Remote Part-Time Medical Director for Medicare Appeals
Humana
- Remote job
Humana, Inc. in the United States is seeking a part-time Medical Director to review Medicare drug appeals (Part D and B) and provide expert clinical oversight within policy and regulatory guidelines. You will collaborate with clinicians and staff to support value-based care for Humana members, handling complex cases with access to CMS policies and clinical references, while maintaining compliance and credentialing standards. #J-18808-Ljbffr Humana
$223.8k - $313.1k
...Become a part of our caring community Please note that this Medical Director position is a part-time, seasonal position, with variable/flexible... ...expertise to review Medicare drug appeals (Part D and B). The Medical... ...: While this is a remote position, occasional travel...Part timeRemote workBi-weekly payHourly payDaily paidFull timeApprenticeshipSeasonal workWork at officeLocal areaWork from homeHome officeFlexible hours$215k - $408.5k
...We’re Hiring: Full time Medical Director Centene Corporation... ...services to Medicaid and Medicare members, as well as... ..., network providers, appeals team, medical and... ...approach to work with remote, hybrid, field or office... ...full-time or part-time status. Total compensation...Part timeRemote workFull timeWork at officeFlexible hoursWeekend work- ...Description Location: Fully Remote | Candidates must be available to work Eastern Time (EST) business hours. Hours: Part-time hours Description: The Medical Director, Appeals is responsible for... ...clinical decisions within a Medicare Advantage environment....Part timeRemote workLocal areaImmediate start
$301.6k - $312k
...Medical Director As the Medical Director you will provide clinical oversight and signed authorization of... ...closely with the departments that manage external appeal and independent review operations. This is a part-time remote position (All work must be performed within...Part timeRemote workHourly payContract workFor contractors$224k - $364k
...FL, United States (Remote) Job Description The Medical Director will work closely... ...Concurrent Review and Appeals. Key... ...resources to render timely decisions on medical... ...as commercial or Medicare medical policy... ...Benefits for intern, part-time and seasonal...Part timeRemote workTemporary workWork experience placementInternshipSeasonal work$215.01k - $408.49k
...priority. Provides medical leadership for... ...Performs case reviews and appeals for all health... ...specialty familiar with Medicare patients.... ...reimbursement, paid time off plus holidays,... ...approach to work with remote, hybrid, field or office... ...full-time or part-time status. Total...Part timeRemote workHourly payFull timeReliefWork at officeFlexible hours$200.28k - $360.5k
...This is a remote position requiring active... .... Both full-time and part-time candidates will... ...business (Medicaid, Medicare, and Commercial)... ...Medical Management team,... ...integrity of the appeals process, both internally... ...lead senior medical director, and quality improvement...Part timeRemote workFull timeContract workTemporary workWork experience placementInternshipImmediate startFlexible hours- Elevance Health is seeking a Medical Director for Florida Medicare on a part-time basis. The role supports utilization management and medical necessity reviews for inpatient and outpatient care, with weekend on-call rotations as part of UM requirements. The position offers...Part timeRemote jobWeekend work
- Cambia Health is seeking an Associate Medical Director BH or UM Medical Director to lead... ...management across lines of business in a remote, part-time capacity. Responsibilities include... ...case reviews, prior authorizations, and appeals, with a focus on delivering person-...Part timeRemote job
$125 per hour
...members enrolled in Commercial, Medicare and Medicaid products. Our... ...clinical consulting and medical review services in support of... ...consulting engagement, not a full-time or part-time employee position.... ...will generally be performed remotely and on an as-needed basis, based...Part timeRemote workHourly payFull timeFor contractorsLocal areaFlexible hours- 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
$248.5k - $373k
...Caring. Connecting. Growing together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and... ...will range from $248,500 - $373,000 annually based on full-time employment. We comply with all minimum wage laws as applicable...Remote jobMinimum wageFull timeWork experience placementLocal areaWork from home- UnitedHealthcare is seeking an Appeals and Grievances Medical Director to oversee clinical review and adjudication of appeals across health plans. This remote role offers the flexibility to work from anywhere in the U.S. You will perform case reviews, respond to regulatory...Remote job
- UnitedHealthcare is seeking an Appeals and Grievances Medical Director to lead clinical review and adjudication of appeals and grievances across multiple... ...and two years in Quality Management. The position is remote with collaboration across medical directors, regulatory...Remote job
