Top 4966 Group Medical Director(md) Jobs

Medical Director
Cotiviti —Remote
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Medical Director II, Utilization Management
Devoted Health —Remote
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READING PARTNERS —Young America, MN
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Medical Director - Claims
Humana —Remote
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Calcium+Company —Remote
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American Medical Association —Chicago, IL
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12d
Director, Medical Chair (Remote)
WCG —Remote
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Associate Director, Medical Strategy & Education
Tarsus Pharmaceuticals —Irvine, CA
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Executive Director Global Medical Affairs, Hematology
BeiGene —Remote
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Medical Director
American Red Cross —Philadelphia, PA
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Group Director, Medical (Pharma Ad Agency Experience Required)
EVERSANA INTOUCH —Chicago, IL
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- 7 years
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Medical Director – Gastroenterology – Evicore - Remote
The Cigna Group —Remote
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Medical Director – Urology – Evicore - Remote
The Cigna Group —Remote
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Associate Director, Medical Science Liaison – Women’s Health, US
Viatris —Remote
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Director, Medical Affairs Research
Gilead Sciences —Foster City, CA
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Strategic Director, Medical and Scientific Affairs
CMI Media Group —Parsippany-Troy Hills, NJ
- $120,000 - $210,000 a year
- 8 years
- Doctor of Philosophy
- Mentoring
11d

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Medical Director

Cotiviti -
Remote

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Job Details

Full-time
$225,000 - $275,000 a year

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
Paid time off
Family leave
Vision insurance
Life insurance

Qualifications

Customer relationship building
Medical coding
Client rapport building
Presentations for conferences or internal meetings
Health insurance knowledge
Data analytics
Medical License
Data-driven problem-solving
Healthcare policy development
Fraud prevention and detection
Productivity software

Full Job Description

Overview:

The Client Medical Director (CMD) is a key member of the Go To Market team. Along with the Client Engagement Leader, the CMD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The CMDs role is to serve as a coding and medical payment policy subject matter expert (SME). The CMD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The CMD will develop a relationship with the client, review their data, select medical policy to present, serve as SME for clinical and coding expertise, and back end support for the client’s Medical Director. The CMD will evolve as the trusted advisor for the Health Plan in terms of medical payment policy.

Responsibilities:

Supporting existing client growth and new sales activity by identifying value-creation opportunities for our clients.
Presents appropriate payment policy to clients for adoption based on review of data analytics.
Defines mission and strategy with Client Engagement Leader; delivers strategy to client’s medical policy team.
Works alongside Medical Policy team to evaluate and validate editing.
Acts as a clinical liaison with our health plan clients.
Lend guidance to the research & development efforts of our Medical Policy and Solutions teams.
Have in-depth knowledge of claims, claims adjudication, medical policy edits and configurations.
Inspire trust and credibility, deliver on commitments, provide value-add analytics.
Assist in discovering opportunities for other Cotiviti product sales.
Other duties as assigned.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

Qualifications:

Minimum Qualifications:

Licensed MD/DO with clinical and health plan experience.

Position Requirements:

Experience in Health plan operations as a Medical Director, with focus on medical policy, medical coding, payment integrity and/or fraud/waste/abuse.
Experience in clinical medicine.
Adaptive capacity for rapidly changing priorities and workloads, multitasking, prioritizing and meeting deadlines.
Client Relationship Skills - Ability to develop strong professional relationships with multiple roles and levels.
Comfortable with presenting to small and large groups of people.
Strong organizational, analytical and problem-solving skills.
Results driven with focus on producing high-quality, error free service and deliverables.
Ability to work well independently and in a team environment.
Excellent verbal and written communication skills.
Proficient with Microsoft Office Suite (Word, Excel, Power Point); advanced Excel proficiency preferred.
Exhibits behaviors consistent with Cotiviti values.

Job Demands:

The role can work at home anywhere in the continental United States (some travel is required ~10%).
Able to use computer keyboard for extended periods of time.
After hours and/or weekend work may be required where necessary for major deliverables /deadlines.

Mental Requirements:

Communicating with others to exchange information.
Assessing the accuracy, neatness, and thoroughness of the work assigned.

Physical Requirements and Working Conditions:

Remaining in a stationary position, often standing or sitting for prolonged periods.
Repeating motions that may include the wrists, hands, and/or fingers.
Must be able to provide a dedicated, secure work area.
Must be able to provide high-speed internet access/connectivity and office setup and maintenance.
No adverse environmental conditions expected.

Base compensation ranges from $225,000 to $275,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration.

Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti. For information about our benefits package, please refer to our Careers page.

Date of posting: 6/29/2026

Applications are assessed on a rolling basis. We anticipate that the application window will close on 8/29/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected.

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Refine Your Search

Group Medical Director(md) jobs

Medical Director

Senior Director, Educational Strategy

Medical Director II, Utilization Management

Program Director

Medical Director - Claims

Associate Medical Director

Director, Care Management

Associate Director/Director, Medicaid Entitlement & Coverage Strategy

Program Director II, MD/DO (Hybrid)

Medical Director, Medical Strategy & Scientific Affairs

Director, Medical Chair (Remote)

Associate Director, Medical Strategy & Education

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Medical Director

Group Director, Medical (Pharma Ad Agency Experience Required)

Medical Director – Gastroenterology – Evicore - Remote

Medical Director – Urology – Evicore - Remote

Associate Director, Medical Science Liaison – Women’s Health, US

Director, Medical Affairs Research

Strategic Director, Medical and Scientific Affairs

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