Medical Director, Payment Integrity – Utilization Management
Clover Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $270,000 - $330,000 per year
Job Level
About the role
- 🌐 Worldwide Post a Job Affiliates ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs Account This job opening is no longer available. Similar Jobs Medical Director – National UM Team, Inpatient 🕒 November 7, 2025 Humana 10,000+ employees ⚕️ Healthcare Insurance Website LinkedIn All Job Openings Medical Director managing clinical healthcare service determinations nationwide. Collaborating on utilization management and engaging in grievance reviews within a remote work environment. 🇺🇸 United States – Remote 💵 $223.8k - $313.1k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director 🦅 H1B Visa Sponsor Medical Director 🕒 November 6, 2025 Centene Corporation 10,000+ employees ⚕️ Healthcare Insurance 🤝 Non-profit 🌍 Social Impact Website LinkedIn All Job Openings Medical Director providing leadership for utilization management and quality improvement at a healthcare provider. Collaborating with clinical teams to enhance member care and service outcomes. 🇺🇸 United States – Remote 💵 $231.9k - $440.5k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director Medical Director – Spine 🕒 November 6, 2025 CVS Health 10,000+ employees ⚕️ Healthcare Insurance 🛒 Retail 🧘 Wellness Website LinkedIn All Job Openings Medical Director (Spine) at Aetna providing clinical expertise and overseeing medical management programs. Remote opportunity focusing on orthopedic spine and neurosurgery. 🇺🇸 United States – Remote 💵 $174.1k - $374.9k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director Medical Director – Spine 🕒 November 6, 2025 CVS Health 10,000+ employees ⚕️ Healthcare Insurance 🛒 Retail 🧘 Wellness Website LinkedIn All Job Openings Medical Director at Aetna providing subject matter expertise in Orthopedic Spine or Neurosurgery. Leading medical management programs and clinical operations for improved member care. 🇺🇸 United States – Remote 💵 $174.1k - $374.9k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director Medical Director 🕒 November 4, 2025 Eximium Talent 1 - 10 🤝 B2B 🎯 Recruiter ☁️ SaaS Website LinkedIn All Job Openings Medical Director joining Peregrine Health to enhance clinical leadership in mental health services. Focused on operational growth and expanding access to underserved communities. 🇺🇸 United States – Remote ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director Search More Medical Director Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy and terms of service Job board SEO course AI Apply Copilot Jobs by Country Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Work from anywhere jobs Remote jobs with no degree required
Requirements
- 🌐 Worldwide Post a Job Affiliates ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs Account This job opening is no longer available. Similar Jobs Medical Director – National UM Team, Inpatient 🕒 November 7, 2025 Humana 10,000+ employees ⚕️ Healthcare Insurance Website LinkedIn All Job Openings Medical Director managing clinical healthcare service determinations nationwide. Collaborating on utilization management and engaging in grievance reviews within a remote work environment. 🇺🇸 United States – Remote 💵 $223.8k - $313.1k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director 🦅 H1B Visa Sponsor Medical Director 🕒 November 6, 2025 Centene Corporation 10,000+ employees ⚕️ Healthcare Insurance 🤝 Non-profit 🌍 Social Impact Website LinkedIn All Job Openings Medical Director providing leadership for utilization management and quality improvement at a healthcare provider. Collaborating with clinical teams to enhance member care and service outcomes. 🇺🇸 United States – Remote 💵 $231.9k - $440.5k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director Medical Director – Spine 🕒 November 6, 2025 CVS Health 10,000+ employees ⚕️ Healthcare Insurance 🛒 Retail 🧘 Wellness Website LinkedIn All Job Openings Medical Director (Spine) at Aetna providing clinical expertise and overseeing medical management programs. Remote opportunity focusing on orthopedic spine and neurosurgery. 🇺🇸 United States – Remote 💵 $174.1k - $374.9k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director Medical Director – Spine 🕒 November 6, 2025 CVS Health 10,000+ employees ⚕️ Healthcare Insurance 🛒 Retail 🧘 Wellness Website LinkedIn All Job Openings Medical Director at Aetna providing subject matter expertise in Orthopedic Spine or Neurosurgery. Leading medical management programs and clinical operations for improved member care. 🇺🇸 United States – Remote 💵 $174.1k - $374.9k / year ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director Medical Director 🕒 November 4, 2025 Eximium Talent 1 - 10 🤝 B2B 🎯 Recruiter ☁️ SaaS Website LinkedIn All Job Openings Medical Director joining Peregrine Health to enhance clinical leadership in mental health services. Focused on operational growth and expanding access to underserved communities. 🇺🇸 United States – Remote ⏰ Full Time 🔴 Lead 👨⚕️ Medical Director Search More Medical Director Jobs 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy and terms of service Job board SEO course AI Apply Copilot Jobs by Country Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Work from anywhere jobs Remote jobs with no degree required
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
utilization managementclinical healthcare service determinationsquality improvementmedical management programsclinical operationsorthopedic spine expertiseneurosurgery expertisemental health services leadershipgrievance reviewsmember care enhancement
Soft Skills
collaborationleadershipcommunicationoperational growthengagement