Remote Medical Director, Utilization Management
Sustainable World, Inc.
Optum, a part of UnitedHealth Group, seeks a Medical Director to lead clinical coverage reviews and medical necessity determinations across Enterprise Clinical Services. You will collaborate with network and non-network physicians, guiding evidence-based medical decisions while supporting cost-effective care. You will work remotely from anywhere in the U.S. and engage in multi-disciplinary round activities. A strong background in EBM and clinical leadership is essential for success. #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- ...To support Utilization Management operations, the full-time Utilization Review Medical Director will conduct clinical reviews of Durable Medical Equipment (DME) requests remotely, ensuring compliance with Medicare and Medicaid guidelines while maintaining productivity...Remote workFull time
$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- ...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
- ...Internal Medicine or Family Medicine physician to join the Utilization Management team. The Medical Director will support WellMed Medical Management by making UM... ...utilization trends to improve the program. Remote work is available from anywhere in the U.S. The role...Remote job
- Starling Oncology is seeking a Medical Director to provide clinical expertise in utilization management for oncology care. You will review and guide medical necessity decisions, collaborating with physicians, operations, and payers to optimize outcomes and value-based...Remote job
- ...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
- UnitedHealth Group seeks a Medical Director to lead clinical coverage reviews and benefit determinations within Enterprise... ...knowledge, communication, and remediation of utilization management. You can work remotely from anywhere in the United States, with responsibilities...Remote job
- 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
- ...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
$248.5k - $373k
...family medicine physician to join our Utilization Management team. Optum is a clinician-led care... ...clinicians work and live. The Medical Director for Utilization Management will support... ...fluency *All employees working remotely will be required to adhere to UnitedHealth...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$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
- Centene Corporation seeks a physician leader to direct medical management, quality improvement and credentialing for the business unit. Lead utilization management, medical reviews, and performance-improvement initiatives to enhance cost-effectiveness and care quality....Remote jobWeekend work
- ...Health is seeking a Clinical Manager, Care Management to provide... ...of professionals involved in utilization management. This role... ...compliance while collaborating with Medical Directors and internal leaders. The... ...The position offers a fully remote environment with comprehensive...Remote job
- 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
$26.01 - $56.14 per hour
Behavioral Health Utilization Management Clinician Remote | Louisiana Preferred | Monday-Friday/Tuesday-Saturday Schedule We're building a world of health... ...health services and treatment plans to determine medical necessity and appropriateness of care Apply evidence-based...Remote workHourly payFull timeTemporary workLocal areaMonday to Friday$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- CareOregon, Inc. seeks a Medical Director to oversee benefit/utilization management, clinical and wellness programs for members. The role involves leadership of QA, case/disease/quality management, and collaboration with physicians to improve care and utilization outcomes...Remote jobWork from home
$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- ...Optum in the United States is seeking a Medical Director for Utilization Management to support WellMed Medical Management, driving utilization decisions and program improvements. The role offers remote work across the U.S. and collaboration within a large, diverse organization...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- 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
- ...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
- ...WellMed Medical Management, Inc. seeks an Internal Medicine/Family Medicine physician to join our Utilization Management team as Medical Director. You will make UM determinations, monitor CMS criteria, and help shape medical necessity decisions within a managed care framework...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
- ...CorroHealth is seeking a Medical Director, Concurrent Review, to evaluate hospitalizations nationwide... ...provide expert recommendations. This remote position offers a predictable schedule and a path to expand knowledge in Utilization Review. Ideal candidates hold an MD/DO...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
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