Last updated: 2025-11-13
63 Medical Director And Reviewer Positions jobs in Remote - United States.
Apogee Therapeutics
Apogee Therapeutics, Inc. is a biotechnology company seeking to develop differentiated biologics for the treatment of atopic dermatitis, chronic obstructive pu…
United States
- Skills: biologics, clinical development, dermatology, medical monitoring, protocol development, Immunology, Inflammation, safety reporting, CRO management, clinical trials
- Level: mid
- Type: full_time
Cohere Health
Cohere Health is a fast-growing clinical intelligence company that’s improving lives at scale by promoting the best patient-specific care options, using cuttin…
United States
- Skills: Pain Management, Clinical Review, Evidence-Based Guidelines, Medical Appropriateness, Utilization Review, Peer-to-Peer Discussions, Clinical Acumen, Patient-Centered Care, Health Plans, AI in Healthcare
- Level: senior
- Type: full_time
Tennr
Tennr prevents delays and denials by making sure every referral gets where it needs to go, with the right info, at the right time. Powered by RaeLM™ Tennr read…
United States
- Skills: infusions, specialty_pharmacy, documentation_review, clinical_decision, payer_criteria, insurance_policies, audits, authorizations, HCPCS_codes, NDCs
- Level: mid
- Type: full_time
Cohere Health
Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, …
United States
- Skills: Orthopedic Surgery, Spine Surgery, clinical review, evidence-based guidelines, medical appropriateness, utilization management, peer-to-peer discussions, quality parameters, healthcare economics, clinical determinations
- Level: senior
- Type: full_time
Beam Healthcare
Beam Healthcare is looking for a Board Certified Cardiologist to join our growing team of providers, administrators, analysts & friends who share the vision of…
United States
- Skills: cardiology, procedure interpretations, telemedicine, healthcare equality, team-based approach, innovative solutions, evidence-based care, patient care, clinical practice, specialty care
- Level: senior
- Type: full_time
Syneos Health
Syneos Health® is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medic…
United States
- Skills: medical monitoring, clinical studies, drug safety, pharmacovigilance, protocol amendments, training, FDA regulations, study start-up, subject identification, study data integrity
- Level: senior
- Type: other
WellSense Health Plan
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Indivi…
United States
- Skills: medical management, utilization review, clinical case review, quality improvement, Medicaid, Medicare, HEDIS, NCQA, InterQual protocols, clinical initiatives
- Level: senior
- Type: full_time
Beam Healthcare
Beam Healthcare is looking for a Board Certified Pulmonologist to join our growing team of providers, administrators, analysts & friends who share the vision o…
United States
- Skills: Telemedicine, Pulmonology, COPD, Asthma, Interstitial Lung Disease, Tele-clinic, E-Consults, Curbside Consults, Procedural Interpretations, Patient Care
- Level: mid
- Type: full_time
Allara Health
Allara is a comprehensive women’s health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 4…
United States
- Skills: Endocrinology, telemedicine, women's health, patient assessments, treatment plans, collaboration, evidence-based care, diagnostics, chronic conditions, malpractice insurance
- Level: mid
- Type: contract
Modern Health
Modern Health is a mental health benefits platform for employers, providing access to one-on-one, group, and self-serve digital resources for emotional, profes…
United States
- Skills: psychiatry, mental health, digital health, medication management, clinical oversight, telehealth, evidence-based standards, regulatory compliance, cross-functional collaboration, clinical leadership
- Level: senior
- Type: part_time
Cohere Health
Cohere Health’s clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, …
United States
- Skills: medical necessity, utilization management, clinical decisions, healthcare economics, AI-powered solutions, cost containment, collaboration, quality improvement, accreditation, NCQA/CMS standards
- Level: mid
- Type: full_time
Dane Street
United States
- Skills: telework, clinical cases, peer communications, medical records, clinical summaries, Physical Medicine, Rehabilitation, healthcare assessments, credentialing, New Jersey Medical License
- Level: senior
- Type: contract
BioGen Restoration
An established, high volume functional medicine and hormone optimization company specializing in women’s health, menopause, thyroid, and metabolic repair.
United States
- Skills: telehealth, hormone optimization, bioidentical hormones, peptide therapy, women's health, compliance, bloodwork, functional medicine, medical clearance, prescription management
- Level: senior
- Type: contract
QualDerm Partners
QualDerm Partners is a healthcare company focusing on dermatology practices, providing a collaborative and family-like environment for its employees.
United States
- Skills: dermatopathology, medical license, board certified, pathology, dermatology, CME Reimbursement, professional liability insurance, flexible time off, employee assistance program, referral bonus
- Level: mid
- Type: full_time
Valgorithm
United States
- Skills: Telemedicine, Virtual consultations, Patient management, Non-emergent issues, Outpatient care, Medication management, EMR documentation, Acute conditions, Chronic conditions, Medical licensure
- Level: mid
- Type: other
Dane Street
Dane Street specializes in delivering high-quality healthcare assessments through expert reviews of clinical cases.
United States
- Skills: telework, medical records, clinical summaries, peer communications, chiropractic, consultant, flexible schedule, expert reviews, healthcare assessments, credentialing
- Level: senior
- Type: contract
Pinch
Unlike the 10,000+ medical spa clinics across the USA, Pinch is revolutionizing med spa care by bringing treatments straight to clients’ homes. Founded by a do…
United States
- Skills: APRNs, aesthetics, injectables, microneedling, chemical peels, facials, malpractice coverage, training, marketing, flexible scheduling
- Level: mid
- Type: contract
Dane Street
Dane Street is looking for Board Certified Psychiatry Physicians to join our Disability Peer Review team! This telework position provides an excellent opportun…
United States
- Skills: telework, disability claims, mental health, independent consultant, functional capacity evaluations, case flow, administrative processes, medical records, clinical decision-making, psychiatric disorders
- Level: mid
- Type: contract
Molina Healthcare
United States
- Skills: utilization review, medical claims review, clinical guidelines, ICD-10, CPT coding, HCPC coding, problem-solving, critical thinking, healthcare regulations, clinical resource
- Level: mid
- Type: full_time
Beam Healthcare
Beam Healthcare is looking for a Board Certified Neurologist to join our growing team of providers, administrators, analysts & friends who share the vision of …
United States
- Skills: Board Certification, Neurologist, EEG Interpretation, Tele-Consults, eConsults, Healthcare Equality, Team-based approach, Innovative solutions, Clinical Practice, Interstate Compact
- Level: senior
- Type: full_time