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Featured Companies are employers who have come directly to FlexJobs, been approved by our staff, and have directly posted their jobs to the FlexJobs site.
- 100% Remote Work
- Full-Time
- Employee
- 174,070.00 - 374,900.00 USD Hourly
- PA, DE, WV
Provide oversight for medical policy implementation, develop and evaluate clinical programs, and support medical management staff. Focus on utilization review/quality assurance and provide clinical expertise and business direction to support medical ..
- 100% Remote Work
- Full-Time
- Employee
- 174,070.00 - 374,900.00 USD Hourly
- FL, NC
Provide oversight for medical policy implementation, participate in the development and evaluation of clinical programs, support medical management staff, and provide clinical expertise and business direction.
- Hybrid Remote Work
- Full-Time
- Employee
- Jefferson City, MO
Assist in overseeing clinical services, provide comprehensive medical consultation and direction to medical staff, evaluate medical care provided, and deliver recommendations to ensure quality medical care. Medical degree and board certification required.
- Full-Time
- Employee
- Chattanooga, TN
Provide clinical leadership and serve as an internal medical consultant to various divisions and committees. Develop and administer inter-reviewer reliability methodology, analyze clinical metrics, and lead various committees to accomplish medical ob..
- 100% Remote Work
- Full-Time
- Employee
- 250,000 - 280,000 USD Annually
- ND, SD, NE, KS, OK, TX, MN, IA, MO, AR, LA, WI, IL, KY, MS, AL, MI, IN, TN, GA, FL, OH, NC, SC, WV, VA, PA, DC, CT, NJ, NY, RI, NH, ME, MD, DE, VT, MA, or US National
Lead risk adjustment initiatives, expand provider education team, provide clinical expertise to support healthcare IT products and solutions, analyze patient data and medical records for precise risk adjustment coding.
- 100% Remote Work
- Full-Time
- Freelance
- GA
Supervise advanced practice clinicians, conduct patient intake and follow-up consultations, suggest treatment plan changes based on patient response, engage in collaborative care with member psychotherapists.
- 100% Remote Work
- Full-Time
- Employee
- US National
Lead the development and progress of quality initiatives and programs to grow psychiatry services in all fifty states. Ensure onboarding, monitoring, education, and remediation of the psychiatry provider group, and assist with cross-coverage for CMO ..
- 100% Remote Work
- Full-Time
- Employee
- 196,800 - 328,000 USD Annually
- Bloomfield, CT
Complete time-sensitive, evidence-based medical case reviews for patient care. Conduct peer-to-peer calls with healthcare providers to discuss medical necessity and appropriateness of services. Collaborate with colleagues to ensure evidence-based dec..
- 100% Remote Work
- Full-Time
- Employee
- 174,070 - 374,900 USD Annually
- NJ
Provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities.
- Hybrid Remote Work
- Part-Time
- Employee
- 125.00 - 135.00 USD Hourly
- IL
Evaluate, redirect, and respond to inquiries from physicians, providers, and customers. Consult with practitioners regularly. Represent and promote company at professional societies. Analyze regulations and legislation impacting healthcare.
- 100% Remote Work
- Full-Time
- Employee
- 161,914.25 - 315,732.79 USD Annually
- TX, WA, FL, NM, AZ, or US National (Not hiring in TX, WA, FL, NM, AZ)
Responsible for providing medical oversight and expertise, developing and implementing utilization management programs, participating in quality improvement activities, and ensuring compliance with regulatory requirements.
- 100% Remote Work
- Full-Time
- Employee
- Nashville, TN
Provide clinical resource and consultation to hospitals, conduct peer-to-peer reviews, facilitate approvals, and prevent denials. Educate physicians and provide oversight to pre-bill denial strategy. Minimum 5 years of clinical practice and knowledge..
- 100% Remote Work
- Full-Time
- Employee
- 272,000 - 408,000 USD Annually
- US National
Promote Hinge Health through sales meetings, lectures, webinars, and partnership proposals. Collect clinical requirements, build relationships with medical directors, and oversee a team of commercially-focused physicians.
- Full-Time
- Employee
- 250,000 - 275,000 USD Annually
- New York, NY
Lead a team of clinicians, drive clinical practice and health outcomes, provide cross-functional leadership, and deliver excellent patient care. Spot issues and opportunities with a data-based plan to address.
- 100% Remote Work
- Full-Time
- Employee
- US National
Seeking a part-time Medical Director with expertise in pulmonary and sleep medicine to oversee clinical programs, develop clinical policies, represent the organization in public settings, and lead the execution of clinical studies.
- Hybrid Remote Work
- Full-Time
- Employee
- 320,000 - 325,000 USD Annually
- Syracuse, NY
Lead healthcare excellence in Syracuse, shaping the future of patient care. Schedule: Monday-Friday, 8am-5pm. MD or DO with Board Certification. Minimum 5 years of clinical experience. Expertise in treating patients across all age groups.
