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.
Remote Medical Director Jobs (596)
Search = Medical Director
Medical Director
Health Care Service Corporation
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Full Time
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7 Weeks Ago
Health Care Service Corporation
Responsible for managing assigned medical policies and programs. Performs medical reviews and collaborates with provider communities.
Medical Director
Spectrum Healthcare Resources
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Full Time
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8 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.
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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.
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.
The Medical Director supports staff by providing training, clinical consultation, and clinical case review for members, while also conducting prior authorization medical reviews and participating in peer-to-peer discussions. Essential functions include provider education, clinical appeals review, fraud/abuse investigations, and contributing to policy and quality improvement initiatives.
The Medical Director is responsible for Medicaid care strategy and operations, including authorizing services based on clinical guidelines and regulatory policies. They conduct peer-to-peer discussions with external physicians and collaborate with stakeholders to support regional market priorities.
The Medical Writer will lead the tactical execution of global medical affairs publication plans across early phase and marketed products. They will serve as a key partner in shaping the external scientific narrative while ensuring data accuracy and impact in publications and congress materials.
Associate Medical Director, BOI - APRN
Millennium Physician Group
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Full Time
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11 hours ago
Millennium Physician Group
The APRN serves as a clinical educator responsible for developing and delivering training on value-based care, population health, and quality initiatives. They partner with clinical leadership to onboard providers and ensure adherence to evidence-based practices and regulatory standards.
The Medical Director provides medical and scientific expertise for clinical trials, including medical monitoring and support for investigative sites. They also contribute to business development by providing strategic advice and participating in client proposals and bid defense meetings.
The Lead Director drives network strategy and performance improvement for medical drug reimbursement across hospital and provider partners. They design strategic initiatives, manage contract relationships, and ensure alignment with legal and regulatory frameworks.
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Senior Medical Director, Clinical Development Leader- GI (Remote)
Alfasigma
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Full Time
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13 hours ago
Alfasigma
The role provides strategic clinical leadership and medical oversight for therapeutic programs, ensuring clinical trials meet scientific and regulatory standards. It involves leading protocol development, monitoring patient safety, and engaging with regulatory authorities and external stakeholders.
The Field Medical Director will serve as a subject matter expert for radiation oncology and imaging utilization management reviews. They will conduct peer-to-peer discussions with providers and ensure clinical documentation meets regulatory and accreditation standards.
Medical Director, Utilization Management (Home Health, Acute & Post-Acute)
Clover Health
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Full Time
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14 hours ago
Clover Health
The Medical Director will lead utilization management processes, specifically focusing on Home Health services while reviewing acute, post-acute, and pharmacy authorization requests. They will serve as a clinical escalation point, conduct peer-to-peer discussions, and mentor nursing staff to ensure evidence-based care and regulatory compliance.
Travel Team Medical Director
Core Clinical Partners
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Full Time
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15 hours ago
Core Clinical Partners
The Travel Team Medical Director oversees clinical operations, performance, and professional development for physicians and Advanced Practice Providers across multiple facilities. This role balances administrative leadership, quality management, and recruitment support with direct clinical patient care.
The Medical Director leads care, case, and utilization management programs by setting clinical standards and driving operational performance. They are responsible for managing clinical teams, designing care models, and partnering with cross-functional stakeholders to achieve population health outcomes.
The Senior Medical Director will lead the clinical AI and digital health strategy for Aetna, overseeing the development and deployment of member-facing AI tools. This role involves partnering with cross-functional teams to integrate clinical intelligence into workflows and drive measurable health outcomes.
The Associate Medical Director will assist senior scientific staff in developing scientifically accurate and strategically sound content for medical affairs and publications. They will also consult with key opinion leaders and manage client projects to ensure high-quality medical communications.
Medical Director Utilization Management
Amerihealth Caritas
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Full Time
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Yesterday
Amerihealth Caritas
The Medical Director leads the Utilization Management program, ensuring clinical appropriateness of care and adherence to medical policies. They also collaborate with multidisciplinary teams to analyze utilization trends and facilitate peer-to-peer discussions with providers.
The Medical Director leads the Utilization Management program by conducting clinical case reviews and ensuring medical policies align with regulatory and contractual standards. They also serve as a medical advisor, collaborating with multidisciplinary teams to improve clinical effectiveness and facilitate peer-to-peer provider discussions.
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The Account Director will generate new business leads and manage a sales pipeline to achieve revenue targets within an assigned territory. They are responsible for building strategic client relationships, responding to RFPs, and negotiating commercial contracts.
Sr Medical Director Clinical Development - Radiopharmaceuticals HCC and GI cancers
Bristol Myers Squibb
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Full Time
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Yesterday
Bristol Myers Squibb
The Clinical Development Lead will oversee clinical development plans for radiopharmaceutical assets from IND to Phase 3 registrational studies. This role involves leading cross-functional study teams, engaging with investigators, and ensuring compliance with regulatory and ethical guidelines.
The Senior Director will lead clinical, health economics, and outcomes research communications to inform population health decision-makers about product value. They will build peer-to-peer relationships with payers and provide strategic leadership on HEOR projects and market access activities.
The Associate Director of Medical Affairs drives the medical strategy for surgical product development in Ophthalmology, focusing on Phase IIIB/IV studies. They are responsible for managing medical affairs strategic plans, supporting product launches, and maintaining relationships with key opinion leaders and healthcare providers.
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