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Remote Jobs with Board Certification Certification

54 fresh jobs found

Associate Medical Director, Orthopedic Surgery
United States

Cohere Health Remote-first

Orthopedic surgery Evidence-Based Guidelines Peer-to-peer discussions Software tools Clinical Review Medical necessity Clinical Intelligence Clinical Acumen Utilization Review +12

Senior Mid Full Time

USD 200K+

Associate Medical Director, Utilization Management
United States

Cohere Health Remote-first

Medical necessity documentation Managed Care Knowledge Evidence-Based Guidelines Peer-to-peer discussions Clinical Decision Making Software tools Clinical Review Medical necessity Clinical Intelligence +12

Senior Mid Full Time

USD 200K+

Clinical Quality Manager, MD/DO
Remote

Included Health

Systems-oriented Satisfaction evaluation Complaint investigation Clinical Quality Healthcare quality Patient Safety Spreadsheets Patient outcomes Manual Dexterity +26

USD 25K+

Medical Director - Florida
Remote US

Home health services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Inpatient rehabilitation Post-acute care Clinical group practice management Hospitalist +81

Exec Senior Full Time

USD 223K+

Medical Director, Clinical Strategy, Diagnostic Imaging
United States

Cohere Health Remote-first

Clinical outcomes Content Ideation Healthcare partnerships Clinical program design Software tools Clinical Quality Clinical Strategy Quality Metrics Diagnostic Imaging +27

Exec Senior Full Time

USD 250K+

Staff Physician - Virtual Primary Care (Family Medicine)
Ohio

Included Health

Preventive health Family Medicine Chronic Disease Management In-person care Acute care Specialty care Care Navigation Disease Management Urgent care +17

Senior Mid Full Time

USD 25K+

Staff Physician - Virtual Primary Care (Family Medicine)
Minnesota

Included Health

Preventive health Care Plan Development Family Medicine Chronic Disease Management In-person care Acute care Specialty care Care Navigation Disease Management +19

Senior Mid Full Time

USD 25K+

Staff Physician - Virtual Primary Care (Family Medicine)
Texas

Included Health

Preventive health Family Medicine Chronic Disease Management In-person care Acute care Specialty care Care Navigation Disease Management Urgent care +17

Senior Full Time

USD 25K+

Staff Physician - Virtual Primary Care (Family Medicine)
Remote

Included Health

Preventive Health Services Preventive health Family Medicine Chronic Disease Management In-person care Acute care Specialty care Care Navigation Evidence-Based Care +20

Senior Mid Full Time

USD 25K+

Reviewing Medical Director
Remote US

Grievance processes Care facilitation Post-acute services Health claims review Grievance and appeals processes Outpatient services Commercial health insurance Post-acute care Inpatient rehabilitation +93

Exec Senior Full Time

USD 199K+

Physician Reviewer, Utilization Management
Remote

Medical necessity criteria Workflow Tools Evidence-Based Guidelines Clinical Review Clinical Acumen Technology Platform Utilization Review Clinical Practice Utilization management +11

Senior Full Time

USD 211K+

Virtual Primary Care Nurse Practitioner
Remote

Included Health

Preventive Care Evidence-based medicine Clinical Guidance Chronic Disease Management In-person care Specialty care Nurse Practitioner Acute care Care Navigation +21

Senior Mid Full Time

USD 25K+

Medical Director - Southeast Region
Remote US

Health claims review Post-acute services Grievance and appeals processes Outpatient services Social determinants Inpatient rehabilitation Commercial health insurance Post-acute care Coding practices +80

Exec Senior Full Time

USD 199K+

Medical Director
USA - Remote

Clinical/anatomic pathologist Clinical chemist Immunoassays Clinical pathologist In vitro diagnostics Clinical Laboratory Laboratory Diagnostics Adverse event reporting Flow cytometry +22

Exec Mid Full Time

USD 285K+

Medical Director
Remote, US

Clinical governance EHRs Compliance requirements Clinical Leadership G Suite Quality improvement Telehealth Risk Management Data analysis +4

Exec Senior Full Time

USD 250K+

Remote Psychiatric Nurse Practitioner
AZ - Remote

Individualized service plans Psychiatric assessment Psychiatric assessments Service plan review AdvancedMD Medication prescription Case consultation Clinical Consultation Prescriptive authority +9

