Remote Medical Director: Utilization & Care Quality
Altais
- 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 the continuum. You will lead UM policy development, chair committees, and interact with plans on benefits and appeals, guiding physician education and network performance. #J-18808-Ljbffr Altais
$275k - $325k
...specialized, value-based cancer care in the community setting. TOI... ...changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California... ...to support evidence-based high quality and cost-effective care delivery...Remote workQualityWork from home$248.5k - $373k
...000/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...costs.The Medical Director provides physician... ...coverage determinations, quality improvement and... ...in various utilization management activities... ...flexibility to work remotely * from anywhere within...Remote workQualityMinimum wageFull timeWork experience placementLocal area$248.5k - $373k
....00/yearJob Area: Medical & Clinical OperationsCompany... ...to join our Utilization Management team.... ...a clinician-led care organization that... ...live.The Medical Director for Utilization Management... ...to work remotely * from anywhere within... ...confidentialityProvides quality assurance and...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- Medical Director of Prior Authorization and Utilization Management - Palm Springs, California: Please consider becoming... ...professionals providing the highest quality care to our residents in the... ...position can be structured as a hybrid remote role - you would not necessarily...Remote workQualityRelocation package
$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of... ...trends, potential quality concerns, or opportunities... ...policies, clinical standards of care, and regulatory updates relevant... ...Expectations: Remote role requiring consistent...Remote workQualityHourly payFull timeContract workTemporary workPart timeLocal area$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 jobQuality$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided by technology to help millions of... ...coverage determinations, quality improvement and cost... ...knowledge in various utilization management activities... ...flexibility to work remotely from anywhere within...Remote jobQualityMinimum wageFull timeWork experience placementLocal area$248.5k - $373k
...Medical Director For Utilization ManagementWellMed, part of the Optum family of businesses... ...Optum is a clinician-led care organization that is... ...enjoy the flexibility to work remotely from anywhere within the U... ...confidentialityProvides quality assurance and education of...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California... ...providing the highest quality care to our residents in the Coachella... ...position can be structured as a hybrid remote role - you would not necessarily...Remote workQualityPermanent employmentTemporary workRelocation package
$248.5k - $373k
...000/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...flexibility to work remotely * from anywhere within... ...:Work to improve quality and promote... ...memberWork with medical director teams focusing on... ...QualificationsHands-on utilization and/or quality...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal area$248.5k - $373k
...000/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...Validation (SSBV) Medical Director to join our... ...flexibility to work remotely * from anywhere within... ...of managed care, Quality Management... ...InterQual or MCG) in utilization review or payment...Remote workQualityMinimum wageFull timeWork experience placementLocal area$292.3k
...500/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...certified Senior Medical Director with transplant... ..., and advance quality across transplant... ...flexibility to work remotely * from anywhere within... ...management, or utilization management5+ years...Remote workQualityMinimum wageFull timeWork experience placementWork at officeLocal area- ...United StatesJob Area: Medical & Clinical... ...alignment between care providers and payers... ...risk management, quality and revenue growth... ...together.The Medical Director Clinical... ...flexibility to work remotely * from anywhere within... ...teams to optimize utilization of clinical content...Remote workQualityMinimum wageWork experience placementLocal area
$248.5k - $373k
...373,000.00Job Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by technology... ...a team of medical directors, for the overall quality, effectiveness and coordination... ..., performs Utilization Management reviews... ...flexibility to work remotely * from anywhere within...Remote workQualityMinimum wageWork experience placementLocal areaWeekend work- ...seeks an Internal/Family Medicine physician to lead utilization management. You will determine medical necessity, review cases, and drive UM protocol... ..., and active participation in physician meetings, with a strong focus on quality and patient care. #J-18808-Ljbffr...Remote workQuality