- 100% Remote Work
- Full-Time
- Employee
- 174,070 - 374,900 USD Annually
- TX
Provide oversight for medical policy implementation, participate in program development and evaluation, and support medical management staff. Focus on utilization review/quality assurance and provide clinical expertise to support medical management p..
- 100% Remote Work
- Full-Time
- Employee
- 174,070 - 374,900 USD Annually
- IL
Provide oversight for medical policy implementation. Participate in the development, implementation, and evaluation of clinical/medical programs. Support the Medical Management staff and ensure timely and consistent responses to members and providers.
- 100% Remote Work
- Full-Time
- Employee
- US National
Respond to emergent issues and provide guidance on specific patients or procedures. Occasionally review Good Faith Examinations and assist with provider training. Provide feedback on company policies and procedures.
- 100% Remote Work
- Full-Time
- Employee
- CO
Respond to emergent issues and provide guidance on specific patients or procedures. Occasionally review examinations performed by advanced practice providers. Assist with provider training and provide feedback on company policies and procedures.
- 100% Remote Work
- Full-Time
- Employee
- China
Provide medical support and advice for clinical trials and safety evaluation. Lead medical aspects of contracted tasks, analyze and assess safety data, and communicate effectively with clients and team members. Participate in business development act...
- 100% Remote Work
- Full-Time
- Employee
- 230,000 - 260,000 USD Annually
- US, or US National
Provide clinical expertise and guidance to inform care programs. Drive clinical aspects of sales process. Collaborate with product team to develop and optimize clinical programs. Serve as external thought leader.
- 100% Remote Work
- Full-Time
- Employee
- Bethesda, MD
Oversee and lead operations of team services, develop strategies to achieve practice level performance goals, collaborate with markets to assess and communicate relevant performance, maintain an understanding of company capabilities and effective...
- Hybrid Remote Work
- Alternative Schedule
- Employee
- 110,000 - 130,000 USD Annually
- CA
Lead organizational strategy, cultivate relationships with movement partners and funders, develop strategic work-plans, manage budgets, and supervise staff to ensure alignment with organizational vision and values.
- 100% Remote Work
- Full-Time
- Employee
- 132,000 - 240,000 USD Annually
- US National
Identify contestable spaces and build an optimal portfolio configuration. Optimize promotional spend and manage the annual budget. Collaborate with cross-functional teams and analyze price and promotion strategy.
- Hybrid Remote Work
- Full-Time
- Employee
- 130,500 - 159,500 USD Annually
- New York, NY
Oversee strategic planning & implementation of programs, align goals and program operations to maintain and grow market share, lead faculty for Leadership Training Program. 7+ years experience in nursing/clinical education development, program ..
- 100% Remote Work
- Full-Time
- Employee
- Toronto, Ontario, Canada
Develop and implement a project management framework, lead and mentor a team of Program Managers, collaborate with stakeholders, improve project management practices, and ensure successful project delivery.
- 100% Remote Work
- Full-Time
- Employee
- US National
Lead the PCI Assessment Product Providers team, oversee assessments, develop reports, and manage project timelines. Drive revenue targets, resolve client escalations, and provide mentorship to team members.
- 100% Remote Work
- Full-Time
- Employee
- AL, DE, FL, GA, ID, IN, KS, LA, ME, MD, MN, NE, NV, NH, ND, NC, OH, OK, PA, SC, SD, TN, TX, UT, WA, WV, WI, WY
Responsible for providing clinical leadership within Sentara Health Plans, aligned to one or more plans. Accountable for monitoring utilization, case management and quality outcomes.
- 100% Remote Work
- Full-Time
- Employee
- 184,112.50 - 396,600.00 USD Hourly
- CT
Lead strategic initiatives and cost reduction efforts for LTSS members in collaboration with internal stakeholders. Provide clinical expertise and guidance for quality-focused initiatives and vendor relationships. Manage LTSS RFP submissions and ensu..
- 100% Remote Work
- Full-Time
- Employee
- Durham, NC, New York, NY, Austin, TX, Bethesda, MD
Negotiate value-based care contracts with health plans for Medicare Advantage and Medicaid members. Develop relationships with stakeholders, act as internal expert for contract questions, and support VP's efforts for market growth.
- 100% Remote Work
- Full-Time
- Employee
- US, or US National
Provide medical oversight of clinical trials, attend and present at meetings, support business development, review and analyze clinical trial serious adverse events, and provide medical consultation to clients and project team members.
