Remote Medicaid Medical Director — 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...

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...

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...

Associate Director, ProcurementBecome a part of our caring community and help us put health first. The Associate Director, Procurement generates and implements efficient sourcing and category management strategies. Manages the companys supply portfolio ensuring transparency of spending. The Associate Director, Procurement requires a solid understanding of...

Medicaid Eligibility Delivery DirectorSchedule: M-F Traveling Required: 40% As a Medicaid Eligibility Delivery Director, you will make an impact by overseeing access, performance, and revenue security for all eligibility functions, leading a team of Directors, Managers, and Patient Advocates, who help uninsured patients find coverage by coordinating with...

A health services organization is seeking a Medical Director to provide medical oversight and determinations for services. Responsibilities include reviewing clinical records, collaborating with healthcare teams, and ensuring regulatory compliance. Candidates should have an MD or DO degree, board certification, and at least 5 years of clinical experience....

Anticipated End Date: 2026-01-02 Position Title: Behavioral Health Medical Director- Psychiatrist - Arkansas Medicaid Job Description: Behavioral Health Medical Director- Psychiatrist - Arkansas Medicaid Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum...

Anticipated End Date: 2026-01-02 Position Title: Behavioral Health Medical Director- Psychiatrist - Arkansas Medicaid Job Description: Behavioral Health Medical Director- Psychiatrist - Arkansas Medicaid Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved...

A leading healthcare company is seeking a Medical Director to ensure that services meet national guidelines and compliance standards. This role requires a strong medical background, with responsibilities including medical interpretation and collaboration with team members. The ideal candidate will have at least 5 years of clinical experience and applicable...