- ...WellMed Medical Management, Inc. seeks an Internal Medicine... ...physician to join our Utilization Management team as Medical Director. You will make UM determinations... ...within a managed care framework. Join Optum and... ...multidisciplinary team committed to high-quality, cost-effective care and...Remote workQuality
- ...Medical Director ID 2026-25149 Category... ...Defense and Community Care Network/Department of... ...Veterans Affairs. This remote-based civilian position... ...Join us in leading high-quality care initiatives for those... ...domains including Utilization Management, Case Management...Remote workQualityWeekday work
$248.5k - $373k
...3,000.00Job Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...together.The Medical Director for the Oncogenetic... ...and oversight for utilization management related... ...to work remotely * from anywhere within... ...Responsibilities:Work to improve quality and promote...Remote workQualityMinimum wageWork experience placementLocal area$250k
...multidisciplinary medical group providing 24/7 whole-person care. Our clinical team... ...The Medical Director will partner with... ...innovative and high-quality care in the home and... ..., high-risk, high-utilizing patients. Job requires... ...role is primary remote, but residence in...Remote workQualityFlexible hours- Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh,... ...focus on physical health utilization management and clinical... ...behavioral health, and care management teams to uphold quality, compliance, and defensible... ...accommodating primarily remote work with a North #J-18...Remote jobQuality
$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on medical background... ...dedicated to advancing the quality of inpatient care through... ...or those experienced in Utilization Review are encouraged to... ...Travel: While this is a remote position, occasional travel...Remote workQualityBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work- ...seeking a Physical Health Medical Director to provide clinical oversight... .... The role emphasizes high quality, evidence-based review processes and care coordination with remote work options and on-site... ...and 2+ years in managed care/utilization management. #J-18808-Ljbffr...Remote jobQuality
- ...Health is seeking a Part-Time Medical Director to provide physician... ...for medical management and utilization review programs. You will align... ...organizational standards in a fully remote role based in the United... ...necessity determinations, and drive quality improvement across programs,...Remote jobQualityPart time
$200k
...poster from Theoria Medical Company Overview... ...patients across the care continuum with an... ...to improve the quality of care delivered,... ...physician services, remote patient monitoring... ...+ monthly Medical Director Stipend and this position... ...must be able to utilize electronic/online...Remote workQualityFull timePart timeRelocation packageFlexible hoursShift workDay shift2 days per week3 days per week$250k - $350k
...Healthcare, an Essen Health Care company, is a specialized medical group dedicated to... ...care management, remote monitoring, and real‑time... ...are designed to improve quality, reduce avoidable utilization, and expand access for... ...Title Medical Director - Intention MA Location...Remote workQuality$248.5k - $373k
...000/yearJob Area: Medical & Clinical OperationsCompany... ...that delivers care, aided by... ...costs.The Medical Director provides physician... ...coverage determinations, quality improvement and... ...in various utilization management activities... ...employees working remotely will be required to...Remote workQualityMinimum wageFull timeWork experience placementLocal area$286.07k - $353.38k
...Join Martin's Point Health Care - an innovative, not-for-profit... ...SummaryThe Vice President, Medical Director, Health Plan provides senior... ...Plan, with a focus on quality, affordability, compliance,... ...clinical leadership across utilization management, care management,...Remote workQualityFull timeHome office$215k - $270k
Medical Director (MD or DO) (NHC-1455120) Raleigh, North Carolina... ...Location: Primarily Remote (North Carolina preferred... ...: Healthcare Managed Care Organization Role Overview... ...for physical health utilization management. This role ensures high-quality, compliant, and defensible...Remote workQualityFull timeWork visaMonday to FridayAfternoon shift- ...Medical Director Curative is seeking an enthusiastic and... ...overseeing and performing utilization reviews, prior... ...promoting evidence-based care, and fostering positive... ...discussions. This is a remote position requiring a "... ...protocols. Participate in quality improvement...Remote workQualityFull timeFlexible hours
- Centene Corporation is seeking a Medical Director to lead utilization management, quality improvement, and medical review activities. You will partner with Chief... ...Director to shape goals, policies, and cost-effective care for a diverse member population. The role requires...Remote jobQuality
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