Remote Medical Director, Utilization Management
Colorado
WellMed, part of Optum, seeks an Internal/Family Medicine physician to lead utilization management. You will determine medical necessity, review cases, and drive UM protocol improvements within a collaborative, patient‑focused team across Texas markets. The role emphasizes CMS criteria adherence, regulatory compliance, and active participation in physician meetings, with a strong focus on quality and patient care. #J-18808-Ljbffr
$275k - $325k
...affiliate locations of care across five states and growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona Oregon FloridaThe Medical Director role provides clinical...Remote workWork from home$248.5k - $373k
...$373,000/yearJob Area: Medical & Clinical OperationsCompany... ...experience, and manage health care costs.The Medical Director provides physician support... ...clinical knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementLocal area- ...Optum is seeking a Medical Director to provide physician support for Enterprise Clinical Services, overseeing clinical coverage determinations and utilization management. You will collaborate with leadership to maintain processes for benefit coverage, quality improvement...Remote work
$248.5k - $373k
...$373,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...medicine physician to join our Utilization Management team. Optum is a clinician-... ...work and live.The Medical Director for Utilization Management... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...This position can be structured as a hybrid remote role - you would not necessarily be required to reside...Remote workPermanent employmentTemporary workRelocation package
- ...Health is hiring a Radiation Oncology Medical Director to oversee oncology utilization, policy implementation, and review processes in a remote, home-based role. The position supports... ..., peer-to-peer reviews, and case management. The role requires MD/DO, board certification...Remote jobWork from home
- The Oncology Institute is seeking a Medical Director to provide clinical expertise in assessing medical necessity, appropriateness, and efficiency of oncology care with a focus on utilization management for case reviews and clinical decision making. In this collaborative...Remote job
$248.5k - $373k
...Medical Director For Utilization ManagementWellMed, part of the Optum family of businesses, is seeking an... ...medicine physician to join our Utilization Management team. Optum is a clinician-led care... ...'ll enjoy the flexibility to work remotely from anywhere within the U.S. as you...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...seamless experience, and manage health care costs. The Medical... ...knowledge in various utilization management activities with a... ...enjoy the flexibility to work remotely from anywhere within the U.S...Remote jobMinimum wageFull timeWork experience placementLocal area$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...seamless experience, and manage health care costs. The Medical... ...knowledge in various utilization management activities with a... ...enjoy the flexibility to work remotely from anywhere within the U.S...Remote jobMinimum wageFull timeWork experience placementLocal area$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... ...to support Integra’s Utilization Management (UM) operations. Role functions... ...Conditions and Additional Expectations: Remote role requiring consistent...Remote workHourly payFull timeContract workTemporary workPart timeLocal area- Centene Corporation is seeking a clinical professional to lead Medical Management/Health Services for 28 million members. The role drives utilization management, quality improvement, and medical review across a national organization with flexible work options. The candidate...Remote jobFlexible hours
- A healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making. This role demands a blend of clinical experience, leadership, and the ability to guide a team while ensuring compliance with...Remote jobContract workWeekend work
- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...This position can be structured as a hybrid remote role - you would not necessarily be required to reside...Remote workRelocation package
- ...the fortunate position of adding a Medical Director to our incredible team. This... ...provide improved outcomes Performs utilization review and case management support on complex members... ...and to protecting the sensitive data entrusted to us. #LI-HW1 #LI-Remote...Remote workPermanent employmentFull timeCasual work
- ...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-LjbffrRemote work
- ...WellMed, part of Optum, seeks an experienced physician to join the Utilization Management team as Medical Director. This remote role supports WellMed Medical Management, Inc. with UM determinations and program improvements, aiming to optimize care for seniors nationwide...Remote work
$110 - $130 per hour
A healthcare staffing company is seeking a Medical Director to lead utilization management and quality improvement for Medicare inpatient care. This remote role requires board-certified physicians with active medical licenses in FL and TX. Key responsibilities include...Remote work- ...WellMed, part of the Optum family, is seeking a Medical Director for Utilization Management to support utilization determinations and identify trends in order to improve the UM program. The role involves developing and maintaining efficient UM processes, staying current...Remote work
- ...Centene Corporation is seeking a clinical leader to assist the Chief Medical Director in directing medical management, quality improvement and credentialing for the business unit. You will lead utilization management, drive cost containment and ensure high-quality care...Remote work
- ...Curative is seeking a Medical Director of Prior Authorization and Utilization Management for a hybrid role based in Palm Springs, California. This leadership position... ...where applicable, with optional hybrid remote work arrangements and paid malpractice tail coverage...Remote workRelocation package
- ...Bickham Services Unlimited, LLC seeks a Medical Director, Utilization Management for a 6-9 month contract based in Henderson, NV, with remote work option. Immediate start favored for reviewing inpatient and post-acute care decisions for Commercial and Medicare Advantage...Remote workContract workImmediate start
$115 per hour
...re a clinically driven, tech-enabled utilization management company offering expert clinical reviews... .... POSITION OVERVIEW Our Part-Time Medical Director, also known as a Physician Advisor,... .... This role is designedto bea remote position (work-from-home). Diversity...Remote workHourly payFull timePart timeWork at officeWork from homeFlexible hoursShift workRotating shift- ...UnitedHealth Group seeks an Inpatient Care Management Medical Director to review acuity and length of stay... ...nurses and staff to manage inpatient utilization across markets, while enabling... ...guidelines and telephonic outreach. Remote role within Florida with rotation holidays...Remote workHome office
- ...Humana is seeking a Behavioral Health Medical Director to lead behavioral health care... ...including regulatory compliance and utilization management across inpatient and outpatient settings... ...+ years in project management. Fully remote with occasional travel; standard hours...Remote work
- ...Lucet seeks a Medical Director (Behavioral Health) to lead clinical programs, oversee utilization management, and drive quality initiatives. You will work with health plans, providers... ...and 3+ years in managed care. This is a remote, full-time leadership role. #J-18808-...Remote workFull timeImmediate start
$217.6k - $294.4k
...of physicians are living our mission to make health care easier and lives better. As a member of the Utilization Management (UM) team, our Associate Medical Director BH and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations...Remote workPart timeImmediate startWork from homeFlexible hours$240k
...983, we’re a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory... ...and training opportunities An award-winning remote work environment Position Summary Our Medical Director, also known as a Physician Advisor, is...Remote workFull timeTemporary workWork at officeWork from homeShift workRotating shiftWeekend work- ...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 "... ...optimize utilization management processes and improve...Remote workFull time
- ...Medical Director ID 2026-25149 Category Physician... ...of Veterans Affairs. This remote-based civilian position is an... ...~3+ years of experience in managed care environments. Preferred... ...domains including Utilization Management, Case Management,...Remote workWeekday work
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