Remote Medical Director: Utilization

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 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...

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...

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...

Regional Medical Scientific Senior Director Team LeadThe Regional Medical Scientific Senior Director Team Lead (RMSD TL) is a credentialed therapeutic and disease expert who owns leadership, management, and full accountability for a regional, field-based team of Regional Medical Scientific Directors (RMSD) and their prioritized deliverables. The RMSD TL...

A leading health services company is seeking a Medical Director to oversee utilization management in the Medicaid market. This remote position requires strong analytical skills and extensive clinical experience, along with an MD or DO degree and active board certification. Responsibilities include medical determination of services, collaboration with...

Director, Client Development Affiliate Marketing - Capital One Ad Solutions (Remote)Capital One Ad Solutions is looking for a Director to join the Partnerships Team. You'll be responsible for partnering with our top merchants to help them succeed leveraging Capital One Ad Solution's suite of products. In this client-facing role, the team is looking for a...

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...

Director, Product Management (RevOps) - Capital One Software (Remote)Ever since our first credit card customer in 1994, Capital One has recognized that technology and data can enable even large companies to be innovative and personalized. As one of the first large enterprises to go all-in on the public cloud, Capital One needed to build cloud and data...