Remote Medical Director, Utilization Management
Judi Health
Judi Health is seeking a Medical Director for the Clinical Enterprise team to oversee utilization management, prior authorizations, and appeals for commercial and government programs. The role reports to the Lead Medical Director and collaborates with pharmacists and prescribers to support evidence-based coverage decisions. Qualified candidates hold an MD/DO with Texas license, 5+ years of clinical practice, and expertise in internal medicine, PBM operations, and UM policy development. #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
...- $373,000.00Job Area: Medical & Clinical OperationsCompany... ...together.The Medical Director Oncology will provide utilization review determinations and... ...case and disease management teams to achieve optimal... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum 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 around... ...Senior Medical Director.Work Location: This is a remote position, open to candidates holding an active medical...Remote workFull timeImmediate startWork from homeHome office$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... ...management This position can be structured as a hybrid remote role - you would not necessarily be required to...Remote workRelocation package
- ...Job Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming part... ...management This position can be structured as a hybrid remote role - you would not necessarily be required to...Remote workPermanent employmentTemporary workRelocation package
$91.7k - $163.7k
...Connecting. Growing together. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough... ...Responsibilities:Provide leadership and oversight of the Utilization Management (UM) program for higher levels of care, including...Remote workMinimum wageFull timeWork experience placementLocal area- ...Description & Requirements System Medical Director, Pre-Surgical Optimization... ...preoperative clinic utilization, reduce elective case... ...process enhancements. Provide remote and on-site clinical... .... Strong communication, management, and process improvement skills...Remote workFull timeLocal areaImmediate start
$202k - $303k
...Health Plan Inc. in Rochester is seeking a Medical Director to oversee various medical services activities, ensuring quality in utilization management and care coordination. The ideal... ...salary range of $202,000 - $303,000, with potential for remote work. #J-18808-Ljbffr...Remote workCasual workAfternoon shift- System Physician Advisor Medical Director Responsibilities and Job Description Overview:The... ...and other leadership related to case/utilization management and revenue cycle including the Lee Health... ...contracted providers involved in remote utilization review and physician...Remote workContract workFor contractorsMonday to FridayWeekend work3 days per week
$248.5k - $373k
....00 - $373,000.00Job Area: Medical & Clinical OperationsCompany... ...together.The Medical Director for the Oncogenetic Program... ...leadership and oversight for utilization management related to advanced molecular... ...enjoy the flexibility to work remotely * from anywhere within the...Remote workMinimum wageWork experience placementLocal area$386.5k
...579,500/yearJob Area: Medical & Clinical OperationsCompany... ...UHC Nation Medical Director Clinical Program... ...Clinical Evidence Group and manage the CPR team of 5-7... ...the flexibility to work remotely * from anywhere within... ...medical policies, utilization management processes,...Remote workMinimum wageFull timeWork experience placementLocal area- ...opportunity for a Behavioral Health Medical Director supporting the TriCare/... ...of Veterans Affairs. This remote-based civilian position is... ...experience.3+ years of experience in managed care environments. Preferred... ...domains including Utilization Management, Case Management,...Remote workWeekday work
- ...enthusiastic and highly skilled Medical Director to join our growing team.... ...overseeing and performing utilization reviews, prior... ...peer discussions. This is a remote position requiring a "roll... ...Operations, to optimize utilization management processes and improve member...Remote workFull timeFlexible hours
$236.5k
...Position Purpose Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and... ...medical leadership of all for utilization management, cost containment, and... ...flexible approach to work with remote, hybrid, field or office work schedules...Remote workFull timePart timeWork at officeFlexible hoursWeekend work$286.07k - $353.38k
...Place to Work since 2015.Position SummaryThe Vice President, Medical Director, Health Plan provides senior clinical leadership across... ...health plan strategy.Provide clinical leadership across utilization management, care management, population health, quality, pharmacy,...Remote workFull timeHome 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
$206.25k - $297.92k
Job title: Field Medical Director, Oncology EastLocation: Remote, US (East Coast)About the jobJoin the team transforming... ...of MSL activities. MSL managers work cross-functionally with field... ...engagement and retention strategies, utilizing clear career development...Remote workFull timeWork at office$227.6k - $385k
...is seeking a physician to join a dedicated team focusing on utilization management. This role involves managing escalated cases electronically... ...advising on cases. Minimum qualifications require a Medical Doctor or Osteopathic Doctor degree and 5 years in clinical...$300k
...University of Massachusetts Chan Medical School (UMass Chan) seeks a... ...as the Facility Medical Director (FMD) for The Cape Cod and... ...areas including utilization management, risk management, support of... ...position is eligible for a hybrid/remote schedule combining regularly...Remote workDaily paidContract workLocumH1bNight shiftWeekend workDay shift- ...What you'll be doing The Regional Medical Director will perform a key role within Medical... ...institutions, community networks, and managed care communities * Present critical medical... ...fluently to any audience * Must utilize effective, professional communications...Remote workFull timeLive inWork at officeLocal areaHome office
$227.6k - $385k
Highmark Health in Salt Lake City, Utah is seeking a qualified physician to ensure adherence to clinical standards in utilization management. Responsibilities include reviewing escalated cases, participating in multidisciplinary team meetings, and developing protocols....- ...CVS Health is seeking a Utilization Management (UM) Nurse Consultant for a fully remote, 100% work-from-home role available to candidates in the EST Zone. You will review medical necessity, coordinate care, and document UM processes to ensure safe, cost-effective care...Remote workWork from home
- ...ProMedica is seeking a Utilization Management RN for a remote, part-time role in Ohio with a 20-hour work week. You will review admissions and transfers, apply payer rules for authorizations, and collaborate with clinicians to optimize resource use and care quality. Qualifications...Remote workPart timeWork from home
- Overview An Associate Medical Director will be joining a dynamic experienced clinical team... ...responsibilities include the aspects of utilization management as guided by medical policy for both... ...experience. Additional Remote work is a consideration following completion...Remote work
- ...A leading payment management solutions provider seeks an Offsite Invoice Payment Specialist to manage utility invoice entries in a work-from-home setup. The role requires high typing speed and self-motivation along with the ability to work independently. Candidates must...Remote workWork from home
$63.74k - $95.26k
...independent registered nurse to fill a Medical Case Manager position in the Sunrise, FL area.... ...employer, and the referral source * Utilizes their medical and nursing knowledge to... ...drug free workplace, and complies with ADA regulations as applicable. #LI-RemoteRemote workMinimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift$213k - $304k
The Opportunity:As a Medical Director at Relay Tx, you will help advance our clinical pipeline... ...cross-functionally with clinical project management, regulatory affairs, clinical... ...positive impact for patients. We are open to remote employeesEstimated Salary Range: [$213,...Remote workImmediate start$66.94k - $101.26k
...independent registered nurse to fill a Medical Case Manager position in Northern Indiana. Work... ...employer, and the referral source * Utilizes their medical and nursing knowledge to... ...drug free workplace, and complies with ADA regulations as applicable. #LI-RemoteRemote workMinimum wageFull timeWork at officeLocal areaWork from homeMonday to FridayFlexible hoursNight shift- ...The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital and...Work experience placement
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director, Utilization Management. Be the first to apply!
- medical director utilization management Dallas, TX
- associate director clinical data management Dallas, TX
- medical and health service manager Dallas, TX
- director of health information management Dallas, TX
- medical director Dallas, TX
- remote medical billing manager Dallas, TX
- occupational health manager Dallas, TX
- psychiatry medical director Dallas, TX
- urgent care medical director Dallas, TX
- associate director clinical operations Dallas, TX