USD 140K+

Remote Psychiatric Nurse Practitioner
AR - Remote

EMR understanding Service plan review Individualized service plans Psychiatric assessments AdvancedMD Medication prescription Case consultation Client Consultation Prescriptive authority +9

USD 176K+

Medical Director - Gulf South
Remote US

Health claims review Commercial health insurance Outpatient services Grievance and appeals processes Social determinants Hospitalist Clinical group practice management Clinical reference materials Inpatient rehabilitation +81

Exec Senior Full Time

USD 199K+

NP/PA - Virtual Health Assessment (Bilingual)
Remote

ENP AANP ANCC HEDIS quality measures PA NCCPA FNP Clinical documentation improvement Healthcare delivery system +18

USD 104K+

NP/PA - Virtual Health Assessment (Bilingual)
Texas, United States

ENP AANP ANCC HEDIS quality measures PA NCCPA FNP Clinical documentation improvement Healthcare delivery system +18

USD 104K+

NP/PA - Oscar Primary Care (Bilingual)
Remote

FNP PA NCCPA ANCC ENP AANP Continuity of care Remote diagnostics Home monitoring tools +20

USD 130K+

Medical Director - Pharmacy Appeals
Remote US

Medicare rules Commercial health insurance Clinical group practice management CMS policies Humana policies National Guidelines Rules Business Metrics Practice Management +55

Exec Senior Full Time

USD 199K+

Assistant Medical Director
WA Western Telecommuter

Premera Blue Cross

Medical policy criteria Care transition management Claims review RBRVS InterQual MCG Clinical Review Medical necessity ICD +8

Exec Senior Full Time

USD 203K+

Associate Laboratory Director (Hybrid-Aliso Viejo, CA or REMOTE, USA)
Aliso Viejo, California, United States

Variant classification Laboratory Testing Office Software Molecular genetics Bioinformatics Mathematical CAP CLIA Technical Troubleshooting +8

Senior Mid Full Time

USD 170K+

Medical Director - Grievances and Appeals
Remote US

Health claims review Rehab Hospitalist Geriatrics Medical background Family practice Medical interpretation Internal Medicine Medical Director +42

Exec Senior Full Time

USD 241K+

Senior Director, Clinical Research, Metabolism
USA - New Jersey - Rahway

Metabolic disorders Metabolism Clinical Medicine Investigational new drug applications Clinical Trials Design Clinical Development Strategies Biomedical Research Early clinical development Research Experience +45

Senior Full Time

USD 268K+

Medical Director- Pharmacy
Chicago Illinois HQ (300 E. Randolph Street)

Health Care Service Corporation

Medical reviews Medical policies Lotus Notes Clinical Experience Managed Care Strategic Thinking Business Microsoft Office Documentation +2

Exec Senior Full Time

USD 183K+

Clinical Quality Manager
Remote

Included Health

Satisfaction evaluation Complaint investigation Healthcare quality Patient Safety Clinical Quality Patient outcomes Manual Dexterity Spreadsheets Quality improvement +23

USD 25K+

Senior Director of Medical Safety and Compliance
USA - Remote

Clinical Innovation Medical Safety In vitro diagnostics Clinical Laboratory Adverse event reporting Clinical Consultation Regulatory Submissions Risk assessments Medical Affairs +19

Senior Full Time

USD 300K+

Physician, Urgent Care (Part-Time)
Nevada

Included Health

Diagnostic Tests Referral Family Medicine Specialty care In-person care Manual Dexterity Care Navigation Triage Urgent care +21

USD 139K+

Physician, Urgent Care (Part-Time)
Denver, CO

Included Health

Diagnostic Tests Referral Family Medicine In-person care Specialty care Manual Dexterity Care Navigation Triage Urgent care +23

USD 139K+

Physician, Urgent Care (Part-Time)
Arizona

Included Health

Adult Care Diagnostic Tests Pediatric care Referral Family Medicine In-person care Specialty care Manual Dexterity Care Navigation +25

USD 139K+

Physician, Urgent Care (Part-Time)
Washington

Included Health

Diagnostic Tests Referral Family Medicine In-person care Specialty care Manual Dexterity Care Navigation Triage Urgent care +22

USD 139K+

Remote Psychiatric Nurse Practitioner
MA - Remote

Psychiatric assessment Service plan review Individualized service plans Psychiatric assessments Medication prescription AdvancedMD Prescriptive authority Clinical Consultation Psychiatric Mental Health +9

