Medical Director, Dermatology

Health Network One

Medical Director providing clinical leadership for dermatology programs at Health Network One. Overseeing utilization management while ensuring compliance and high-quality outcomes.

Posted 5/12/2026full-timeRemote • Florida • 🇺🇸 United StatesLead💰 $375,000 - $450,000 per yearWebsite

About the role

Key responsibilities & impact

Provide clinical oversight and medical direction for dermatology‑related programs and services.
Ensure clinical policies, guidelines, and practices align with evidence‑based dermatology standards of care and applicable regulatory requirements.
Serve as the senior clinical authority for dermatology‑related questions, escalations, and complex case reviews.
Perform and oversee utilization management reviews related to dermatology services.
Conduct medical necessity determinations for prior authorization, concurrent review, and retrospective review.
Review and adjudicate clinical appeals and denials, including peer‑to‑peer discussions with ordering and rendering providers.
Collaborate with operational and compliance teams to ensure utilization management activities meet contractual, regulatory, and accreditation standards.
Act as a client‑facing clinical leader and dermatology specialist for Health Network One’s dermatology service lines.
Participate in client meetings, presentations, and consultations to explain dermatology clinical programs, utilization management decisions, and outcomes.
Support client relationships, retention, and growth by providing credible, data‑driven clinical guidance.
Represent Health Network One with external stakeholders, including health plans, provider partners, and regulatory entities, as appropriate.
Partner with the Chief Medical Officer and executive leadership team to support strategic planning, clinical program design, and growth initiatives for dermatology services.
Provide clinical insight to inform organizational decision‑making, risk management, and performance improvement efforts.
Contribute to the development and refinement of clinical workflows, quality initiatives, and performance metrics aligned with organizational goals.
Ensure compliance with federal and state regulations, accreditation standards, and client contractual requirements.
Support quality management activities related to dermatology services, including audits, reporting, and corrective action planning.
Promote a culture of clinical excellence, accountability, and patient‑centered decision‑making.

Requirements

What you’ll need

Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) with specialty training in Dermatology.
Active, unrestricted medical license in at least one U.S. state, with the ability to obtain additional licensure as needed.
Board certified or board eligible in Dermatology.
Demonstrated experience with utilization management, medical necessity review, appeals, and denials.
Strong executive‑level communication skills, including the ability to engage effectively with clients, providers, and senior leaders.
Experience in managed care, health plans, MSOs, or delegated dermatology or specialty services. (Preferred)
Prior experience in a physician executive or client‑facing clinical leadership role. (Preferred)
Familiarity with regulatory and accreditation standards related to utilization management and quality programs. (Preferred)

