Utilization Management, Medical Director

Ladders • Full-time • Remote (United States) • $186k - $223.20k / year • 2h ago

For our client, we are seeking a Utilization Management, Medical Director to join the team of a leader in the Healthcare space.

This remote leadership role will provide clinical oversight for utilization management and quality-focused healthcare delivery. The ideal candidate will help guide clinical standards, strengthen care coordination, and support regulatory compliance while partnering with physicians and care teams to improve outcomes.

They will also contribute to quality improvement initiatives, analyze utilization trends, and help shape strategic direction across the organization.

Location: Remote

Compensation: $186,000 – $223,200 annually

Responsibilities

Provide clinical oversight and direction for quality healthcare services
Develop and implement clinical protocols and standards
Lead quality improvement initiatives to enhance patient care
Foster relationships with network physicians for improved care coordination
Analyze utilization trends and care coordination opportunities
Ensure compliance with all regulatory requirements
Contribute to the development and execution of the strategic plan

Qualifications

MD or DO degree from an accredited medical school
Active and unrestricted medical license
Minimum of 5 years of clinical experience, including at least 3 years in a leadership role
Board certification in a medical specialty required
Strong understanding of quality improvement methodologies and healthcare regulations
Excellent communication, leadership, and interpersonal skills

Benefits

Excellent medical, vision, and dental coverage
401k savings plan with a company match
Flexible time off and 9 Paid Holidays
Eligibility to participate in an annual bonus program

Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.