Remote Medical Director, Utilization & Coverage
Jobleads-US
Phoenix, AZ
- Remote job
Optum seeks an UM Medical Director, DME, remotely available within the United States. The role leads initial clinical reviews for benefit coverage determinations and collaborates with leadership to implement clinical and operational processes across lines of business.
The position involves utilization management activities, peer-to-peer discussions with providers, and coordination with internal partners to ensure timely, cost-effective, high-quality care. Travel may be required.
#J-18808-Ljbffr Jobleads-USVacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Medical Director, Utilization & Coverage in Phoenix, AZ vacancy
$275k - $325k
...growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona... ...patients to clarify and discuss treatment options and coverage. Evaluate clinical and utilization data to...Remote workWork from home- ...Medical DirectorCurative is seeking an enthusiastic... ...highly skilled Medical Director to join our growing team... ...and performing utilization reviews, prior authorizations... .... This is a remote position requiring a "... ...premiums for you and 50% coverage for dependents on the...Remote workFull time
CURAtive
Austin, TX1 day ago - ...Judi Health is seeking a Medical Director for the Clinical Enterprise team to oversee utilization management, prior authorizations, and appeals for commercial and government... ...and prescribers to support evidence-based coverage decisions. Qualified candidates hold an MD/DO...Remote work
Judi Health
Dallas, TX2 days ago $248.5k - $373k
...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 jobMinimum wageWork experience placementLocal area$240.12k - $315.16k
Hi, we're Oscar. We're hiring an Associate Medical Director to join our Utilization Management Team. Oscar is the first health insurance company built... ...into the Senior Medical Director.Work Location: This is a remote position, open to candidates holding an active medical...Remote workFull timeImmediate startWork from homeHome office- ...Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh, North Carolina, with a strong focus on physical health utilization management and clinical leadership. The role collaborates... ...functions while accommodating primarily remote work with a North #J-18808-Ljbffr...Remote work
Beacon Hill
Raleigh, NC3 days ago - ...CAI is seeking a Medical Director to oversee utilization management with adherence to top clinical standards. This full-time, remote position requires board-certified MD/DO and active state licensure in PA, NY, or WV, with 5+ years of direct patient care experience. You...Remote workFull time
CAI
Orlando, FL3 days ago $248.5k - $373k
...- $373,000.00/yearJob Area: Medical & Clinical OperationsCompany:... ...medicine physician to join our Utilization Management team. Optum is a... ...clinicians work and live.The Medical Director for Utilization Management... ...the flexibility to work remotely * from anywhere within the U....Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...UnitedHealth Group seeks a Medical Director to support Enterprise Clinical Services, applying clinical knowledge to coverage determinations and cost-effective care. You will collaborate... ...across multiple lines of business. Remote work from the U.S. is supported. The ideal...Remote job
- ...UnitedHealth Group's Optum seeks a Medical Director to provide physician support to Enterprise Clinical Services, guiding clinical coverage determinations and managing clinician collaboration to improve health outcomes and cost effectiveness. The role focuses on applying...Remote job
- ...MedCAREERS seeks an Associate Medical Director Board Certified in Medical Oncology (or Hematology/Oncology) for a remote role across the USA. You will perform chart review and utilization review for health plan companies with experience in imaging cases. Must be board-...Remote jobFull timeImmediate start
- ...Oscar Health is hiring an Associate Medical Director to lead the Utilization Management Team and determine the medical appropriateness of inpatient, outpatient... ...reporting to the Senior Medical Director. This remote role is open to physicians with licenses in Florida,...Remote job
- Valenz Health is seeking a Part-Time Medical Director to provide physician leadership for medical management and utilization review programs. You will align clinical decisions... ..., and organizational standards in a fully remote role based in the United States. You will collaborate...Remote jobPart time
- ...Medical Director, Utilization Management The Medical Director, Utilization Management is responsible for assuring physician commitment and delivery... ...health care to UPMC Health Plan members. This fully remote role will be responsible for assuring physician commitment...Remote workWork at office
- ...Medical Director Utilization Management Location: Remote Preference EST or nearby Pittsburgh PA, NY, WV Duration: 6+ Months Contract Role with possible extension. Position Overview As part of a physician team, the Medical Director ensures utilization management...Remote workContract workPrivate practice