- Assistant Medical Director Orthopedics - On Call or Full-Time Join to apply for the Assistant Medical... ...Job Location Remote Tracking Code 134793... ...Medical Director” roles. Part-Time Tele-Infectious Disease... ...ophthalmology required (contractor) Appeals Medical Director - OB...Part timeRemote workFull timeContract workFor contractorsRelief
- We’re Hiring: Full time Medical Director Centene Corporation is... ...to Medicaid and Medicare members, as well as to... ..., network providers, appeals team, medical and pharmacy... ...to work with remote, hybrid, field or office... ...including full-time or part-time status. Centene...Part timeRemote workFull timeWork at officeFlexible hoursWeekend work
$174.07k - $374.92k
...everything we do. Join us and be part of something bigger –... ...and one community at a time. Position Summary... ...resources. **This is a remote based (work at home) based... ...of this Medical Director role are related to Medicare Appeals: * Direct daily work on...Remote workHourly payFull timeTemporary workLocal areaWork from homeWeekend work$120 - $135 per hour
...Management team as a Field Medical Director, Cardiovascular... ...This position is 100% Remote and can be completed... ...flexible schedule and both part-time and full-time options... ...and expedited appeals. Discusses determinations... ...program, including Medicare or Medicaid, and is...Part timeRemote jobFull timeWork at officeFlexible hours- ...Disability Associate Medical Director We are seeking an experienced, board-certified physician... ...Associate Medical Director in a part-time, independent contractor capacity. This... ...escalations. Work Arrangement Remote, independent contractor position....Part timeRemote workFor contractorsFlexible hours
$44.57k - $66.87k
...leader that integrates Medicare and private health... ...by including remote and hybrid opportunities... ...Grievance and Appeals Coordinator , you... ..., ensuring the timely intake, review, investigation... ...hours and no medical benefits package... ..., Medical Director, Plan Administrator...Part timeRemote workDaily paidWork experience placementWork at officeMonday to FridayFlexible hoursShift work- ...Dietitians, physicians, medications, lab testing, and AI agents... ...the Role As Medical Director, you will lead the... .... This role is full-time and open to NYC-based or remote candidates. Our office is... ...Nourish platform, managing a part-time clinical load....Part timeRemote workFull timeWork at office
- ...a mission to increase medical practice success and improve... ...Summary: Medical Director, Gastroenterology... ...keep. ~ Generous Paid Time Off and Paid Parental Leave... ...office-based roles and remote availability for some roles... ...or supplies as part of your onboarding process...Part timeRemote workFixed term contractPrivate practiceWork at officeFlexible hoursAfternoon shift2 days per week
- ...Description Job Description Title: Medical Director Job Category: Primary... ...Oklahoma City, Ok Position Type: Part-Time Compensation: Flat monthly rate... ...We are seeking a highly qualified Remote Medical Director to provide expert oversight...Part timeRemote workPrice workExtra incomeFlexible hours
- ...WV120c Psychiatric Medical Director Adult Psychiatrist needed for REMOTE Medical Director role at a healthcare agency based out of Martinsburg. Part-time hours. 15 hours per week. Can be REMOTE! Competitive pay. Must be Board Certified and have an active WV license...Part timeRemote workImmediate start
- Acentra Health is seeking a Fractional (part time) Medical Director to lead California transition-support services for UIS. You will set clinical... ...safe, compliant practices within Medi-Cal. The role is remote within California with strategic collaboration to improve...Part timeRemote job
- ...Sonoma and Mendocino counties. This part-time role requires an active California medical license, board certification in a... ...DEA registration. The Medical Director will oversee clinicians, perform... ...occasional telehealth coverage. Remote work is available. #J-18808-Ljbffr...Part timeRemote job
- ...MA509 Adult Psychiatric Medical Director Remote work available!! Adult Psychiatrist/Medical Director needed FULL-TIME or PART-TIME in-patient (voluntary) position with a Mental Health Facility in Southeast Massachusetts. Work in one of the most beautiful places on...Part timeRemote workFull timeDay shift
- Cambia Health is seeking an Associate Medical Director for Behavioral Health and Utilization Management to provide clinical leadership across behavioral health operations. This part-time role focuses on case reviews, policy development, and operational oversight for a...Part timeRemote job
- Acentra Health is seeking a Fractional (part time) Medical Director to lead the California transition-support services program, ensuring clinical... ...Medi-Cal scope and regulatory requirements. The role is remote within California, with responsibilities spanning policy development...Part timeRemote job
- Dermacore Wound Care in California seeks an experienced Medical Director (MD or DO) for part-time, independent contractor work, primarily remote. You will provide clinical oversight, supervise NPs/PAs, review documentation, and support QA activities with the VP of Clinical...Part timeRemote jobFor contractors
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