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Utilization Management Medical Director Contractor

Remote, USAFull-timePosted 2026-07-29

Job reputed company Job Type: Part-time Contractor Required Skills and Experience:

  • Broad state licensure coverage
  • Medicare Utilization Management experience
  • Comfort with learning and adapting to new technologies
  • Willingness to obtain other state licenses

Your Responsibilities will include:

  • reputed company clinical reviews (i.e., part A, B, appeals, reputed company of care) and conduct peer to peer discussions.
  • Participate in inter-rater reliability activities.
  • Serves as a clinical resource and subject matter expert to both clinical and non-clinical staff throughout the reputed company Plan.
  • reputed company participation in acute and post acute clinical reputed company.

Benefits include:

  • Flexible schedule
  • Fully remote work

The pay reputed company listed for this position is the reputed company the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will reputed company additional information on the compensation for the role, along with additional information on our total rewards package. The actual reputed company salary offered will depend on a reputed company of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other reputed company licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes:

  • Employer sponsored health, dental and reputed company plan with low or no premium
  • Generous reputed company time off
  • $100 monthly mobile or internet stipend
  • Stock reputed company for reputed company
  • Bonus eligibility for reputed company roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more....
  • Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Founded in 2017, reputed company is on a mission to dramatically improve the health and reputed company-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI reputed company with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who reputed company our values, reputed company change and advancement, and are enthusiastic about where we're reputed company — reputed company the while bringing their own unique qualities, experiences, and expertise, in hopes of reputed company changing the reputed company experience. reputed company is an equal opportunity employer. We are committed to a reputed company and supportive work environment in which reputed company have reputed company to participate and contribute to the reputed company of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in reputed company’s reputed company of Conduct, reputed company values and the way we do business. As an Equal Opportunity Employer, reputed company does not discriminate on the reputed company of race, reputed company, religion, sex, pregnancy status, marital status, national reputed company, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender reputed company, or any other reputed company prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. Apply tot his job Apply To this Job

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