Medical Director Utilization Management Oncology
The Oncology Institute (TOI)
Job Description
Utilization Management Medical Director Oncology
Work Location: REMOTE (work from home) The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and efficiency of oncology care with a focus on direct utilization management for case review and clinical decision making.Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Medical Director Utilization Management Oncology in Cerritos, CA vacancy
$275k - $300k
...Job Description Job Description About The Oncology Institute ( Founded in 2007, The Oncology Institute (NASDAQ:... ...and growing, TOI is changing oncology for the better. Utilization Management Medical Director Oncology Work Location: REMOTE (work from home)...SuggestedRemote workWork from home- ...Medical Director, Utilization Management Commercial Prior Authorization Review The Medical Management team ensures that Blue Shield of California (BSC) is on the cutting edge of utilization management reimagined to accelerate the development and sustainability of a...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...Medical Director, Utilization Management The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Utilization...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- Wisconsin Psychiatric Association Inc is recruiting for an Appeals and Grievances Medical Director. You will conduct case reviews for various health plans and manage appeals processes from anywhere in the U.S. This role is pivotal in making quality care accessible. Ideal...SuggestedRemote job
- ...Job Id: 962 # of Openings: 1 Practice Manager COMPANY DESCRIPTION Unio Health Partners... ...urology, gastroenterology, and radiation oncology) and offers numerous ancillary services,... ...quality assurance, confidentiality, and medical records documentation to ensure...SuggestedWork at officeRemote work
$348.25k - $417.9k
...us forward every day. Job Overview The Regional Medical Director for PACE is responsible for the collaboration, integration... ...shall be responsible for overseeing all clinical aspects of utilization management, case management, chronic disease case management, and...Flexible hours- UnitedHealthcare is seeking an Appeals And Grievances Medical Director to manage the clinical review and adjudication of appeals and grievances cases. You will perform individual case reviews, communicate with medical directors, and actively participate in team problem...Remote job
$248.5k - $373k
...Texas Health Institute is seeking an Appeals and Grievances Medical Director. This role involves reviewing clinical appeals and grievances... ...of clinical experience and a strong background in quality management. The compensation ranges from $248,500 to $373,000, reflecting...Remote jobLocal area$248.5k - $373k
UnitedHealth Group is looking for a Medical Director for Appeals and Grievances, responsible for clinical review and adjudication of cases... ...directors and requires strong communication and project management skills. Compensation ranges from $248,500 - $373,000, supported...Remote job$248.5k - $373k
Stryker Corporation is looking for an Appeals and Grievances Medical Director to oversee clinical reviews related to appeals and grievances. The role demands a minimum of 5 years in clinical practice and substantial communication skills. Qualified candidates will have...Remote job$248.5k - $373k
...Psychiatric Association Inc is seeking an Appeals and Grievances Medical Director responsible for the clinical review of appeals and... ...at least 5 years of clinical practice and 2 years in Quality Management. The compensation typically ranges from $248,500 to $373,000...Remote job$310.65k - $372.78k
...Job Description & Requirements Site Medical Director StartDate: ASAP Pay Rate: $310648.00 - $372777.00 AltaMed, a leading healthcare center providing services to more than 300,000 Southern California residents, is seeking a qualified physician with prior leadership...Full timeLocal areaImmediate startShift work$25 - $27 per hour
...cancellations. Supporting in the development of the utilization report of caseload monthly. Managing a caseload to meet clinical quality standards,... ...for any part of the employment process because of a medical condition or disability, please send an e-mail to benefits...Hourly payFull timeImmediate startWork from homeFlexible hours- ...Medical Director Position Emergency Care - Medical Director - Norwalk, CA An exceptional veterinary hospital, with a dedicated team, is... ...emergency protocols, and working collaboratively with the practice manager and leadership team. Credentials & Qualifications That Are...Relocation package
$248.5k - $373k
Texas Health Institute is seeking an Appeals and Grievances Medical Director to oversee clinical review for appeals and grievances cases.... ...complemented by over five years of clinical practice and quality management experience. Competitive compensation ranging from $248,500...Remote job$248.5k - $373k
