Remote Medical Director - Utilization & Care Leadership
$250k - $300kIntegrity Healthcare
- Remote job
Integrity Healthcare is seeking a Remote Medical Director to replace a retiring physician. This long-term, non-clinical role requires residing in the San Fernando Valley for occasional on-site meetings. The Medical Director will review prior authorization requests and collaborate with healthcare teams to ensure quality care. The position offers a salary between $250,000 and $300,000 annually, along with a comprehensive benefits package that includes medical, dental, vision, and professional development support. Strong clinical experience and communication skills are essential. #J-18808-Ljbffr Integrity Healthcare
- ...healthcare organization is seeking a Medical Director for Utilization Management to ensure compliant care decisions for Medicare Advantage members. This remote position requires expertise in... ...including three years in medical leadership. Strong communication and analytical...Remote work
$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews... ...escalated by UM staff and/or UM Leadership when criteria do not apply... ..., clinical standards of care, and regulatory updates... ...Expectations: Full-time remote role requiring consistent...Remote workFull timeTemporary workLocal area- ...Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an... ...1 year in a supervisory role. Strong leadership, analytical, and communication skills are crucial. The position offers a remote work option along with comprehensive benefits...Remote work
- Crains Cleveland is seeking a Cardiovascular Utilization Management Reviewer to join their Utilization Management... ...leverage your expertise in cardiology in a fully remote setting, contributing to case reviews and patient care improvement. Ideal candidates hold an MD/DO/MBBS...Remote jobFull timePart timeFlexible hours
- ...board-certified Physiatrist (PM&R) to serve as Medical Director, providing clinical oversight and leadership across a post-acute and long-term care network in the Central Illinois area. This position involves a flexible, remote-first structure with meaningful...Remote workTemporary workFor contractorsFlexible hours
- ...oversees the team focusing on utilization management inpatient medical necessity reviews and transitions of care (TOC) efforts, including... ...achieved. Collaborate with the Director of Clinical Utilization... ..., facility support, or leadership meetings in the Seattle office...Remote workFull timeTemporary workPart timeWork experience placementWork at officeTrial periodFlexible hours
$248.5k - $373k
...medicine physician to join our Utilization Management team. Optum is a clinician‑led care organization that is changing... ...clinicians work and live. The Medical Director for Utilization Management will... ...enjoy the flexibility to work remotely * from anywhere within the U.S...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- A leading healthcare company is seeking a Medical Director to perform clinical reviews and assess medical necessity for inpatient cases. This... ...a team of physicians, making a significant impact on patient care. Requires an MD/DO and 5+ years of clinical experience. The position...Remote jobWork from home
- ...Medical Director ID 2026-25149 Category... ...Defense and Community Care Network/Department of... ...Veterans Affairs. This remote-based civilian position... ..., and impactful leadership. Join us in leading... ...management domains including Utilization Management, Case...Remote workWeekday work
$261.5k - $326.85k
...Job Description Location: Remote with ~40% domestic and international... ...Shape the future of cancer care as a Medical Director, Skin/IO at Natera. In this strategic leadership role, you will provide... ...advocacy organizations on clinical utility, interpretation, and impact...Remote workWork at officeImmediate startWorldwide- ...operational areas of the Utilization Management (UM) program... ...reviews. As a Medical Director, UM you ensure all patient care decisions and referrals... ...Arrangement ~ Fully remote; must be willing to work... ...regulations. Provides leadership in developing and implementing...Remote workContract workLocal areaFlexible hoursWeekend work
$300k
...Overview The Medical Director of the Community Behavioral Health Clinic... ...within a continuum of care, for people and families impacted... ...grand rounds. • Provides leadership to a Multidisciplinary... ...community, and other resources • Utilizes evidence based best...Remote workWork at office$202k - $303k
...Medical Director The Medical Director participates in the broad array of activities... ...to, Medical and Pharmacy Utilization Management, quality management, member care management, and medical policy... ...or workgroups as requested by leadership. They also act as a liaison with...Remote workContract workWork at officeLocal areaWork from homeHome officeAfternoon shift$223.8k - $313.1k
Humana Inc is seeking a Medical Director to be part of their remote team, guiding care decisions with a focus on compliance and quality outcomes. The role requires an MD or DO with at least 5 years of clinical experience and board certification. Responsibilities include...Remote job$223.8k - $313.1k
