days ago- ...provider in Atlanta is seeking a Medical Director to oversee compliance with healthcare services for Medicare and Medicaid members. The... ...clinical cases, ensuring regulatory compliance, and participating... ...and the flexibility to work remotely, along with a comprehensive...Remote work
Humana
Atlanta, GA4 days ago $223.8k - $313.1k
A healthcare company seeks a Medical Director to oversee compliance with Medicare and Medicaid services. Responsibilities include reviewing clinical cases and... ...skills are essential. The position offers a remote work option and a competitive compensation range of...Remote workHumana
Frankfort, KY4 days ago- ...health services provider is seeking a Medical Director to ensure compliance with healthcare regulations and determine medical necessity for Medicare and Medicaid services. The ideal candidate... ...and analytical skills. It is a remote position with responsibilities including...Remote work
Humana
Charleston, WV14 hours ago $223.8k - $313.1k
A healthcare organization is seeking a Medical Director to oversee clinical cases for Medicare and Medicaid members, ensuring compliance with necessary regulations. The role requires... ...team environment. This is a remote position with a salary range of $223,800...Remote workHumana
Phoenix, AZ4 days ago- A leading healthcare company is seeking a Medical Director to remotely oversee the compliance of healthcare services with Medicare and Medicaid guidelines. You will review clinical cases, ensure compliance with national standards, and contribute to quality improvement...Remote work
Humana
Jackson, MS1 day ago - ...health services company is seeking a Medical Director to oversee compliance with healthcare regulations and... ...include reviewing clinical cases for Medicare/Medicaid services and contributing... ...quality improvement initiatives. This remote position offers competitive...Remote work
Humana
Richmond, VA4 days ago - A healthcare company seeks a remote Medical Director to review clinical cases for Medicare and Medicaid members, ensuring compliance with guidelines and regulations. The ideal candidate... ...communication skills and adherence to regulatory standards. Competitive compensation...Remote work
Humana
Sacramento, CA4 days ago $223.8k - $313.1k
A healthcare services company seeks a Medical Director to oversee clinical cases for Medicare and Medicaid compliance. The role requires an MD or DO degree, board certification... ...to technology are essential. This remote position offers a salary range of $223,800 -...Remote workHumana
Lincoln, NE4 days ago$223.8k - $313.1k
...A healthcare provider seeks a Medical Director to ensure healthcare services align with CMS requirements. This remote role needs a qualified MD or DO with 10 years of clinical... ...include reviewing clinical cases for Medicare and Medicaid adherence and identifying operational...Remote workHumana
Little Rock, AR3 days ago$223.8k - $313.1k
A healthcare organization seeks a Medical Director to review clinical cases, ensuring compliance with Medicare and Medicaid. This remote position requires an MD or DO with board certification and 10 years of clinical experience. Responsibilities include evaluating medical...Remote workHumana
Tallahassee, FL3 days ago- ...services provider is seeking a Medical Director to oversee clinical case reviews for Medicare and Medicaid services. In this... ...will be responsible for ensuring compliance with guidelines, as well as... ...extensive clinical experience. This remote position requires strong...Remote workFlexible hours
Humana
Cheyenne, WY4 days ago - ...health insurance provider is seeking a Medical Director to join their remote team. The role involves evaluating Medicare and Medicaid services for compliance with clinical standards and CMS... ...reviewing clinical cases, ensuring regulatory compliance, and supporting medical...Remote work
Humana
Maryland4 days ago - ...health insurance provider in New York is seeking a Medical Director to ensure compliance with CMS Medicare guidance and evaluate healthcare services for Medicare... ...years of clinical experience. This position offers remote work and comprehensive benefits including medical,...Remote work
Humana
Albany, NY4 days ago $223.8k - $313.1k
...healthcare provider is seeking a Medical Director to oversee the clinical... ...healthcare services related to Medicare and Medicaid. This role... ...reviewing clinical cases, ensuring compliance with policies, and... ...direct clinical experience. This remote position offers a competitive...Remote workHumana
Boston, MA4 days ago- ...health insurance company is seeking a Medical Director to evaluate the medical necessity of services for Medicare and Medicaid members while ensuring compliance with national guidelines and... ...years of clinical experience. This remote position includes responsibilities...Remote work
Humana
Concord, NH4 days ago - ...health services provider is seeking a Medical Director to review healthcare services for compliance with medical guidelines and regulations. This remote role requires strong clinical and... ...board certification. With a focus on Medicare and Medicaid, the position demands a...Remote work
