Medicare Utilization Medical Director

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...

Director Of MedicareLooking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or...

A healthcare organization in Montana seeks a Medical Director to manage clinical services and conduct utilization management. The role requires an MD or DO degree, at least 5 years of clinical experience, and strong communication skills. The position is remote but may involve some travel for training and meetings. The compensation ranges from $223,800 to...

Become a part of our caring community and help us put health first The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the...

A leading healthcare organization is seeking a Medical Director to provide medical interpretation and oversight for home health and Medicare services. This role requires an MD or DO degree, board certification, and over 5 years of clinical experience. The Medical Director will work in a structured remote environment, with occasional travel for meetings, and...

A healthcare organization is seeking a Medical Director to oversee Medicare services, ensuring compliance with CMS guidelines. The ideal candidate must possess an MD or DO degree, board certification, and over 5 years of clinical experience. This remote position requires occasional travel to the office and offers a competitive salary range of $223,800 -...

A national health insurance company is seeking a Medical Director to oversee clinical determinations and ensure compliance with healthcare standards. This role involves a blend of remote work and occasional travel, requiring a robust medical background, excellent communication skills, and experience in patient care. The ideal candidate will have an MD or DO...

Become a part of our caring community and help us put health first The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the analysis of situations or data requires a case by case consideration of the Medicare rules, Humana...