Top 15947 Part Time Medical Director Jobs

Utilization Management Physician Reviewer (Weekends)
Toney HealthCare Consulting, LLC —Remote
- $175 - $200 an hour
- Part-time
- Remote
- Medicine
- 3 years
- Senior level
- Health insurance
Quick Apply
6d
Hospice Medical Director
Confidential —Colorado
- $3,000 - $4,000 a month
- Weekends as needed
- Remote
- Medicine
- Senior level
- Leadership
- Flexible schedule
Quick Apply
6d
Psychiatrist Medical Director
The Jacobson Group —Remote
- From $150 an hour
- Temporary
- Remote
- Medicine
- Psychiatry
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
Medical Director
Merrimack Valley Behavioral Health —Remote
- $2,500 - $4,000 a month
- Part-time
- Remote
- Medicine
- Management
- Addiction Medicine
Quick Apply
15h
Physician - For Medical Cannabis Evaluations (Pennsylvania)
EZmedcard —Remote
- $60 - $120 an hour
- Choose your own hours
- Remote
- Medicine
- Surgery
- Urgent Care
- Health insurance
- Dental insurance
Quick Apply
1d
Physician Consultants
pro integrate —Remote
- $60 - $145 an hour
- Part-time
- Remote
- Medicine
- Addiction Medicine
- Mid-level
- Flexible schedule
Quick Apply
Medical Director
MedSpa —Remote
- $800 - $1,500 a month
- Part-time
- Medicine
- Management
- Mid-level
- Flexible schedule
Quick Apply
14d
Medical Director
Bumblebee Health —Remote
- Part-time
- Remote
- Psychiatry
- Addiction Medicine
- Pass drug screening
Quick Apply
Physician - Virtual Health Assessment (Part-Time)
Oscar Health —New York, NY
- $104 - $136 an hour
- 8 hour shift
- Remote
- Spanish
- Medicine
- Internal Medicine
- Paid parental leave
- Paid holidays
Quick Apply
Physician Consultant, Fellow
Centific —Remote
- $100 - $150 an hour
- Part-time
- Remote
- Medicine
- Addiction Medicine
- Mid-level
Quick Apply
8d
Part Time Medical Director - Remote (Georgia)
Local Infusion —Marietta, GA
- Contract
- Remote
- BC/BE
- Quality control
- Neurology
Quick Apply
Physician Reviewer - Utilization Management (Part Time)
Oscar Health —New York, NY
- $130 - $145 an hour
- Part-time
- Remote
- Medicine
- BC/BE
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
2d
Medical Specialist 2 (Doctor; MD)
Sunmount DDSOO —Tupper Lake, NY
- $237,121 a year
- Part-time
- Hybrid work
- Background check
- Medicine
- Management
- Health savings account
- Health insurance
Quick Apply
Physician- Pediatrician
KentuckyCare —Paducah, KY
- Part-time
- CPR Certification
- Medicine
- BLS Certification
- Continuing education credits
- Paid holidays
Quick Apply
Staff Physician
Wexford Health —Concord, NH
- Part-time
- CPR Certification
- Medicine
- BLS Certification
- Paid holidays
- Disability insurance
Quick Apply
14d
CRNP-PMHP/ Medical director
Beautiful Hearts and Minds Health Services, LLC —Gwynn Oak, MD
- $55 - $75 an hour
- Part-time
- Hybrid work
- Medicine
- Anatomy knowledge
- Management
- Employee discount
- Flexible schedule
Quick Apply
Medical Director/Attending Physician
Post Acute NC —Lumberton, NC
- $100,000 - $320,000 a year
- Part-time
- Medicine
- Skilled nursing facility
- Management
- Health insurance
- Dental insurance
Quick Apply
13d
Part-time Site Medical Director - Illinois River Correctional Center
Centurion Health —Canton, IL
- From $135 an hour
- 8 hour shift
- Background check
- Medicine
- BC/BE
- Paid holidays
- Disability insurance
Quick Apply
Physician Assistant: Trauma, PRN
Olympia Orthopaedic Associates —Olympia, WA
- $85 - $100 an hour
- Part-time
- Background check
- Surgery
- BLS Certification
- 401(k)
Quick Apply
Site Medical Director - Part-time - Western Illinois Correctional Center
Centurion Health —Mount Sterling, IL
- Part-time
- Background check
- Medicine
- BC/BE
Quick Apply

