Top 1211 contractor regulatory Jobs in remote

Medical Director-Board Certified in Psychiatry-MD or DO
The Maxis Group —Remote
- $50 - $170 an hour
- Part-time
- Remote
- Background check
- Medicine
- Psychiatry
Quick Apply
Subcontracts Manager - Access Control/Security Infrastructure
4Liberty, Inc. —Remote
- $100,000 - $140,000 a year
- Full-time
- Remote
- Background check
- Oracle
- Pass drug screening
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B2B Sales Consultant - Mid-Market Tech (100% Commission / Remote)
BizExpanders —Remote
- $36,000 - $75,000 a year
- Contract
- Remote
- English
- Mid-level
- US work authorization
- Flexible schedule
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3d
Telehealth Mental Health Provider (Louisiana)
Medvidi —Remote
- Contract
- Remote
- Medicine
- Psychiatry
- Mid-level
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Director of Development
The Vecino Group —Pennsylvania
- From $140,000 a year
- Full-time
- Remote
- Customer service
- 3 years
- Driver's License
- Health savings account
- Health insurance
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Petroleum Storage Tank Compliance Specialist (Remote)
R&A Risk Professionals —Remote
- $50,000 - $75,000 a year
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Analysis skills
- Health savings account
- Health insurance
Quick Apply
9d
Business Developer (Partnership opportunity, Work Share/Profit Share Model, No Base Compensation)
Omm IT Solutions —Remote
- From $1 a year
- Part-time
- Remote
- Business development
- Contracts
- IT
- Flexible schedule
Quick Apply
Community Lending Loan Originator Assistant - Bilingual
First National Bank of Omaha —Remote
- $37,454 - $59,927 a year
- Email
- Remote
- Research
- Mid-level
- High school diploma or GED
- Health savings account
- Disability insurance
Accounts Payable Manager - Deltek Costpoint SME
SAWTST —Remote
- Up to $83,000 a year
- Full-time
- Background check
- Microsoft Excel
- 5 years
- Health savings account
- Health insurance
Quick Apply
Project Coordinator
Warehouse Equipment Contractors, Inc. —Remote
- $52,000 - $62,000 a year
- Full-time
- Remote
- Microsoft Outlook
- English
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
2d
Statistical Programmer
Talentech Consulting LLC —Remote
- Contract
- Remote
- 7 years
- Computer Science
- 5 years
- Health savings account
- Health insurance
Quick Apply
Specialist, Onboarding Compliance
Charlie Health —Remote
- $53,000 - $70,000 a year
- Full-time
- Remote
- Mid-level
- Office
- Bachelor's degree
- Health insurance
Specialist, Onboarding Compliance
Charlie Health Clinical —Remote
- $53,000 - $70,000 a year
- Full-time
- Remote
- Mid-level
- Office
- Bachelor's degree
- Health insurance
Medical Content Specialist (Contract)
Everlywell —Remote
- $45 - $55 an hour
- Part-time
- Remote
- Clinic experience
- Mid-level
- 3 years
Medicaid Policy and Program Strategist
For People —Remote
- $80,000 - $100,000 a year
- Full-time
- Remote
- Background check
- Senior level
- Profit sharing
Quick Apply
Legal Operations & Contracts Manager (Part-Time)
Found —Remote
- Part-time
- Remote
- Google Workspace
- HIPAA
- Mid-level
Client Services Assistant
BELAY —Remote
- $25 - $35 an hour
- Contract
- Remote
- Background check
- Mid-level
- Travel
5d
Controller
Capital Advisors & Bookkeepers —Remote
- $35 - $40 an hour
- Part-time
- Remote
- CPA
- 5 years
- GAAP
- Flexible schedule
Quick Apply
Licensing Specialist (Contract)
Midi Health —Remote
- $35 an hour
- Contract
- Remote
- Mid-level
- Bachelor's degree
- US work authorization
- Flexible schedule
Compliance/Security Officer
Isaac Health —Remote
- $120,000 - $130,000 a year
- Full-time
- HIPAA
- Master's degree
- Bachelor's degree
Quick Apply

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Medical Director-Board Certified in Psychiatry-MD or DO

