• Medical Director

    UPMC (Pittsburgh, PA)
    …, Utilization Management role. The Medical Director , Utilization Management is responsible for assuring physician commitment and delivery of ... care to UPMC Health Plan members. They will be responsible for assuring physician commitment and delivery of comprehensive high quality health care to UPMC Health… more
    UPMC (01/07/26)
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  • Senior Utilization Review Medical

    Integra Partners (Troy, MI)
    …as operational needs require. The Senior MD provides clinical oversight to the Utilization Review Medical Director (s), ensures consistent application of ... representing Integra's clinical position to internal and external stakeholders. The Senior Utilization Review Medical Director 's responsibilities include but… more
    Integra Partners (12/03/25)
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  • RN Director , Utilization Management…

    Fallon Health (Worcester, MA)
    …the cost of care opportunities related to Utilization Management. + Works with VP/ Medical Director to set agenda related to UM and represent the plan at ... LinkedIn. **Brief summary of purpose:** With the general direction from the VP Sr. Medical Director Clinical Management and SVP/Chief Medical Officer will… more
    Fallon Health (12/14/25)
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  • Executive System Director

    UNC Health Care (Morrisville, NC)
    …well-being of the unique communities we serve. **Summary** : The **Executive System Director of Utilization Management (UM)** is a strategic and operational ... Director works closely with leaders from various departments-case management, physician advisors, revenue cycle, medical staff, nursing, and information… more
    UNC Health Care (10/29/25)
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  • Director , Utilization Management

    Alameda Health System (Oakland, CA)
    Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + ... paid time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational… more
    Alameda Health System (11/07/25)
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  • Physician (HBPC Medical

    Veterans Affairs, Veterans Health Administration (Tuskegee, AL)
    …determine the final compensable salary (Base Pay + Market Pay). Responsibilities The HBPC Medical Director is responsible for the overall care delivered by the ... Contract and no significant restriction on moonlighting The Home-Based Primary Care Medical Director will provide professional patient care approximately 80% of… more
    Veterans Affairs, Veterans Health Administration (12/11/25)
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  • Physician Advisor/UM Medical

    Provider Solutions & Development (Mission Hills, CA)
    Providence Holy Cross Medical Center is seeking a Physician Advisor/UM Medical Director to join a strong leadership team promoting high-value care in ... improving mission outcomes. You will work closely with the physician leadership, the Director of Care Management,...+ Ability to effectively communicate with, motivate, and assist medical staff leadership to adhere to utilization more
    Provider Solutions & Development (12/18/25)
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  • Physician Advisor/UM Medical

    Provider Solutions & Development (Torrance, CA)
    Providence Little Company of Mary is seeking a Physician Advisor/UM Medical Director to join a strong leadership team promoting high-value care in Torrance, ... our mission outcomes. You will work closely with the physician leadership, the Director of Care Management,...* Ability to effectively communicate with, motivate, and assist medical staff leadership to adhere to utilization more
    Provider Solutions & Development (01/12/26)
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  • Physician - Community Living Center…

    Veterans Affairs, Veterans Health Administration (Martinez, CA)
    …on moonlighting This position is for a full-time Community Living Center (CLC) Medical Director - Internal Medicine Physician /Family Practice Physician ... available. VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Work Schedule: Monday to Friday; 8:00am...Preferred Experience: Board certified in Geriatric Medicine Experience as Medical Director of VA CLC or Post… more
    Veterans Affairs, Veterans Health Administration (12/19/25)
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  • Medical Director Physician

    Mount Sinai Health System (New York, NY)
    **Job Description** **Mount Sinai Health System is seeking a Medical Director of Physician Engagement and CDQI!** **Background:** Mount Sinai is one of the ... improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement...for driving key population health goals including access, quality, utilization and accurate risk adjustment with a group of… more
    Mount Sinai Health System (12/01/25)
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  • Primary Care Medical Director

    Lincoln County (Newport, OR)
    Primary Care Medical Director / Physician Print (https://www.governmentjobs.com/careers/lincoln/jobs/newprint/4142276) Apply  Primary Care Medical ... This person will also perform professional work as a physician three of five days (60%) per week providing...for wage offer. **A 10% stipend is provided for Medical Director functions. Lincoln County offers a… more
    Lincoln County (01/13/26)
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  • Director Physician Advisors

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a ** Director Physician Advisors** ? At HealthTrust, you come first. HCA Healthcare has ... make a difference. We are looking for a dedicated Director Physician Advisors like you to be...this position will be working directly with clinical experts, medical directors, thought leaders, and physician executives… more
    HCA Healthcare (12/24/25)
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  • Director of Physician Resource Group

    HCA Healthcare (Brentwood, TN)
    …is incentive eligible. **Introduction** Do you have the career opportunities as a ** Director of Physician Resource Group** you want with your current employer? ... of colleagues. Do you want to work as a Director of Physician Resource Group where your...flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training +… more
    HCA Healthcare (12/23/25)
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  • Medical Director Managed Care…

    Dignity Health (Bakersfield, CA)
    **Job Summary and Responsibilities** The Medical Director of Physician Engagement leads the development and execution of strategies to engage physicians and ... various markets to advance critical business and clinical initiatives. The Director oversees physician /APP engagement and provider relations teams, ensuring… more
    Dignity Health (12/14/25)
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  • Director of Physician Services II

    HCA Healthcare (Richmond, VA)
    …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services II with HCA Healthcare, you can be a ... vary by location._** Come join our team as a Director of Physician Services II. We care...flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training +… more
    HCA Healthcare (01/10/26)
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  • Physician / Medical Director

    STG International (Bloomington, IN)
    THIS IS FOR A FUTURE OPENING Physician / Medical Director STGi is currently seeking a Primary Care Physician to provide services at our Community Based ... the Primary Care Physician is to provide covered professional outpatient primary medical services to enrolled patients of the Veterans Affairs Medical Center… more
    STG International (12/19/25)
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  • Physician - Rehabilitation & Extended Care…

    Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
    physician assistants in the CLC. Quality Assessment/ Quality Improvement/ Utilization Management activities including, improving clinical performance of medical ... Rehabilitation and Extended Care (REC) Integrated Clinical Community (ICC) Director in St. Cloud, MN. The incumbent must have...and investigations. Is a core member of the facility medical staff, attending a number of committees and councils… more
    Veterans Affairs, Veterans Health Administration (01/08/26)
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  • OR Program Director / Physician

    Mount Sinai Health System (New York, NY)
    …Take your career to new heights with this incredible opportunity! The Program Director is a credentialed Physician Assistant (PA), responsible for daily ... **Job Description** **Exciting Opportunity for OR-Experienced Physician Assistants!** Join The Mount Sinai Hospital and become an operational leader. Gain hands-on… more
    Mount Sinai Health System (12/16/25)
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  • System VP Utilization Management

    CommonSpirit Health (Phoenix, AZ)
    …an expert on matters regarding physician practice patterns, over and under- utilization of resources, medical necessity, levels of care, care progression, ... Management: Develop and implement cost-control strategies that reduce unnecessary medical expenses while maintaining high-quality care. Monitor utilization more
    CommonSpirit Health (01/10/26)
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  • Nurse Manager - Utilization Review

    Huron Consulting Group (Chicago, IL)
    …agencies, and hospital contractual payor agreements. This position reports to the Director of Utilization Management and works with hospital leadership to ... staff and function for the system, reporting to the Director of Utilization Management within Revenue Cycle....intensity of services, escalating cases as necessary to payers, physician advisors, leadership, or the medical team.… more
    Huron Consulting Group (11/27/25)
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