- WPS Health Solutions seeks a Contractor Medical Director to lead clinical review for Local Coverage Determinations and medical policy development. You will collaborate... ...work is available with some travel and potential remote options in approved states. #J-18808-Ljbffr WPS...Remote workFor contractorsLocal area
$248.5k - $373k
...Medical Director For Utilization ManagementWellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician... .... Growing together.You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from homeUnitedHealth Group
Houston, TX1 day ago- ...Medical Director Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location: Pittsburgh, PA Schedule: Monday Friday | 9:00 AM 5:00 PM EST Core Hours: 40 Hours/Week Employment Type: Contract with Possibility of...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California... ...can be structured as a hybrid remote role - you would not necessarily... ...bonus ~ Paid malpractice with tail coverage Requirements: MD or DO...Remote workRelocation package
- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California... ...can be structured as a hybrid remote role - you would not necessarily... ...bonus ~ Paid malpractice with tail coverage Requirements: MD or DO...Remote workPermanent employmentTemporary workRelocation package
$248.5k - $373k
...373,000/yearJob Area: Medical & Clinical OperationsCompany... ...we deliver clinical coverage and medical claims... ...care costs.The Medical Director provides physician... ...knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeWork experience placementLocal area- ...steps. Our partner is looking for a Medical Director (Utilization Management) based in United States.... ...program development. This is a fully remote, full-time leadership opportunity operating... ..., CMS regulations, and applicable coverage criteria. Extensive experience...Remote jobFull timeWork at officeMonday to Friday
jobgether
United States13 hours ago - ...MetroPlus in New York seeks a Medical Director focused on health care utilization management. The position involves overseeing medical necessity reviews, conducting peer discussions, and guiding policy implementation. Candidates should possess a Doctor of Medicine or Doctor...Remote job
- ...Altais is seeking a Medical Director of Utilization and Medical Management for a remote, one-month opportunity. The role reports to Senior Medical Director and collaborates with the One Altais clinical leadership team to ensure high-quality, cost-efficient care across...Remote job
- Centene Corporation is seeking a Medical Director to lead utilization management, quality improvement, and medical review activities. You will partner with Chief Medical Director to shape goals, policies, and cost-effective care for a diverse member population. The role...Remote job
- ...Partners Plans, Inc. is seeking an Enterprise Medical Director to shape healthcare delivery across Jefferson Health’s network. This fully remote position requires a medical degree and... ...management experience, focusing on utilization management and healthcare quality...Remote job
- ...Corporation is seeking a clinical leader to assist the Chief Medical Director in directing and coordinating medical management, quality... ...and credentialing. The role provides medical leadership for utilization management, cost containment, and quality improvement activities...Remote job
- ...LLC in New Hampshire seeks a Full-time Medical Director to lead medical management, quality improvement... ...for the health plan. You will direct utilization management, drive cost containment, and... ..., with a flexible work model including remote/hybrid options and collaboration across...Remote workFull timeFlexible hours
$386.5k
...$579,500/yearJob Area: Medical & Clinical OperationsCompany... ...- starting with Utilization Management. The Medical Director, Clinical AI Innovation... ...that enable appropriate coverage decisions, support safe... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementLocal area$120 - $145 per hour
...Medical DirectorImmediate need for a talented Medical Director. This is a 06 months contract (Temp to Hire... ...located in PA, NJ, and DE (Remote). Please review the... ...the role including:Utilization ManagementThe physician... ...responsible for rendering coverage and payment...Remote workContract workTemporary workImmediate startPyramid Consulting
Philadelphia, PA1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director, Utilization & Coverage. Be the first to apply!
Related searches
- home health manager Phoenix, AZ
- senior manager clinical operations Phoenix, AZ
- regional director of clinical operations Phoenix, AZ
- public health project manager Phoenix, AZ
- director population health Phoenix, AZ
- medical director oncology Phoenix, AZ
- health manager Phoenix, AZ
- remote medical billing manager Phoenix, AZ
- behavioral health manager Phoenix, AZ
- clinical supervisor lcsw Phoenix, AZ