Top 43150 Physician medical director Jobs

Psychiatrist Medical Director
The Jacobson Group —Remote
- From $150 an hour
- Temporary
- Remote
- Medicine
- Psychiatry
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
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Medical Director
Sunshine State Health Plan —Florida
- $236,500 - $449,300 a year
- Weekends as needed
- Remote
- Medicine
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Medical Director
Home State Health Plan —Missouri
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- Weekends as needed
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New Hampshire Healthy Families —New Hampshire
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- Weekends as needed
- Remote
- Medicine
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1d
Global Safety Medical Director - Global Safety Officer, Oncology
Amgen —Remote
- $256,606.50 - $347,173.50 a year
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- Medicine
- Mentoring
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Associate Research Director - Complex Care
Private Health Management —Remote
- $110,000 - $125,000 a year
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- Analysis skills
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Medical Director – Telemedicine
Prime HG LLC —Remote
- From $175 an hour
- Full-time
- Remote
- Medicine
- 5 years
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- Flexible schedule
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9d
Associate Medical Director, Physician Advisor for Utilization Management
Cedars-Sinai —Beverly Hills, CA
- $250,000 - $410,000 a year
- Part-time
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Health Care Service Corporation —Richardson, TX
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Academic Clinical Microbiologist and Director, Open Rank
Rutgers University —Newark, NJ
- From $259,577 a year
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Second Wave Delivery Systems —Las Vegas, NV
- Full-time
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- 5 years
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L&I Associate Medical Director (Physician 3)
State of Washington Dept. of Labor & Industries —Washington State
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Medical Director of Women’s Health Primary Care
UC San Francisco Academic —San Francisco, CA
- $81,500 - $344,400 a year
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Complex Care Physician
Devoted Health —Remote
- $210,000 - $315,000 a year
- Full-time
- Team management
- Geriatrics
- Senior level
- Dental insurance
- 401(k)

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Psychiatrist Medical Director

The Jacobson Group -
Remote

Quick Apply

Job Details

Temporary | Part-time | Contract
From $150 an hour

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Referral program

Qualifications

Inpatient experience
Psychiatry
Outpatient experience
Outpatient facility experience
Clinical case management
Case management
Utilization management
Post residency experience
Resource utilization in healthcare
Medical License
Medical management
Disease state management
Working with individuals with mental health conditions

Full Job Description

Job Description:

We are seeking experienced Behavioral Health Medical Director for PART-TIME- (3 days a week) fully remote opportunities supporting managed care and utilization management operations. This roles focus heavily on adult psychiatry and substance abuse cases, providing clinical oversight, medical necessity determinations, peer-to-peer consultations, and collaboration with multidisciplinary medical management teams. The position support utilization management, quality management, case management, disease management, accreditation activities, and integrated behavioral healthcare initiatives within a managed care environment.

Responsibilities:

Conduct medical necessity and coverage reviews for behavioral health and substance abuse cases utilizing InterQual and ASAM guidelines
Review prior authorizations, concurrent reviews, appeals, grievances, and case management activities
Participate in peer-to-peer discussions with providers regarding treatment determinations and level of care decisions
Collaborate with CMOs, Medical Directors, utilization management leadership, and clinical teams on behavioral health initiatives
Support accreditation and regulatory compliance efforts including NCQA and URAC standards
Provide consultation and clinical guidance to utilization management, quality management, disease management, and case management teams
Document clinical findings, determinations, and outcomes in accordance with regulatory and accreditation standards
Participate in committees, focused studies, physician-to-physician communications, and special projects related to behavioral health management
Educate providers regarding medical policy, benefit interpretation, and behavioral health best practices
Support integrated behavioral healthcare management strategies across the organization

Requirements:

MD or DO degree required
Board Certification in Psychiatry required
Minimum 5 years of post-residency clinical experience including inpatient and outpatient behavioral health care
Minimum 3-5 years of managed care, utilization management, quality management, or medical management experience required
Experience with utilization management, case management, disease management, and behavioral health reviews required
Strong understanding of InterQual, ASAM, medical necessity criteria, and accreditation standards preferred
Experience conducting peer-to-peer reviews and appeals/grievance determinations preferred
Candidates who are open to getting Pennsylvania licensed, can currently hold their Texas OR Ohio OR New Jersey OR Minnesota OR Illinois OR Florida OR Delaware OR Colorado OR Pennsylvania OR Arizona OR Alabama OR Currently have their unrestricted Pennsylvania (PA) medical license.

Key Skills:

Behavioral Health Psychiatry Utilization Management Managed Care InterQual ASAM Peer-to-Peer Reviews Appeals & Grievances Quality Management Case Management Disease Management Medical Necessity Reviews Accreditation Support Substance Abuse Treatment Behavioral Health Operations

Pay Range: 150

Compensation varies based on experience, schedule availability, and employment structure.

Benefits:
Our comprehensive benefits package includes:
o Medical insurance
o Dental insurance
o Vision insurance
o 401(k) retirement savings plan

Contact:
Karrie Ruch
+1 (312) 884-0418
[email protected]

Refer a Colleague:
If you know someone who may be interested in this opportunity, please email the Jacobson contact listed above or submit a referral through our referral program. If your referral is hired for a contract assignment and meets all eligibility requirements, you may qualify for a referral bonus.

Equal Opportunity Employer:
The Jacobson Group is an Equal Opportunity Employer. We welcome applicants of all backgrounds and experiences. Applicants requiring accommodation in the application process may contact [email protected] or call +1 (800) 466-1578.

Pay: From $150.00 per hour

Application Question(s):

What health plan lines have you supported (Commercial / Medicare / Medicaid)? (Multi-select)

Any prior NCQA / URAC accreditation support experience?

Experience:

Utilization management: 3 years (Required)

License/Certification:

Board Certified in Psychiatry (Required)

Work Location: Remote

Quick Apply

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