Benefits

Comp & perks

🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account Health Network One Website LinkedIn All Job Openings 201 - 500 employees Founded 1999 ⚕️ Healthcare Insurance 🤝 B2B Healthcare Insurance
B2B Health Network One is a healthcare network management company that partners with health plans to manage specialty outpatient services (including outpatient therapy, routine and medical eye care, dermatology, and podiatry) under full-risk arrangements. The company operates nationally, covering over 7 million lives and contracting with tens of thousands of providers, and offers delegated services such as utilization management, credentialing, claims and network management. Health Network One emphasizes value‑based solutions, clinical quality, cost reduction for professional and facility spend, and holds NCQA accreditation and HITRUST CSF certification. Medical Director, Dermatology Job not on LinkedIn 🔥 3 minutes ago 🐊 Florida – Remote 💵 $375k - $450k / year ⏰ Full Time 🔴 Lead 👨‍⚕️ Medical Director Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
Provide clinical oversight and medical direction for dermatology‑related programs and services.
Ensure clinical policies, guidelines, and practices align with evidence‑based dermatology standards of care and applicable regulatory requirements.
Serve as the senior clinical authority for dermatology‑related questions, escalations, and complex case reviews.
Perform and oversee utilization management reviews related to dermatology services.
Conduct medical necessity determinations for prior authorization, concurrent review, and retrospective review.
Review and adjudicate clinical appeals and denials, including peer‑to‑peer discussions with ordering and rendering providers.
Collaborate with operational and compliance teams to ensure utilization management activities meet contractual, regulatory, and accreditation standards.
Act as a client‑facing clinical leader and dermatology specialist for Health Network One’s dermatology service lines.
Participate in client meetings, presentations, and consultations to explain dermatology clinical programs, utilization management decisions, and outcomes.
Support client relationships, retention, and growth by providing credible, data‑driven clinical guidance.
Represent Health Network One with external stakeholders, including health plans, provider partners, and regulatory entities, as appropriate.
Partner with the Chief Medical Officer and executive leadership team to support strategic planning, clinical program design, and growth initiatives for dermatology services.
Provide clinical insight to inform organizational decision‑making, risk management, and performance improvement efforts.
Contribute to the development and refinement of clinical workflows, quality initiatives, and performance metrics aligned with organizational goals.
Ensure compliance with federal and state regulations, accreditation standards, and client contractual requirements.
Support quality management activities related to dermatology services, including audits, reporting, and corrective action planning.
Promote a culture of clinical excellence, accountability, and patient‑centered decision‑making. 🎯 Requirements
Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) with specialty training in Dermatology.
Active, unrestricted medical license in at least one U.S. state, with the ability to obtain additional licensure as needed.
Board certified or board eligible in Dermatology.
Demonstrated experience with utilization management, medical necessity review, appeals, and denials.
Strong executive‑level communication skills, including the ability to engage effectively with clients, providers, and senior leaders.
Experience in managed care, health plans, MSOs, or delegated dermatology or specialty services. (Preferred)
Prior experience in a physician executive or client‑facing clinical leadership role. (Preferred)
Familiarity with regulatory and accreditation standards related to utilization management and quality programs. (Preferred) Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score Similar Jobs Medical Director 🔥 5 hours ago RVO Health 1001 - 5000 ⚕️ Healthcare Insurance 🧘 Wellness ☁️ SaaS Website LinkedIn All Job Openings Medical Director at RVO Health specializing in endocrinology and digital clinical products. Overseeing care delivery teams and driving growth initiatives through clinical research and innovations. 🇺🇸 United States – Remote 💵 $264k - $300k / year ⏰ Full Time 🔴 Lead 👨‍⚕️ Medical Director Oncology Field Medical Director – MD 🔥 22 hours ago Pfizer 10,000+ employees Website LinkedIn All Job Openings Oncology Field Medical Director responsible for therapeutic expertise in Malignant Hematology at Pfizer. Engages with medical stakeholders and executes strategy within the assigned territory. 🇺🇸 United States – Remote 💵 $230.9k - $384.8k / year 💰 Post-IPO Debt on 2023-05 ⏰ Full Time 🔴 Lead 👨‍⚕️ Medical Director 🦅 H1B Visa Sponsor Hematology Field Medical Director – Non-MD 🔥 22 hours ago Pfizer 10,000+ employees Website LinkedIn All Job Openings Director providing therapeutic expertise in malignant hematology for Pfizer. Leading medical strategy and customer engagement in Florida with substantial travel requirements. 🇺🇸 United States – Remote 💵 $176.6k - $294.3k / year 💰 Post-IPO Debt on 2023-05 ⏰ Full Time 🔴 Lead 👨‍⚕️ Medical Director 🦅 H1B Visa Sponsor Physical Health Medical Director 🕒 Yesterday Humana 10,000+ employees ⚕️ Healthcare Insurance Website LinkedIn All Job Openings 🇺🇸 United States – Remote 💵 $223.8k - $313.1k / year ⏰ Full Time 🔴 Lead 👨‍⚕️ Medical Director 🦅 H1B Visa Sponsor Oncology Field Medical Director – MD 🕒 3 days ago Pfizer 10,000+ employees Website LinkedIn All Job Openings Oncology Field Medical Director providing expertise in hematology across various medical customer segments in Florida. Responsible for executing medical strategy and collaborating with internal teams. 🇺🇸 United States – Remote 💵 $230.9k - $384.8k / year 💰 Post-IPO Debt on 2023-05 ⏰ Full Time 🔴 Lead 👨‍⚕️ Medical Director 🦅 H1B Visa Sponsor View 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 Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) 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 Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs

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Hard Skills & Tools

utilization managementmedical necessity reviewclinical appealsdenials managementclinical oversightevidence-based dermatologyquality managementclinical workflowsperformance metricsaccreditation standards

Soft Skills

executive-level communicationclient engagementleadershipcollaborationstrategic planningclinical insightpatient-centered decision-makingaccountabilityrelationship managementpresentation skills

Certifications

Doctor of Medicine (MD)Doctor of Osteopathic Medicine (DO)Board certified in DermatologyActive medical license