Remote Medical Director, Medicare Utilization

Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses...

A leading healthcare provider in Frankfort, Kentucky is seeking a Medical Director to oversee health claims and utilization management. Ideal candidates should possess an MD or DO degree, with at least 5 years of experience in clinical patient care, especially with a Medicare population. Responsibilities include making medical determinations and...

Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical...

Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses...

A leading health solutions company is seeking a Medical Director to support the Aetna Better Health of Kentucky. This primarily remote position involves ensuring timely responses regarding utilization management, prescreening, and appeals. Candidates must possess a Kentucky medical license and have at least five years of healthcare delivery experience. The...

A leading healthcare company is seeking a Medical Director to provide oversight and management of healthcare services in compliance with national guidelines. The ideal candidate will possess an MD or DO degree, hold required licenses in multiple states, and have 5+ years of clinical experience. Responsibilities include determining service approvals,...

A health insurance company is seeking a Medical Director in Kentucky to oversee Medicare drug appeals and ensure compliance with regulatory standards. The ideal candidate will possess an MD or DO degree and 5+ years of clinical experience. Responsibilities include collaborating with clinical teams, conducting peer discussions, and participating in CMS...

A leading health service provider is seeking a Corporate Medical Director. The role involves reviewing health claims and providing medical interpretations. Candidates should have an MD or DO degree, relevant licensure, and 5 years of clinical experience. Responsibilities include decision-making on appropriateness of services and exercising independent...

A healthcare company is seeking a Medical Director to provide medical interpretations and determinations for health services. The role involves managing complex clinical scenarios and collaborating with internal teams while maintaining compliance. Candidates should possess an MD or DO degree, and at least 5 years of clinical experience. This remote position...

Director, Chief Of StaffThe Chief of Staff is a critical position supporting senior leadership, enabling leaders to execute strategic work while ensuring operational rigor. The Chief of Staff is responsible for developing, implementing, and sustaining the following four strategic areas foundational for the success of a senior leader within Enterprise...