USD 145K+

Associate Medical Director, Cardiology
United States

Cohere Health Remote-first

Vascular medicine Clinical Decision Making Peer-to-peer discussions Evidence-Based Guidelines Software tools Clinical Intelligence Medical necessity Clinical Acumen Clinical Review +10

Senior Mid Full Time

USD 240K+

Principal Scientist Translational Pharmacology, Vaccines
USA - Pennsylvania - West Point

Experimental medicine Preventative medicine Lead optimization Vaccine Development Target identification Biomarker strategies Translational Medicine Infectious Diseases Metabolism +68

Senior Full Time

USD 243K+

Medical Director - National Medicare Team
Remote US

Commercial health insurance Project team participation Managed Care Knowledge Clinical Standards Clinical group practice management Humana policies Medical interpretation Medical background National Guidelines +42

Exec Senior Full Time

USD 199K+

Nurse Practitioner, Women’s Health (CCM)
Remote

Included Health

Maternity Care Infertility Multidisciplinary Team Collaboration Holistic Care Patient-centered care Obstetrics Manual Dexterity Patient advocacy In-person care +22

USD 25K+

Virtual Primary Care Nurse Practitioner
Arkansas

Included Health

Preventive Care Evidence-based medicine Clinical Guidance Manual Dexterity Chronic Disease Management Acute care Disease Management Nurse Practitioner Care Navigation +18

Senior Mid Full Time

USD 25K+

Virtual Primary Care Nurse Practitioner
Iowa

Included Health

Preventive Care Evidence-based medicine Clinical Guidance Manual Dexterity Chronic Disease Management Acute care Disease Management Nurse Practitioner Care Navigation +18

Senior Mid Full Time

USD 25K+

Virtual Primary Care Nurse Practitioner
New Mexico

Included Health

Preventive Care Evidence-based medicine Clinical Guidance Manual Dexterity Chronic Disease Management Acute care Disease Management Nurse Practitioner Care Navigation +18

Senior Mid Full Time

USD 25K+

Virtual Primary Care Nurse Practitioner
Arizona

Included Health

Preventive Care Evidence-based medicine Clinical Guidance Manual Dexterity Chronic Disease Management Acute care Disease Management Nurse Practitioner Care Navigation +18

Senior Mid Full Time

USD 25K+

Virtual Primary Care Nurse Practitioner
Minnesota

Included Health

Preventive Care Evidence-based medicine Clinical Guidance Manual Dexterity Chronic Disease Management Acute care Disease Management Nurse Practitioner Clinical assessment +19

Senior Mid Full Time

USD 25K+

Physician (Part-Time, 51 State Licenses)
United States - Remote

Drug therapy Functional medicine Weight loss Strong Communication Diagnostic Testing Cultural Competency Urgent care Primary Care Virtual care +5

Senior Mid Contract Part Time

USD 137K+

Physician (Contract) - Remote
San Francisco, CA

Biomarker monitoring Medication management Digital Health Nutrition EHR Telemedicine Patient care Machine Learning

USD 220K+

Nurse Practitioner (Contract) - Remote
San Francisco, CA

Biomarker monitoring EHR documentation Medication management Digital Health Nutrition EHR Telemedicine Patient care Machine Learning

Entry Mid Contract

USD 130K+

Nurse Practitioner - Virtual Primary Care
Texas

Included Health

Preventive Care Evidence-based medicine Manual Dexterity Clinical Guidance Chronic Disease Management Acute care Disease Management Nurse Practitioner In-person care +22

Senior Mid Full Time

USD 25K+

Nurse Practitioner - Virtual Primary Care
Ohio

Included Health

Preventive Care Evidence-based medicine Manual Dexterity Clinical Guidance Chronic Disease Management Acute care Disease Management Nurse Practitioner In-person care +22

Senior Mid Full Time

USD 25K+

Nurse Practitioner - Virtual Primary Care
North Carolina

Included Health

Preventive Care Evidence-based medicine Manual Dexterity Clinical Guidance Chronic Disease Management Acute care Disease Management In-person care Specialty care +21

Senior Mid Full Time

USD 25K+

Nurse Practitioner - Virtual Primary Care
Virginia

Included Health

Preventive Care Evidence-based medicine Manual Dexterity Clinical Guidance Chronic Disease Management Acute care Disease Management Nurse Practitioner Clinical assessment +23

Senior Mid Full Time

USD 25K+

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