I want to receive the latest job alert for Part Time Medical Director

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Utilization Management Physician Reviewer (Weekends)

Toney HealthCare Consulting, LLC -
Remote

Quick Apply

Job Details

Part-time | Contract
$175 - $200 an hour
6 days ago

Benefits

Health insurance

Qualifications

Teamwork
Medicare
Electronic health records (EHR) management
Utilization management
Quality improvement
Resource utilization in healthcare
Medical License
Documentation review

Full Job Description

Job Overview

The Physician Reviewer serves as a clinical subject matter expert in the Utilization Management (UM) department. This role is responsible for conducting clinical reviews of medical necessity, appropriateness of care, and service requests based on evidence-based guidelines, medical policy, and regulatory requirements. The Physician Reviewer collaborates with UM nurses, medical directors, and other healthcare professionals to ensure appropriate, timely, and cost-effective care for members.

Key Responsibilities:

Conduct physician-level reviews of prior authorization, concurrent review, and retrospective review cases across multiple lines of business (e.g., commercial, Medicaid, Medicare).
Apply nationally recognized clinical criteria (e.g., MCG, InterQual), internal medical policies, and applicable regulations (CMS, NCQA, URAC) to review determinations.
Render clinical decisions in a timely manner consistent with regulatory timeframes and health plan policies.
Collaborate with medical directors, case managers, and care teams to support optimal care pathways.
Participate in audits, appeals, and grievance processes as needed.
Maintain current knowledge of clinical best practices, industry trends, and regulatory changes.
Participate in peer-to-peer discussions with attending physicians to communicate UM decisions and promote evidence-based care.
Analyze clinical data and documentation to support accurate determinations and appeals.
Contribute to the development and refinement of clinical policies and UM protocols specific to specialized care.
Provide guidance on clinical appropriateness, benefit coverage, and policy interpretation.
Provide education and clinical support to internal teams and external providers regarding best practices and clinical pathways.
Ensure compliance with regulatory, accreditation, and legal requirements in all UM activities.
Ensure adherence to all HIPAA, confidentiality, and privacy standards.
Participate in quality improvement initiatives and clinical case rounds.

Qualifications:

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree required.
Active and unrestricted medical license.
Minimum of 5 years of clinical practice experience in the respective specialty.
At least 3 years of experience in utilization management within a health plan.
Familiarity with evidence-based guidelines and UM tools (e.g., InterQual, MCG).
Strong communication and documentation skills.
Proficiency with electronic medical records and clinical review platforms.
Experience with Medicare/Medicaid and commercial insurance regulations is preferred.
Availability to work weekends (part-time or full-time) between 8:00 AM and 5:00 PM ET on Saturdays and/or Sundays is required.

Preferred Skills:

Experience with Medicare and/or Medicaid managed care plans.
Knowledge of medical necessity appeal processes and peer review protocols.
Knowledge of CMS, NCQA, and/or URAC standards.
Previous peer review or medical director experience.
Comfortable working in a remote, collaborative environment.

Pay: $175.00 - $200.00 per hour

Application Question(s):

Availability to work weekends (part-time or full-time) between 8:00 AM and 5:00 PM ET on Saturdays and/or Sundays is required.

Experience:

Utilization Management Review: 3 years (Required)
Medicare and/or Medicaid: 2 years (Preferred)

License/Certification:

Board-certified M.D. or D.O. medical license? (Required)

Work Location: Remote

Quick Apply

Refine Your Search

Part Time Medical Director jobs

Utilization Management Physician Reviewer (Weekends)

Hospice Medical Director

Psychiatrist Medical Director

Medical Director

Physician - For Medical Cannabis Evaluations (Pennsylvania)

Physician Consultants

Medical Director

Medical Director

Physician - Virtual Health Assessment (Part-Time)

Physician Consultant, Fellow

Part Time Medical Director - Remote (Georgia)

Physician Reviewer - Utilization Management (Part Time)

Medical Specialist 2 (Doctor; MD)

Physician- Pediatrician

Staff Physician

CRNP-PMHP/ Medical director

Medical Director/Attending Physician

Part-time Site Medical Director - Illinois River Correctional Center

Physician Assistant: Trauma, PRN

Site Medical Director - Part-time - Western Illinois Correctional Center

I want to receive the latest job alert for Part Time Medical Director

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected