Remote Medical Director, Utilization Management
Chicago Derm
- Remote job
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. Join Optum and contribute to improving care for a large Texas patient population while collaborating with a multidisciplinary team committed to high-quality, cost-effective care and continuous professional growth. #J-18808-Ljbffr Chicago Derm
- ...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
$275k - $325k
...and growing, Starling Oncology is changing oncology for the better. For more information, visit Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona Oregon...Remote workWork 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 work
- 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
$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$248.5k - $373k
...family medicine physician to join our Utilization Management team. Optum is a clinician-led care... ...way clinicians work and live. The Medical Director for Utilization Management will support... ...'ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you...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
- ...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
...$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- ...UnitedHealth Group seeks an Inpatient Care Management Medical Director to lead acute care reviews and manage patient care utilization, collaborating with nurses and staff across... ...and cross-functional collaboration, with a remote work option across the U.S. and opportunities...Remote 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
- ...Curative is seeking a Medical Director of Prior Authorization and Utilization Management for a hybrid role based in Palm Springs, California. This leadership position... ...where applicable, with optional hybrid remote work arrangements and paid malpractice tail coverage...Remote workRelocation package
- ...Job Description Job Description: Manager of Clinical Utilization Management - Denial ComplianceLocation... ..., CAPosition Type: Hybrid (85% remote, 15% onsite in Northridge, CA); Full... ...collaboration with physician reviewers, medical directors, and other relevant departments.3....Remote workPermanent employmentFull timeTemporary workFlexible hours
$160 - $170 per hour
...Medical Director Req number: R8254 Employment type: Full time Worksite flexibility: Remote Who we are CAI is a global services firm with over 9,000... ...Medical Director, you will ensure utilization management responsibilities are performed in...Remote workHourly payFull timeApprenticeshipPrivate practiceWork at officeLocal areaWorldwide$240k - $250k
...Medical Director Utilization Management We are looking for physicians who have expertise in Internal Medicine including medical and surgical clinical... ...different backgrounds and perspectives. This is a remote-first role that may require travel to Boston, MA for new...Remote workFlexible hours$227.6k
...SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the... ...incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and...Remote workFor contractorsPrivate practiceWork at officeLocal area$275k - $300k
The Oncology Institute is seeking a Medical Director for Utilization Management Oncology to provide strategic oversight and support key clinical initiatives. This remote role involves conducting medical reviews of oncology treatment plans and ensuring compliance with evidence...Remote job- Integra Partners seeks an experienced Utilization Review Medical Director to lead clinical reviews of DMEPOS requests within a remote UM environment. You will ensure decisions meet Medicare/Medicaid guidelines and internal policies while maintaining timely throughput and...Remote job
- 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 job
- Bickham Services Unlimited, LLC seeks a Medical Director, Utilization Management for a 6-9 month contract based in Henderson, NV, with remote work option. Immediate start favored for reviewing inpatient and post-acute care decisions for Commercial and Medicare Advantage...Remote jobContract workImmediate start
- UnitedHealth Group in Minnesota seeks a Medical Director to provide physician support for... ...effective, high-quality care, advances utilization management, and communicates policies to network and non-network physicians. Remote work from anywhere in the U.S. is supported...Remote job
- CVS Health is seeking a Medical Director (Behavioral Health) to lead the utilization management team remotely. You will provide psychiatric leadership, oversee high-risk cases, and ensure medical necessity decisions to deliver high-quality care for diverse health plans....Remote job
$250k - $350k
...company, is a specialized medical group dedicated to providing... ...primary care, longitudinal care management, remote monitoring, and real‑time... ...quality, reduce avoidable utilization, and expand access for... ...company. Position Title Medical Director - Intention MA Location...Remote work- ...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
- ...Medical Director Curative is seeking an enthusiastic and highly skilled... ...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
$190k - $200k
We're seeking a board‑certified Medical Director (Internal Medicine or Family Practice) to support our team. This role is fully remote and focuses on utilization management (UM), quality review, and clinical oversight for high‑volume cases. You will work closely with...Remote workFull time- ...Professional Job Description Title: Medical Director Utilization Management Job Type: 3 Months Contract Location: Remote - CA Shift: 8AM 5PM Mon Fri PST Pay Range: XXXXXXXXXXX - XXXXXXXXXXX Per hr on w2. Potential Extension or Conversion:...Remote workContract workWork at officeShift work
- ...Medical Director Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location: Pittsburgh, PA Schedule: Monday Friday | 9:00 AM 5:00 PM EST Core Hours: 40 Hours/Week Employment Type: Contract with Possibility of...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
- ...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
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