Remote Medicaid Care Strategy Medical Director
Jobleads-US
- Remote job
Humana Inc. is seeking a Medical Director to shape Medicaid care strategy and oversee complex clinical determinations.
The role focuses on regulatory compliance, utilization management, and care coordination across inpatient and outpatient settings. The position requires an active medical license, board certification, and at least five years of post-training clinical experience, with the ability to collaborate with external physicians and health plan stakeholders.
#J-18808-Ljbffr Jobleads-US- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote-eligible role spanning multiple states, including Wisconsin. The position involves reviewing complex clinical cases, ensuring regulatory compliance, and guiding care...Remote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote capacity, supporting a cluster that includes Indiana, Ohio, Kentucky, Virginia, Wisconsin and Illinois. The responsibilities include medical determinations on services...Remote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote setup. The role involves evaluating moderately complex to complex clinical scenarios, reviewing medical records, and determining appropriate authorization within regulatory...Remote job
- ...Humana Inc. is seeking a Medical Director focused on Medicaid care strategy and operations, with at least five years post-training clinical leadership experience... ...value-based care across Medicaid populations. Remote, with travel as needed. #J-18808-Ljbffr Jobleads-USRemote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations. The role requires medical degree, board certification, and licensure in at least one cluster state with readiness to obtain others. Responsibilities include clinical review, peer...Remote job
- ...Humana Inc. seeks a Medical Director to lead Medicaid care strategy and operations. The role involves complex clinical determinations, regulatory compliance... ...across outpatient and inpatient settings. This remote position requires licensure in cluster states and travel...Remote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations. The role includes complex clinical review, peer-to-peer discussions... ...to support regional priorities. The position is remote-based with travel as needed and requires board-certified...Remote job
- ...Humana Inc. seeks a Medical Director to lead Medicaid care strategy and operations. The role involves reviewing complex clinical scenarios, determining authorization... ...teams and external physicians. You’ll work remotely within a designated cluster, travel occasionally, and...Remote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations within a high-complexity environment. The role involves evaluating... ...support regional priorities, with travel as needed and a remote-based work setup. #J-18808-Ljbffr Jobleads-USRemote job
- ...Humana Inc is seeking a Medical Director to lead Medicaid care strategy and operations. You will evaluate complex clinical data to authorize services and... ...ensure regulatory compliance across your cluster. This remote role requires an MD or DO, ABMS/ABPN board...Remote job
- ...Humana, Inc. is seeking a Medical Director to lead Medicaid care strategy and operations, reviewing complex clinical scenarios and ensuring regulatory compliance. The role involves peer-to-peer discussions with external physicians, collaboration on value-based care,...Remote jobWeekend work
- ...Humana Inc. seeks a Medical Director to lead Medicaid care strategy and operations in a remote role across multiple states. The role involves determining authorization decisions, reviewing complex cases, and engaging with external physicians to discuss determinations...Remote job
- ...Humana Inc. seeks a Medical Director to oversee Medicaid care strategy and operations across assigned clusters, applying clinical judgment to authorize services within regulatory requirements. The role involves complex case reviews, peer discussions with external physicians...Remote job
- ...The Medical Director role at Humana Inc. is a remote leadership position focused on Medicaid care strategy and operations. You will analyze complex clinical data, review records, and authorize services within regulatory guidelines. The role involves peer discussions...Remote job
- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations in a remote nationwide role. This senior physician will evaluate requested services, levels of care, and sites of service within regulatory guidelines, leveraging CMS policies and...Remote job
- ...CVS Health, including Aetna, seeks a Medical Director for a remote role supporting Medicaid members nationwide. Lead medical management decisions, partner with clinicians, and ensure timely, clinically sound reviews for diverse plans. Requirements include MD/DO with...Remote job
