Remote Medical Director - Neurology Utilization & Coverage
Crains Cleveland
Crains Cleveland is seeking a Medical Director to support clinical operations remotely within the U.S. This role focuses on clinical coverage and medical claims reviews. Responsibilities include conducting coverage reviews and collaborating with providers for accurate benefit determinations. The ideal candidate must be an M.D. or D.O. with board certification in Neurology and possess over 5 years of clinical practice experience. The position also offers a comprehensive benefits package and competitive compensation. #J-18808-Ljbffr
$248.5k - $373k
...Stryker Corporation is seeking a Medical Director to provide physician support... ...applying clinical knowledge in utilization management activities, conducting coverage reviews, and collaborating with... ...experience. This position allows for remote work from anywhere in the U.S.,...Remote work$248.5k - $373k
...organization is looking for a qualified M.D. or D.O. to undertake coverage reviews and collaborate with providers on benefit... ...00, along with a comprehensive benefits package. You will work remotely within the U.S. while supporting our mission to improve health...Remote job$248.5k - $373k
UnitedHealth Group is seeking a Medical Director in Boston, Massachusetts to... ...on conducting clinical coverage reviews, ensuring cost-effective... ....O., board certification in Neurology, and experience in clinical... ...the flexibility to work remotely from anywhere in the U.S. Competitive...Remote job$248.5k - $373k
A leading healthcare organization is seeking a qualified Medical Doctor to conduct coverage reviews and collaborate with providers. Responsibilities... ...certification, and 5+ years of clinical experience. This role offers remote work flexibility and a competitive compensation range...Remote job$248.5k - $373k
Optum is seeking a Medical Director to support clinical services operations... ...role involves conducting coverage reviews, collaborating with... ....O., board certification in Neurology, and at least 5 years of clinical... .... The position allows for remote work from anywhere in the U....Remote job$275k - $300k
..., TOI is changing oncology for the better. Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona... ...to clarify and discuss treatment options and coverage. Evaluate clinical and utilization data to...Remote workWork from home- ...Now Hiring: Medical Director – Utilization Management 100% Remote | Must work PST hours Medicare Advantage | Inpatient & Post-Acute Focus We’re looking for... ...knowledge of Medicare Advantage regulations & CMS coverage criteria Experience with MCG or InterQual Advanced...Remote workImmediate start
- ...Stryker Corporation is seeking a Medical Director to provide essential physician support for clinical coverage and medical claims reviews.... ...while engaging in various utilization management activities.... ...years of clinical experience. Remote working options are available...Remote work
$238k - $357.5k
...people live healthier lives. The Medical Director Oncology will provide utilization review determinations and support... ...will enjoy the flexibility to work remotely from anywhere within the U.S.... ...Participate in rotational holiday and call coverage. Preferred Qualification ~...Remote workFull timeLocal area$120 per hour
...message the job poster from The Judge Group Medical Director – National Utilization Management Team (One Weekend per Month) Location: Remote (U.S. only; must reside in the U.S.) Pay... ...40 hours per week with rotating weekend coverage; participation in weekend work on a...Remote workOngoing contractPermanent employmentFull timeContract workImmediate start$124 - $128 per hour
...Relationships Job Title: Medical Director - Behavioral Health... .... Location: Remote Shift Type: 8 am – 5... ...discussing to ensure there is coverage for as needed... ...activities pertaining to utilization review, quality assurance... ...of Psychiatry and Neurology. Current state medical...Remote workContract workFlexible hoursShift workWeekend work- ...the operational areas of the Utilization Management (UM) program... ...retrospective reviews. As a Medical Director, UM you ensure all patient care... ...Work Arrangement ~ Fully remote; must be willing to work rotational... ...events, Health insurance coverage for you and your dependents...Remote workContract workLocal areaFlexible hoursWeekend work
$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... ...Expectations: Full-time remote role requiring consistent availability... ...Company-paid short term disability coverage (location restrictions may apply) ~...Remote workFull timeTemporary workLocal area- ...enthusiastic and highly skilled Medical Director to join our growing team.... ...overseeing and performing utilization reviews, prior authorizations... ...peer discussions. This is a remote position requiring a "roll up... ...premiums for you and 50% coverage for dependents on the base plan...Remote workFull timeFlexible hours