A leading U.S. healthcare company seeks a Medical Director to enhance inpatient care quality. This role involves performing expert clinical reviews, analyzing hospital cases for necessity, and collaborating in a structured team environment. Candidates should have an MD...Remote job$223.8k - $313.1k
...healthcare company in Arizona is seeking a Medical Director to conduct clinical reviews of inpatient... ...and support decision-making for patient care. The role requires an MD or DO with over... ...and communication skills. This remote position involves collaboration with external...Remote jobMonday to Friday- A leading healthcare company is seeking a Medical Director to review inpatient medical claims and lead clinical decision-making without the irregular hours of bedside care. Candidates should have an MD or DO, with over 5 years of clinical experience and Board Certification...Remote job
- MD Care Hospice is seeking a Medical Director to oversee patient care operations in Buena Park, California. The role involves ensuring compliance with hospice regulations, providing medical guidance to clinical staff, and participating in care planning. Candidates must...Remote jobFlexible hours
- Deercreekseniorliving is seeking a Clinical Director in Training to participate in a structured leadership program focused on clinical operations, regulatory compliance, and resident care. This role requires strong communication and leadership skills, along with a current...Remote job
- Optum Home & Community Care, part of the... ...flexibility to work remotely from anywhere within... ...currently looking for Medical Directors that can work daytime... ...Responsibilities: Provide daily utilization oversight and... ...for enrollees Provide leadership and guidance to maximize...Remote jobLocal areaWeekend workAfternoon shift
$223.8k - $313.1k
Become a part of our caring community The Medical Director relies on medical background... ...or those experienced in Utilization Review are encouraged to... ...used only if approved by leadership. Employees who live and... ...Travel: While this is a remote position, occasional travel...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work- Now Hiring: Medical Director - Utilization Management 100% Remote | Must work PST hours Medicare Advantage | Inpatient &... ...across inpatient and post‑acute care services for Medicare Advantage members... ...3+ years in UM or medical leadership Strong knowledge of Medicare Advantage...Remote workImmediate start
$258k - $323k
...to apply for the Behavioral Medical Director - Remote role at Optum 1 day ago Be... ...organization that delivers care, aided by technology to help... ...to and direction of the Utilization Management Program and performing... ...Director is part of a leadership team that manages development...Remote jobMinimum wageFull timeWork experience placementLocal area$248.5k - $373k
...organization that delivers care, aided by... ...clinical coverage and medical claims reviews.... .... The Medical Director provides physician... ...Clinical Services leadership and staff to establish... ...in various utilization management activities... ...flexibility to work remotely * from anywhere within...Remote jobMinimum wageWork experience placementLocal area- ...solutions for health care professionals who... ...reach that medical businesses need to... ...with an exceptional remote workforce across the... ...Engineering, the Medical Director will lead a team... ...knowledge of utilization management principles... ...you bring strong leadership and delegation...Remote jobHourly payWork at officeLocal area
$250k - $350k
...Healthcare, an Essen Health Care company, is a specialized medical group dedicated to... ...care management, remote monitoring, and... ..., reduce avoidable utilization, and expand access... ...Title: Medical Director Intention MA Location... .... This leadership role ensures the delivery...Remote work- ...Promise Health Plan Medical Director The Healthcare Services team is... ...vision of transforming health care delivery for Blue Shield members... ...to the Healthcare Services leadership headed by the Blue Shield of... ...Senior Medical Director, Utilization Management. The Promise Health...Work at officeAfternoon shift2 days per week
- ...Medical Director Founded in 1999 and headquartered in Central Ohio, we... ...ensure that our members get the care they need, when they need it... ...outcomes Performs utilization review and case management support... ...by organizational leadership, and perform reviews within...Permanent employmentCasual work
- ...role: Devoted Medical seeks a Board-... ...Behavioral Health Medical Director & Clinical... ...impact, 50/50 hybrid leadership and practicing clinician... ...Illness (SMI) care paradigm (... ...ultimate scorecard utilizing advanced, population... ...no premium #LI-Remote The pay range listed...Remote workFull timeContract workInternship
- ...Health Plan Remote PRIMARY PURPOSE... ...Oversees medical coordination required for effective utilization and quality management... ...high quality health care to plan members in... ...Managed Care Medical Directors. Board... ...collaboratively with leadership and/or PCHP Compliance...Remote workContract workWork at officeLocal area
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