- 100% Remote Work
- Full-Time
- Employee
- 195,000 - 371,000 USD Annually
- North Chicago, IL
Initiate medical affairs activities, design and execute various types of research, and provide scientific/medical education. Oversee clinical trials, ensure compliance with regulatory requirements, and contribute to strategic planning and governance.
- 100% Remote Work
- Full-Time
- Employee
- US National
Provides medical oversight of clinical trials, attends investigator and sponsor meetings, provides medical consultation to clients and project team members, and supports business development activities.
- 100% Remote Work
- Full-Time
- Employee
- US National
Provide medical oversight of clinical trials, attend and present at meetings, provide medical consultation, review and analyze clinical trial serious adverse events and support business development activities.
- 100% Remote Work
- Full-Time
- Employee
- 174,070 - 374,900 USD Annually
- US National
Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services. Work Collaboratively with the functional areas.
- 100% Remote Work
- Full-Time
- Employee
- US National
Performs first and second level of Medical Review in determination of claims payment review. Conducts in-depth claims analysis utilizing ICD-10-CM, CPT-4, and HCPCS Level II coding principles. Utilize electronic health information imaging...
- 100% Remote Work
- Full-Time
- Employee
- US National
Perform comprehensive medical record and claims review to make payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare B Physician Office and Professional Services, Ambulance...
- Hybrid Remote Work
- Full-Time
- Employee
- 37,600 - 56,400 USD Annually
- San Marcos, CA
Performs daily download and reconciliation of claims from patient accounting system to electronic billing system. Transmits or releases claims at a minimum daily.
- Hybrid Remote Work
- Full-Time
- Employee
- 37,600 - 56,400 USD Annually
- San Marcos, CA
Perform all areas of initial and secondary billing, follow-up on payer audits, and work with other departments to meet goals. Extensive knowledge of billing requirements and ability to find solutions to problems.
- Hybrid Remote Work
- Full-Time
- Employee
- Lawrence Township, NJ
Serve as the WW Medical Immunology & Neuroscience Market Lead, partnering with business partners, Medical, and markets to align and deliver strategies. Provide visibility to leadership on market needs and foster collaboration.
- 100% Remote Work
- Alternative Schedule
- Employee
- 248,582 - 338,965 USD Annually
- US National
Provide daily utilization oversight and external communication with network physicians and hospitals. Conduct peer to peer conversations for clinical case reviews. Collaborate with Client Services Team to ensure coordinated approach to delivery syste..
- 100% Remote Work
- Alternative Schedule
- Employee
- 286,104 - 397,743 USD Annually
- US National
Perform utilization review determinations for radiation oncology populations, speak with providers by phone, enhance clinical expertise of the radiation oncology team, evaluate clinical and other data to identify opportunities for improvement of clin..
- 100% Remote Work
- Full-Time
- Employee
- 196,800 - 328,000 USD Annually
- US National
Provide evidence-based medical reviews for patient care, conduct physician consultations, recommend alternative treatments, collaborate with healthcare providers, and stay current on healthcare regulations.
- 100% Remote Work
- Full-Time
- Employee
- 196,800 - 328,000 USD Annually
- Bloomfield, CT
Complete time-sensitive, evidence-based medical case reviews using clinical expertise. Conduct physician consultations and recommend alternative services. Collaborate with healthcare providers and stay current on industry developments.
- Hybrid Remote Work
- Full-Time
- Employee
- Princeton, NJ
Develop and lead strategic engagement plan for WWMO Professional Societies. Collaborate with Medical teams and stakeholders to create innovative strategies for engagement. Serve as primary relationship manager for professional societies' community.
- 100% Remote Work
- Full-Time
- Employee
- 232,000 - 304,500 USD Annually
- AZ, CA, CO, CT, FL, GA, IL, IA, MD, MA, MI, NH, NJ, NM, NY, NC, OH, OR, PA, RI, TN, TX, UT, VA, WA, Washington, DC
Provide timely medical reviews based on evidence-based criteria, document communication and decision-making, conduct peer-to-peer discussions with providers, comply with laws and regulations, and perform assigned duties for remote Associate Medical D..
- 100% Remote Work
- Full-Time
- Employee
- US National
Reporting to the Head of Medical Writing Operations & Regulatory Business Operations, this position is responsible for partnering cross-functionally to deliver high quality regulatory and clinical documents.
- 100% Remote Work
- Full-Time
- Employee
- 174,070.00 - 374,900.00 USD Hourly
- US National
Lead and support medical management staff in utilization review and quality assurance, clinical team activities, and liaison with network providers. Provide clinical expertise and business direction in support of medical management programs.
- 100% Remote Work
- Full-Time
- Employee
- 250,000 - 300,000 USD Annually
- US National
Develop and execute Medical Affairs strategy, build relationships with researchers and healthcare professionals, oversee medical communications, become a therapeutic area expert, travel 50%. Advanced healthcare degree required.
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