Remote Physician | Medical Director | Utilization Management
Medix —New York State
- $150 - $200 an hour
- Urgently hiring
- Remote
- Background check
- Medicine
- BC/BE
Quick Apply
13d
Oversight BC Occ Health Physician - NY
InHouse Physicians —New York State
- $3,000 - $5,000 a year
- Email
- Remote
- Background check
- Medicine
- Mid-level
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Nurse Practitioner or Physician Assistant - 3x 12 hr. shifts (36 hrs.) with$1,500 Sign-On Bonus!
WORKCARE INC —Essex Junction, VT
- $60 - $62 an hour
- Part-time
- Blood sampling
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- Disability insurance
Quick Apply
Locum | Physician Gastroenterology
Weatherby Healthcare —New York State
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- Call employer
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7d
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Weatherby Healthcare —New York State
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Examiner Physician Assistant
Loyal Source —Burlington, VT
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- Monday to Friday
- Microsoft Word
- Microsoft Outlook
- Military
Quick Apply
2d
Senior Director of Information Security & Deputy CISO
MLMIC SERVICES, INC —New York State
- $202,300 - $274,900 a year
- Full-time
- Computer Science
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- 11+ years
- Paid holidays
- Disability insurance
Quick Apply
11d
Locum | Physician Pediatrics
Weatherby Healthcare —New York State
- $105 - $130 an hour
- Monday to Friday
- Hospital
- Mid-level
- Pediatrics
- Travel reimbursement
Locum | Physician Radiology
CompHealth —New York State
- $340 - $365 an hour
- No weekends
- Senior level
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Locum | Physician Neurology
Weatherby Healthcare —New York State
- $200 - $275 an hour
- Call employer
- Hospital
- Mid-level
- Neurology
- Travel reimbursement
Locum | Physician Radiology
CompHealth —New York State
- $340 - $365 an hour
- Monday to Friday
- Outpatient experience
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Locum | Physician Internal Medicine
Weatherby Healthcare —New York State
- $120 - $145 an hour
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9d
Locum | Physician Cardiology
Weatherby Healthcare —New York State
- $250 - $350 an hour
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- Hospital
- BLS Certification
- Mid-level
- Travel reimbursement
Locum | Physician Internal Medicine
Weatherby Healthcare —New York State
- $120 - $145 an hour
- Call employer
- Skilled nursing facility
- BLS Certification
- Internal Medicine
- Travel reimbursement
Locum | Physician Cardiology
Weatherby Healthcare —New York State
- $250 - $350 an hour
- Call employer
- Hospital
- Inpatient
- Outpatient experience
- Travel reimbursement
Locum | Physician Internal Medicine
Weatherby Healthcare —New York State
- $120 - $145 an hour
- Call employer
- Internal Medicine
- Adults
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- Travel reimbursement
9d
Locum | Physician Internal Medicine
Weatherby Healthcare —New York State
- $120 - $145 an hour
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- Skilled nursing facility
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- Internal Medicine
- Travel reimbursement
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Weatherby Healthcare —New York State
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9d
Locum | Physician Emergency Medicine
Weatherby Healthcare —New York State
- $225 - $310 an hour
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- Travel reimbursement
9d
Locum | Physician Gastroenterology
CompHealth —New York State
- $335 - $425 an hour
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Remote Physician | Medical Director | Utilization Management

Medix -
New York State

Quick Apply

Job Details

Full-time | Contract
$150 - $200 an hour
13 days ago

Qualifications

Managed care organization experience
BC/BE
Utilization management
Resource utilization in healthcare
Medical License

Full Job Description

Physician | Utilization Management Medical Director (Remote) | Contract-to-Hire

Location: Remote (U.S.)
Job Type: Full-Time Contract with Potential for Permanent Hire
Schedule: 40 Hours Per Week
Start Date: ASAP

About the Opportunity

We are partnering with a large national health plan to hire experienced Utilization Management Medical Directors for a high-impact remote opportunity. This role is ideal for physicians with direct payer-side utilization management experience who are looking for flexibility, meaningful work, and the potential to transition into a long-term leadership position.

This is a contract-to-hire opportunity with the possibility of permanent employment after approximately six months.

What You'll Do

Conduct medical necessity and utilization management reviews
Review escalated cases using established medical policies and clinical criteria
Complete prior authorization reviews
Support appeals and grievance determinations
Participate in peer-to-peer discussions with treating providers
Ensure compliance with NCQA, CMS, URAC, and regulatory requirements
Provide clinical expertise on complex utilization management cases
Collaborate with clinical and operational leadership teams

Required Qualifications

MD or DO
Board Certified
Active, unrestricted medical license
Must hold an active license in at least one of the following states:
- Pennsylvania (PA)
- New York (NY)
- West Virginia (WV)
Multiple years of payer-side utilization management experience as a Medical Director
Direct health plan utilization review experience
Strong knowledge of managed care operations and medical necessity criteria
Ability to work independently in a remote production environment

Preferred Qualifications

Medicare Advantage experience
Commercial health plan experience
Prior authorization review experience
Appeals and grievance review experience
Peer-to-peer review experience
Multi-state licensure
Experience with InterQual and/or MCG criteria

Why This Opportunity?

Fully Remote

Stable Full-Time Schedule

Contract-to-Hire Potential

Meaningful Impact Within a National Health Plan

Fast Interview Process

Immediate Start Opportunity

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.

Quick Apply

Refine Your Search

medical director jobs in plattsburgh ny

Remote Physician | Medical Director | Utilization Management

Oversight BC Occ Health Physician - NY

Nurse Practitioner or Physician Assistant - 3x 12 hr. shifts (36 hrs.) with$1,500 Sign-On Bonus!

Locum | Physician Gastroenterology

Locum | Physician Pediatrics

Examiner Physician Assistant

Senior Director of Information Security & Deputy CISO

Locum | Physician Pediatrics

Locum | Physician Radiology

Locum | Physician Neurology

Locum | Physician Radiology

Locum | Physician Internal Medicine

Locum | Physician Cardiology

Locum | Physician Internal Medicine

Locum | Physician Cardiology

Locum | Physician Internal Medicine

Locum | Physician Internal Medicine

Locum | Physician Emergency Medicine

Locum | Physician Emergency Medicine

Locum | Physician Gastroenterology

I want to receive the latest job alert for medical director in plattsburgh ny

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