Remote Medical Director — Medicare/Medicaid Coverage
$248.5k - $373kTexas Health Institute
- Remote job
The Texas Health Institute is seeking a Medical Director to enhance health outcomes through clinical advocacy and support. This role focuses on ensuring quality medical care and involves coverage reviews with a multidisciplinary team. We value innovative problem-solving and communication skills. This position offers remote work flexibility within the U.S. and a comprehensive benefits package, including a competitive salary ranging from $248,500 to $373,000 annually. #J-18808-Ljbffr Texas Health Institute
$248.5k - $373k
Wisconsin Psychiatric Association Inc seeks a Medical Director in Boston, MA, to lead clinical... ...claims. Responsibilities include conducting coverage reviews, documenting clinical findings,... ...of clinical experience. You'll work remotely, and the role offers a competitive...Remote job$248.5k - $373k
Stryker Corporation seeks a Medical Director for remote work across the U.S. The role focuses on medical claims reviews and collaborating with a multidisciplinary team to ensure quality medical care delivery. Candidates should possess an M.D. or D.O. with board certification...Remote job- A 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
- ...health services organization is seeking a Medical Director to ensure compliance with healthcare... ...and evaluate medical necessity for Medicare and Medicaid services. Required qualifications... ...clinical experience. The role supports remote work and requires participation in call...Remote job
$248.5k - $373k
...exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower... ...health care costs. The Medical Director provides physician support to Enterprise... ...You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take...Remote jobMinimum wageFull timeWork experience placementLocal area$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 work$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 work$223.8k - $313.1k
...put health first The Medical Director relies on fundamentals of CMS Medicare Guidance on following... ...SNF, DME, dual Medicare/Medicaid, Medicaid, IRF and LTACH... ..., including weekend coverage and after-hours coverage... ...Information Workstyle: remote work at home Hours:...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeMonday to Friday$223.8k - $313.1k
...caring community The Medical Director relies on medical background... ...or inpatient review (Medicare Advantage, Managed Medicaid, or Commercial lines of business... ...weekend/holiday coverage (approx. 5 weekends per year... ...Travel: While this is a remote position, occasional travel...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work- Stryker Corporation is looking for a Medical Director to provide essential support to our clinical... ...care. This role involves conducting coverage reviews and collaborating with various... ...vascular surgery. The position is fully remote, allowing for flexibility while making...Remote job
$248.5k - $373k
UnitedHealth Group is seeking a Medical Director in San Diego, California. This role involves providing... ...managing medical benefits, focusing on coverage determinations and collaboration with... ...over 5 years of clinical experience. A remote work option is available within the U.S...Remote job- ...New York is seeking a Medical Director to ensure compliance with CMS Medicare guidance and evaluate healthcare... ...for Medicare and Medicaid members. The role... .... This position offers remote work and comprehensive... ...including medical, dental, and vision coverage. #J-18808-LjbffrRemote work
$248.5k - $373k
Stryker Corporation is seeking a Medical Director to provide physician support for Enterprise Clinical... ...management activities, conducting coverage reviews, and collaborating with... ...clinical experience. This position allows for remote work from anywhere in the U.S.,...Remote job$248.5k - $373k
UnitedHealth Group is seeking a Medical Director in Boston, Massachusetts to lead clinical support... ...focuses on conducting clinical coverage reviews, ensuring cost-effective quality... ...The role offers the flexibility to work remotely from anywhere in the U.S. Competitive compensation...Remote job$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 job- The Council of State and Territorial Epidemiologists is seeking a Medical Director to support Enterprise Clinical Services operations remotely within the U.S. The role focuses on clinical coverage determinations, quality improvement, and communication with providers. The...Remote job
$248.5k - $373k
Stryker Corporation is seeking a UM Medical Director - Family Medicine for a remote position within the United States. The ideal candidate will have proven... ...medical reviews. Responsibilities include conducting coverage reviews, documenting clinical findings, and...Remote job- The Elevance Health Companies, Inc. is seeking an LTSS Medical Director for the Kansas Medicaid program. This full-time role supports timely responses to healthcare providers, leads clinical innovations, and ensures adherence to medical policies. Candidates must hold an...Remote jobFull time
$248.5k - $373k
...Psychiatric Association Inc is seeking a Medical Director to provide physician support in... ...operations. The role involves conducting coverage reviews, documenting clinical findings,... ...clinical experience. Flexibility to work remotely from anywhere in the U.S. is offered, along...Remote job$248.5k - $373k
Crains Cleveland is hiring a Medical Director in Phoenix, Arizona. This role focuses on clinical reviews and determining coverage for health services. Applicants must possess an M.D. or D.O., board certification in Otolaryngology, and 5+ years of clinical experience. The...Remote job- Texas Health Institute is looking for a Medical Director to lead clinical coverage and medical claims reviews in Phoenix, Arizona. This position focuses... ...and at least 5 years of clinical practice experience. Remote flexibility is offered with a focus on PST time zone....Remote job
$225k - $275k
Overview The Research Medical Director is a key member of the Clinical and... ...full‑time role and can work remotely in the US. Target start... ...Experience working with a Medicaid payer preferred. Knowledge... ...disability, and life insurance coverage, 401(k) savings plans, paid...Remote workFull timeWork at officeImmediate start- Neurologist (ABPN) Medical Director (Remote/FT or PT) Seeking a highly skilled... ...clinical services provided to Medicare beneficiaries ensuring... ...with CMS National and Local Coverage Determinations (NCD/LCD).... ...participating in Medicare, Medicaid or the Children’s Health Insurance...Remote jobFull timeWork at officeLocal areaWork from homeShift workWeekend work
$223.8k - $313.1k
...Role The Behavioral Health Medical Director (BHMD) leads behavioral health... ...with CMS policies, Medicaid contracts, and internal guidelines... ...including inpatient care or Medicare/Medicaid populations. Current... .../post‑acute services. Fully remote schedule Mon‑Fri 9 am‑6 pm EST...Remote workBi-weekly payTemporary workWork from homeWeekend work$223.8k - $313.1k
...part of our caring community The Medical Director uses their medical background, experience... ...reference sources. You will learn Medicare, Medicaid, and Medicare Advantage requirements... ...information. Travel: While this is a remote position, occasional travel to Humana...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$250k
...The Utilization Review Medical Director is responsible for conducting... ...are made in accordance with Medicare and Medicaid guidelines, health plan–... ...Additional Expectations Full-time remote role requiring consistent... ...short term disability coverage (location restrictions may...Remote workFull timeTemporary workLocal area- ...services provider in Atlanta is seeking a Medical Director to oversee compliance with healthcare services for Medicare and Medicaid members. The role requires an MD or DO degree... ...salary and the flexibility to work remotely, along with a comprehensive benefits package...Remote work
- 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 has an MD/DO degree, board certification, and extensive clinical experience. Responsibilities...Remote work
- ...healthcare organization is seeking a Medical Director to ensure healthcare services align with... ...reviewing clinical cases for Medicare and Medicaid members, ensuring compliance, and participating... ...patient care. This position is remote with a focus on regulatory compliance...Remote work
$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 work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director — Medicare/Medicaid Coverage. Be the first to apply!
- health insurance manager Boston, MA
- health product manager Boston, MA
- director sr. director clinical operations Boston, MA
- part time medical director Boston, MA
- clinic operations manager Boston, MA
- medical director physician advisor Boston, MA
- clinical data manager Boston, MA
- public health project manager Boston, MA
- medical project manager Boston, MA
- associate director clinical research Boston, MA