Humana
Carson City, NV4 days ago $223.8k - $313.1k
A healthcare services company is seeking a Medical Director to oversee clinical case evaluations and ensure compliance with CMS guidelines. Applicants must hold an MD or... ...direct clinical patient care experience. This remote position requires strong communication skills...Remote workHumana
Dover, DE4 days ago$223.8k - $313.1k
...services company is seeking a Medical Director to enhance healthcare... ...alignment with CMS guidelines for Medicare and Medicaid.... ...cases for medical necessity and compliance, supporting organizational excellence... ...analytical skills. This is a remote position requiring occasional...Remote workWork at officeHumana
Washington DC4 days ago$223.8k - $313.1k
...services provider is looking for a Medical Director to review clinical eligibility for Medicare and Medicaid services. This role involves ensuring compliance with CMS and organizational standards... ...experience. The position is remote with required calls and occasional...Remote workHumana
Santa Fe, NM4 days ago$223.8k - $313.1k
A healthcare service company is seeking a Medical Director in Honolulu, Hawaii to evaluate healthcare services for Medicare and Medicaid members. The ideal candidate will possess... ...least 10 years of clinical experience. This remote position requires strong communication skills...Remote workFull timeWork at officeHumana
Honolulu, HI4 days ago$223.8k - $313.1k
...leading healthcare company is seeking a Medical Director to review clinical cases for Medicare and Medicaid services. The role involves ensuring compliance with clinical guidelines and... ...operational improvements, all while working remotely. Ideal candidates should have an MD...Remote workHumana
Ewing, NJ4 days ago- ...health organization is seeking a Medical Director to ensure healthcare services meet... ...reviewing clinical cases for Medicare and Medicaid, ensuring compliance with CMS policies, and contributing... ...experience. This role allows for remote work, helping maintain work-life...Remote work
Humana
Indianapolis, IN4 days ago $223.8k - $313.1k
A healthcare company is seeking a remote Medical Director to oversee clinical case reviews and ensure compliance with healthcare regulations. Key responsibilities include assessing medical necessity for Medicare and Medicaid services. Ideal candidates must hold an MD or...Remote workWork at officeHumana
Lansing, MI4 days ago$223.8k - $313.1k
...organization in Alabama seeks a Medical Director to evaluate healthcare services and ensure compliance with CMS and Humana policies. This remote role involves reviewing clinical cases for Medicare and Medicaid members... ...that adhere to regulatory standards. Qualified candidates...Remote workHumana
Montgomery, AL4 days ago- ...leading healthcare provider seeks a Medical Director to oversee clinical cases and ensure compliance with guidelines. This role... ...review healthcare services for Medicare and Medicaid, ensuring they meet... .... This position offers remote work with occasional travel for...Remote workWork at office
Humana
Springfield, IL4 days ago - ...major healthcare insurer is seeking a Medical Director in Ohio. This remote role requires an MD or DO degree and a strong background in Medicare and Medicaid. Responsibilities include reviewing clinical cases, ensuring compliance, and improving medical management operations...Remote job
$223.8k - $313.1k
...put health first The Medical Director relies on fundamentals of CMS Medicare Guidance on following... ...decisions comply with regulatory and organizational standards... ...of regulatory compliance. This secures compliance... ...Information Workstyle: remote work at home Hours:...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeMonday to FridayHumana, Inc.
Raleigh, NC4 days ago- Skin + Structure Medical Aesthetics, LLC in Florida seeks a Medical Director who can provide remote oversight with periodic onsite participation. The ideal candidate is an... ...review protocols, oversee patient safety and compliance, and help guide clinical workflows and...Remote job
$220k - $250k
...our journey of growth! Remote/Commuter Opportunity - Open... ...States SUMMARY: The Director, US Regulatory Affairs Global Strategic... ...) and related labelling compliance activities and may serve as... ...experience within a pharmaceutical, medical device and/or biotech...Remote workTemporary workWork at officeFlexible hoursLundbeck
Deerfield, IL20 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director - Medicare & Regulatory Compliance. Be the first to apply!
Related searches
- clinical data manager remote Montpelier, VT
- remote healthcare project manager Montpelier, VT
- frontend internship remote Montpelier, VT
- excel remote Montpelier, VT
- marketing intern remote Montpelier, VT
- remote contract attorney Montpelier, VT
- remote account manager Montpelier, VT
- entry level project manager remote Montpelier, VT
- physician consultant remote Montpelier, VT
- claims specialist remote Montpelier, VT