The Maxis Group
Remote

Quick Apply

Job Details

Part-time
$50 - $170 an hour

Qualifications

Board Certification in Psychiatry
Doctor of Medicine
Utilization review
Psychiatry
Clinical psychiatry
CMS
CMS regulatory compliance
Utilization management
Clinical documentation
Resource utilization in healthcare
Health information regulatory compliance
Doctor of Osteopathy
Medical License

Full Job Description

Medical Director-Board Certified MD or DO in Psychiatry

Large Managed Care Compnay

DIRECT PLACEMENT OPPORTUNITY - THE PHYSICIAN WILL BE DIRECTLY CONTRACTED WITH AS A 1099.

Preferred M - F including Saturdays. 20 hours minimum availability.

Flexible hours

Licensed in either Florida or Ohio or both

Hourly pay rate: Range will depend on the specialty, licenses, clinical and MCO experience: $50 - $57/case for all UM, $150-$170/hour for mandatory trainings and meetings

Behavioral Health Physician (MD/DO) – Utilization Management (1099 Contractor)
Role Summary
The Behavioral Health Physician will serve as an independent contractor providing physician-level utilization management (UM) services for behavioral health services. This role is non-clinical and limited exclusively to medical necessity determinations, peer-to-peer reviews, and appeals in accordance with applicable regulations, accreditation standards, and plan policies.
Scope of Services
The Contractor will perform UM activities including, but not limited to:

Initial Medical Necessity Reviews for behavioral health services requiring physician-level determination
Concurrent Reviews for continued authorization of services
Peer-to-Peer (P2P) Reviews with treating providers
Appeals Reviews, including first- and second-level determinations, as applicable
Issuance of adverse determinations when clinically indicated, ensuring compliance with federal and state regulations, parity requirements, and plan policies
Documentation of determinations in UM systems with clear clinical rationale and supporting criteria
Participation in quality improvement processes related to UM decisions, as requested
Exclusions / Non-ScopeThis role does not include:
Direct patient care or treatment
Prescribing services
Care coordination or case management
Administrative leadership or supervisory responsibilities

Clinical Expertise & Requirementso Medical necessity criteria (e.g., MCG, InterQual, or equivalent)o Federal and state behavioral health regulationso MHPAEA requirementso NCQA and CMS standardsWork ExpectationsReporting & Oversight

MD or DO with board certification in Psychiatry (required)
Active, unrestricted medical license in applicable state(s) of review
Experience in behavioral health utilization management, preferably in managed care or health plan settings
Demonstrated knowledge of:
Strong peer-to-peer communication skills
Independent contractor (1099) status
Remote work environment
Flexible scheduling based on case volume and turnaround time requirements
Ability to meet required regulatory and contractual decision timelines
Maintain confidentiality and comply with HIPAA and data security standards
Operates independently while adhering to health plan UM policies, delegated authority parameters, and medical policy
Subject to audit, quality oversight, and performance monitoring consistent with UM regulatory requirements

Must be a Licensed M.D. or D.O.

Must be Board Certified in Psychiatry

#ALLJ

Pay: $50.00 - $170.00 per hour

Work Location: Remote

Quick Apply

Refine Your Search

contractor regulatory jobs in remote

Medical Director-Board Certified in Psychiatry-MD or DO

Subcontracts Manager - Access Control/Security Infrastructure

B2B Sales Consultant - Mid-Market Tech (100% Commission / Remote)

Telehealth Mental Health Provider (Louisiana)

Director of Development

Petroleum Storage Tank Compliance Specialist (Remote)

Business Developer (Partnership opportunity, Work Share/Profit Share Model, No Base Compensation)

Community Lending Loan Originator Assistant - Bilingual

Accounts Payable Manager - Deltek Costpoint SME

Project Coordinator

Statistical Programmer

Specialist, Onboarding Compliance

Specialist, Onboarding Compliance

Medical Content Specialist (Contract)

Medicaid Policy and Program Strategist

Legal Operations & Contracts Manager (Part-Time)

Client Services Assistant

Controller

Licensing Specialist (Contract)

Compliance/Security Officer

I want to receive the latest job alert for contractor regulatory in remote

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