- ...CVS Health Corporation is seeking a Medical Director for Medicaid to join the centralized Medical Management team. This fully remote role supports Aetna Better Health of Virginia while providing regional coverage across the Northeast and other plans as needed. The...Remote job
- ...Geisinger in Pennsylvania is seeking a Medical Director to lead the clinical strategy for its Medicaid line. This role involves... ...departments to deliver high-quality care. The ideal candidate will... ...The position offers onsite/hybrid/remote options with periodic travel...Remote work
$320k - $350k
...profit, we support patient care, research, teaching,... ...drive groundbreaking medical discoveries and invite... ...SummaryThe Senior Medical Director serves as a key... ...teams to shape clinical strategy, guide utilization management... ...Details (if applicable)Remote TypeRemoteWork Location...Remote workFull time$1,020 per month
...HEALTH INITIATIVE SENIOR DIRECTOR, HEALTH PLANS The Context... ...healthcare dollars spent on medical care alone. The amount of money going... ...supported North Carolina to use Medicaid dollars to provide patients... ..., exempt role and is fully remote within the US. THI expects staff...Remote workFull timeTemporary workInterim roleWork at officeFlexible hoursShift workWeekend workAfternoon shift- ...Medicorp, Inc. is seeking an IPA Medical Director to lead clinical strategy and enhance performance within affiliated... .... This hybrid position combines remote work, clinical practice, and site... ...physician groups in achieving value-based care goals. The ideal candidate will...Remote work
$248.5k - $373k
...$373,000/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by technology to... ...serving our Medicare, Medicaid and commercial members... ...the flexibility to work remotely * from anywhere within... ...memberWork with medical director teams focusing on inpatient...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- Centene is seeking a Director of Utilization Management Hospice CoE to guide enterprise strategy, governance, and operations for hospice and palliative care across Medicaid and Marketplace populations. Based remotely in Missouri, you will lead policy application, performance...Remote job
- ...compassionate and experienced Hospice Medical Director to join our dedicated teams... ...with a heart for end-of-life care, we want to hear from you.... ...in accordance with Medicare/Medicaid guidelines Serve as a... ...what matters most — their patients. This is a remote position....Remote workLocal area
- ...Health is seeking multiple Medical Directors to support our East Valley and... ...passionate about patient care and are ready to expand their... ...the flexibility of a hybrid/remote work schedule, allowing a combination... ...with AHCCCS, Medicare, Medicaid, DEA, accreditation, and...Remote workRelocation package
$250k - $280k
...Medical Director, ObstetricsPomelo Care is the leading virtual medical practice for women and children, providing... ...health outcomes to a majority Medicaid population of patients. This role reports... ...16 weeks paid parental leaveFully remote work flexibility (within the US)...Remote workLocal area$174.07k - $374.92k
...by passionate colleagues who care deeply, innovate with purpose... ...This is a full-time, fully remote role. You can work from anywhere... ...the health and well-being of Medicaid members across the country.... ...Virginia. We are seeking a Medical Director to join our centralized...Remote workHourly payFull timeTemporary workLocal areaWork from home$222.75k - $371.25k
...seeking an experienced Medical Director for the role of... ...improve how we cure and care for patients. We are a... ...least two days per week. Remote work is available on other... ...:Clinical Development Strategy and Study & Program... ...Centers for Medicare and Medicaid Services (CMS) website...Remote workFull timeLocal areaRelocation2 days per week$284.63k
...two days per week. Remote work is available... ...clinical development medical activities for... ...improve how we cure and care for patients. We... ...Senior Medical Director to join the Cardiovascular... ...with project strategies to ensure quality... ...for Medicare and Medicaid Services (CMS)...Remote workFull timeLocal areaRelocation2 days per week$211.17k - $269.25k
...Medical Director – Physical Health (Full‑time Remote, North Carolina‑Based) Alliance Health Occupation: Medical and... ..., utilization management, and care coordination. This role permits... ...procedures for the Tailored Plan/Medicaid Direct system, including DOJ settlement...Remote jobHourly payPermanent employmentFull timeWork at officeLocal areaWork from homeRelocationFlexible hours
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