Wellness Health Careers is seeking an Appeals and Grievances Medical Director responsible for clinical review and adjudication of appeals for UnitedHealthcare. The ideal candidate must be an MD or DO with a valid license and board certification. Responsibilities include...Remote job$30 per hour
...Type: Part Time Job Number: Clinical Case Manager-STH-26 Closing: Open until filled.... ...services after and beyond the counseling and medical care provided by SHS staff. Under the... ...tracking of clinical case management utilization and outcomes. Participate, under the guidance...Hourly payTemporary workPart timeLocal areaImmediate startMonday to Friday- ...Step into a transformative leadership role as a mission-driven Medical Director, leading a dedicated team of approximately 40 multi-... ...professionals. Financial Stewardship: Contribute to the development and management of the annual budget, promoting operational efficiency and...Full timeRelocation package
$80k - $110k
...Clinic Manager Salary Range $80,000.00 - $110,000.00 Salary Job Shift Day Travel Percentage... ...which may include but is not limited to Medical, Mental Health, Ob/Gyn, Endocrinology,... ...preventative and corrective actions, Utilization Management goals, and Credentialing & Privileging...Work at officeLocal areaImmediate startFlexible hoursShift workAfternoon shift$248.5k - $373k
...creating healthier communities. The Appeals and Grievances Medical Director supports ongoing clinical review and adjudication of appeals... ...medical policies. Perform Department of Insurance, Department of Managed Healthcare, and CMS regulatory responses. Communicate with...Remote workFlexible hours- UnitedHealthcare is seeking a qualified medical professional for a remote position focused on appeals and grievances for health plans... ...significant experience in clinical practice and quality management. A comprehensive compensation package is provided, including bonuses...Remote job
$248.5k - $373k
Texas Health Institute is looking for a qualified physician to handle appeals and grievances within their systems. This remote role allows you to work flexibly from anywhere in the U.S. The successful candidate will have an MD or DO license and extensive clinical practice...Remote job- USVTA LLC in Norwalk, CA is seeking an experienced Medical Director for its emergency department. This role involves leading a dedicated team and ensuring superior care in a fast-paced environment. The ideal candidate is a licensed veterinarian with leadership experience...Relocation package
$248.5k - $373k
...role, you will engage in case reviews and collaborate with medical directors while providing strategic input in team settings. The ideal... ...least 5 years of clinical experience and 2 years in Quality Management. Competitive compensation ranges from $248,500.00 to $373,00...Remote job$70.3k - $75k
...Astera Cancer Care is seeking a Clinical Research Coordinator to manage study coordination and ensure compliance with regulations in a... ...research coordination experience and previous exposure to Oncology/Hematology. The role involves screening potential patients, maintaining...- Carbon Health is seeking a Center Medical Director to oversee clinic operations in Cerritos. The ideal candidate will lead clinical teams, ensuring high-quality patient care, while promoting operational efficiency. This full-time position includes approximately 30 hours...Full time
$111.15k - $163.74k
Carbon Health Technologies Inc in California seeks a Clinic Medical Director. This role combines clinical leadership with oversight of clinic operations, promoting a high-quality patient care experience. Ideal candidates are passionate about redefining healthcare, with...- A prominent healthcare organization is seeking an Appeals and Grievances Medical Director to manage clinical reviews of appeals for various health plans. The role offers flexibility to work remotely. Qualified candidates should have an MD or DO, be board certified, and...Remote job
$44.35 - $68.86 per hour
...visits for LVN and CHHA staff. Manages expenses for Patient Care... ...protocols. Promotes development and utilization of standardized Patient Care... ...care, palliative care, oncology, long-term care, case management... ...benefits package including medical, dental, vision, 401k, and...Hourly payImmediate startShift workWeekend work- Acuity Eye Group is seeking a Practice Manager for their La Palma office. The role involves overseeing daily clinic operations, managing schedules, and ensuring patient satisfaction. Candidates should possess a Bachelor's Degree in a related field with 3-5 years of relevant...Work at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Director Utilization Management Oncology. Be the first to apply!
Related searches
- mental health clinical supervisor Cerritos, CA
- healthcare consulting manager Cerritos, CA
- healthcare supervisor Cerritos, CA
- psychiatry medical director Cerritos, CA
- health manager Cerritos, CA
- public health director Cerritos, CA
- clinical manager Cerritos, CA
- medical director Cerritos, CA
- medical coding supervisor Cerritos, CA
- director clinical pharmacology Cerritos, CA

