Remote Medical Director Jobs (574)
Search = Medical Director
The Medical Director is responsible for the clinical integrity, safety, and oversight of the telehealth platform. This includes developing clinical protocols for metabolic health and supervising a distributed network of providers.
Provides medical oversight for clinical trials to ensure compliance with SOPs, GCP, and regulatory requirements. Responsible for medical review of safety data, serious adverse events, and the preparation of periodic safety reports.
Medical Director
WPS—A health solutions company
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Full Time
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4 Days Ago
WPS—A health solutions company
The Medical Director researches clinical evidence to develop Local Coverage Determinations and conducts medical review activities to ensure program integrity. The role collaborates with CMS and other contractors to provide guidance on coverage policies and identify potential fraud, waste, or abuse.
The Medical Director provides clinical oversight and medical governance while splitting time between administrative leadership and direct patient care. They are responsible for standardizing clinical protocols, managing regulatory compliance, and partnering with leadership to scale behavioral health programs.
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Performs benefit-driven medical necessity reviews and case management activities to ensure quality clinical outcomes. Serves as a clinical consultant and educator to internal operations and external healthcare professionals.
Oversee clinical excellence and provide leadership for provider teams in reproductive psychiatry. Develop evidence-based treatment protocols and ensure quality assurance and regulatory compliance across the organization.
Performs benefit-driven medical necessity reviews and case management activities to ensure quality clinical outcomes. Serves as a clinical consultant and educator to internal operations and external healthcare professionals.
The Medical Director is responsible for conducting electronic reviews of escalated cases to determine medical necessity and appropriateness based on clinical standards. They will compose rationales for determinations and collaborate with multidisciplinary teams to develop protocols and guidelines.
The Medical Director provides medical guidance and oversight for acute and post-acute clinical management solutions. This includes leading program strategy, performing expert medical reviews, and collaborating with providers to support care transitions.
Lead clinical strategy and manage a team of Clinical Leads to ensure high-quality, AI-enabled primary care. Balance leadership duties with direct patient care and a rotating on-call schedule to maintain clinical excellence.
The Medical Director provides clinical oversight for utilization management, conducting medical necessity reviews and managing appeals and grievances. They collaborate with healthcare providers and committees to improve population health outcomes and lower the overall cost of care.
Medical Director
Liberty Healthcare Corporation
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Full Time
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2 Weeks Ago
Liberty Healthcare Corporation
Lead a geographically dispersed remote team of medical professionals to conduct health assessments within a managed care system. Ensure the accuracy, quality, and timeliness of medical determinations while managing quality assurance initiatives.
The Medical Director serves as a subject matter expert in coding and medical payment policy to guide health plan clients. They are responsible for directing the Medical Policy Committee and identifying value-creation opportunities to support client growth.
Provide medical and scientific oversight for early phase clinical trials to ensure subject safety and data integrity. Collaborate with cross-functional teams to design protocols and interpret clinical data to guide development strategies.
Perform medical necessity reviews of complex clinical appeals to ensure timely, accurate, and compliant determinations. Collaborate with cross-functional teams and stakeholders to standardize appeals processes and improve clinical outcomes.
Lead medical affairs delivery and provide strategic medical leadership across a portfolio of project teams. Ensure compliance with ethical and regulatory standards while offering expert scientific guidance throughout project lifecycles.
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Medical Director
Health Care Service Corporation
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Full Time
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4 Weeks Ago
Health Care Service Corporation
Responsible for managing assigned medical policies and programs. Performs medical reviews and collaborates with provider communities.
The Medical Director oversees the execution of clinical trials in neuroimmunology, serving as the medical lead for assigned projects. Responsibilities include developing clinical development plans, overseeing medical writing for regulatory documents, and managing clinical teams.
Provide medical oversight and regulatory compliance guidance for Nurse Practitioners and Physician Assistants in Pennsylvania clinics. Oversee protocol adherence and maintain written Collaborative Practice Agreements to ensure evidence-based care.
Medical Director
Spectrum Healthcare Resources
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Full Time
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6 Weeks Ago
Spectrum Healthcare Resources
Provide program-wide clinical guidance across utilization management, case management, and quality domains. Lead quality committees and conduct peer-to-peer discussions to ensure high-quality care for veterans and military beneficiaries.
Provides clinical oversight and strategic guidance for medical review programs, including appeals, rescissions, and grievance processes. Partners with legal, product, and actuarial teams to ensure regulatory compliance and integrate AI into medical workflows.
Join the Board of Medical Directors to contribute to organizational growth and support the expansion of telehealth services. Mentor and develop healthcare providers to ensure the delivery of exceptional, relationship-driven patient care.
Direct and coordinate medical management, quality improvement, and credentialing functions to improve care cost-effectiveness. Perform medical reviews of complex cases and provide leadership for utilization management and regulatory compliance.
The Medical Director performs utilization management reviews to evaluate the medical necessity and appropriateness of treatments based on clinical standards. They also serve as the physician expert within a multidisciplinary team for case and disease management.
The Medical Director leads clinical development strategy and operations, serving as the primary Medical Monitor for clinical trials. They are responsible for designing study protocols, managing cross-functional teams, and interfacing with regulatory authorities and external stakeholders.
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The Medical Director leads clinical operations, evidence generation, and provider engagement to support the utilization of NavDx testing. This includes overseeing clinical studies, developing scientific evidence roadmaps, and educating healthcare providers and payors on clinical benefits.
The Medical Director reviews inpatient charts to ensure clinical documentation accurately reflects patient acuity and complexity in compliance with federal regulations. They provide clinical leadership to inter-disciplinary teams and collaborate with DRG Integrity Specialists to optimize coding accuracy and quality improvement.
The Medical Director provides strategic support and scientific direction for client products while ensuring medical accuracy across agency communications. They collaborate with internal teams to develop brand strategies and present educational information to diverse audiences.
The Medical Director provides strategic medical guidance and leadership for client accounts while managing and mentoring junior writers. They are responsible for developing clinical document strategy and ensuring the scientific integrity and regulatory compliance of all project content.
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