$223.8k - $313.1k
...a part of our caring community The Medical Director National OP Medicare relies on medical... ...Advantage requirements in daily utilization management and coverage determination activities. Conduct... ...#physiciancareers Travel: While this is a remote position, occasional travel to...Remote jobBi-weekly payFull timeTemporary workApprenticeshipWork from homeHome office$248.5k - $373k
...enjoy the flexibility to work remotely from anywhere within the U.S.... ...Responsibilities Conduct coverage reviews based on individual member... ...on benefit plans and medical policy Communicate and collaborate... ...considered) Experience in utilization and clinical coverage review...Remote jobMinimum wageWork experience placementLocal area$238k - $357.5k
...Medical Director Oncology Optum is a global organization that delivers... ...Oncology will provide utilization review determinations and support... ...the flexibility to work remotely from anywhere within the U.... ...rotational holiday and call coverage Preferred...Remote jobFull timeWork experience placementLocal area$248.5k - $373k
...we deliver clinical coverage and medical claims reviews. Our... ...costs. The Medical Director provides physician support... ...in various utilization management activities... ...flexibility to work remotely * from anywhere within... ...Board Certification in Neurology 5+ years of clinical...Remote jobMinimum wageWork experience placementLocal area$238k - $357.5k
...Stryker Corporation is seeking a Medical Director Oncology to provide utilization review determinations and support case management for optimal clinical outcomes. This role offers flexibility to work remotely from anywhere in the U.S. The ideal candidate will have an...Remote work$79.8k - $126k
...Judi Health is seeking a Medical Director (Texas Licensed) for a remote position. The role will involve overseeing clinical support for Capital Rx's utilization management programs and making clinical determinations for patient care. Qualified candidates must have an active...Remote work$84k - $105k
...Transformcap is seeking a Medical Director to provide clinical support for its clinical utilization management programs. This position involves completing medication utilization... ...Medicine are required. The position offers remote work with a salary range of $84,000 — $105,000...Remote work- ...A 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 clinical decision-making, particularly with MCG guidelines and utilization...Remote work
- ...A national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with... ...Responsibilities include performing clinical reviews, providing utilization management determinations, and ensuring compliance with...Remote workMonday to Friday
- ...A healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making... ...position offers a contract employment type and requires working 40 hours a week with some weekend coverage. #J-18808-Ljbffr...Remote workContract workWeekend work
$275k - $300k
...The Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California, Nevada, Arizona, Oregon, or Florida. This role involves conducting medical reviews of oncology treatment plans and collaborating...Remote work- ...A health care organization is looking for a Medical Director for its National Utilization Management Team. This remote position requires reviewing medical records and making clinical determinations, requiring at least 5 years of clinical experience post-residency. The...Remote workWeekend work
- UnitedHealth Group is seeking a Medical Director to enhance customer journeys in clinical coverage and medical claims reviews, ensuring effective health outcomes. The role includes collaborating with multidisciplinary teams, supporting clinical processes, and managing...Remote jobWork from homeFlexible hours
$248.5k - $373k
...The Texas Health Institute is seeking a Medical Director to provide support to Enterprise... ...The role requires leadership in clinical coverage reviews and direct collaboration with a... ...This position offers flexibility to work remotely within the U.S. and a competitive compensation...Remote work$250k
A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests... ...salary of $250,000 annually and various benefits, with remote work opportunities available in Michigan and other...Remote workFull time- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team,... ...communication, analytic reasoning, and leadership skills. This remote role offers a competitive salary, benefits including...Remote work
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