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
$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- ...UnitedHealth Group, through UnitedHealthcare, seeks a Medical Director of Clinical AI Innovation and Performance. This senior physician... ...AI model training, testing, and surveillance for utilization management criteria, leveraging InterQual and custom content. You...Remote job
- WellMed, part of Optum, seeks an Internal/Family Medicine physician to lead utilization management. You will determine medical necessity, review cases, and drive UM protocol improvements within a collaborative, patient‑focused team across Texas markets. The role emphasizes...Remote job
$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...seamless experience, and manage health care costs. The Medical... ...knowledge in various utilization management activities with a... ...enjoy the flexibility to work remotely from anywhere within the U.S...Remote jobMinimum wageFull timeWork experience placementLocal area- ...Centene Management Company LLC in Arizona seeks a Board-Certified Physician to lead medical management, quality improvement, and credentialing for the business unit. The role guides utilization management, cost containment, and clinical quality initiatives, with oversight...Remote jobWeekend work
- Centene Corporation is seeking a Medical Director to lead utilization management, quality improvement, and medical review activities. You will partner with Chief Medical Director to shape goals, policies, and cost-effective care for a diverse member population. The role...Remote job
$248.5k - $373k
...Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician... ...together. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Corporation is seeking a clinical leader to assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing. The role provides medical leadership for utilization management, cost containment, and quality improvement...Remote job
- ...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
- ...WellMed, part of the Optum family, is seeking a Medical Director for Utilization Management to support utilization determinations and identify trends in order to improve the UM program. The role involves developing and maintaining efficient UM processes, staying current...Remote work
- ...Job Title: Medical Director (Utilization Management) - Remote (USA) | Contract-to-Hire | US Citizen Only Location: 100% Remote (United States) Schedule: Full-Time | Monday-Friday | 9:00 AM - 5:00 PM EST (Flexible after training) Employment Type...Remote workFull timeContract workMonday to FridayFlexible hours
- 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
- ...Job Title: Medical Director Location: Remote Duration: 6 Months CTH Job Description: This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical...Remote workPrivate practice
$248.5k - $373k
....00 - $373,000.00Job Area: Medical & Clinical OperationsCompany... ...together.The Medical Director for the Oncogenetic Program... ...leadership and oversight for utilization management related to advanced molecular... ...enjoy the flexibility to work remotely * from anywhere within the...Remote workMinimum wageWork experience placementLocal area$386.5k
...579,500/yearJob Area: Medical & Clinical OperationsCompany... ...UHC Nation Medical Director Clinical Program... ...Clinical Evidence Group and manage the CPR team of 5-7... ...the flexibility to work remotely * from anywhere within... ...medical policies, utilization management processes,...Remote workMinimum wageFull timeWork experience placementLocal area- ...For roles that are 100% remote or hybrid, you must have access... ...it most. We offer integrated managed care products, pharmaceutical... ...operational areas of the Utilization Management (UM) program including... ...retrospective reviews. As a Medical Director, UM you ensure all patient...Remote workContract workLocal areaFlexible hoursWeekend work
$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- ...company is hiring a Physical Health Medical Director to work remotely in North Carolina. The Physical... ...within the Physical Health Medical Management Team, providing clinical oversight,... ...goals related to clinical quality, utilization management, and care coordination....Remote workTemporary workWork experience placementWork at officeRelocationFlexible hoursWeekend work
$227.6k
...Job Title Utilization Management Physician Job Description This job, as part of a physician team, ensures that utilization management... ...incumbent reviews escalated cases electronically and using medical policy criteria sets to evaluate the medical necessity and...Remote workFor contractorsPrivate practiceWork at officeLocal area- ...Optum division seeks an Inpatient Care Management Medical Director to oversee acute level of care reviews... ...with nurses and staff to manage inpatient utilization at hospital, market, or national levels. The position offers remote work from anywhere in Florida,...Remote job
- ...AI innovation and performance within Utilization Management. You will drive interpretation of InterQual... ...-based enhancements, and partner with Medical Policy and data science teams to... ...effective coverage decisions. This remote role offers nationwide scope within the...Remote work
- ...leading cancer center focused on translating research into patient care. We are seeking an experienced Medical Director - Physician Advisor to drive utilization management, CDI initiatives, and regulatory compliance across our health system. You will work with physicians,...
- A leading health care company is seeking a Behavioral Medical Director to oversee utilization management. This remote role involves direct interaction with behavioral health providers and requires strong clinical oversight skills. Candidates must hold a Doctor of Medicine...Remote job
- 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-Ljbffr...Remote job
- Valenz Health is seeking a Part-Time Medical Director to provide physician leadership for medical management and utilization review programs. You will align clinical decisions... ..., and organizational standards in a fully remote role based in the United States. You will collaborate...Remote jobPart time
- ...support the California Prior Authorization program. You will lead utilization management for high-value procedures and help drive evidence-based care... ..., 5+ years post residency, and board certification. This remote position offers broad flexibility while focusing on Medicare...Remote job
$286.07k - $353.38k
...Place to Work since 2015.Position SummaryThe Vice President, Medical Director, Health Plan provides senior clinical leadership across... ...health plan strategy.Provide clinical leadership across utilization management, care management, population health, quality, pharmacy,...Remote workFull timeHome office
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