Medical Director - Post-Acute Care Management - Care Transitions - Remote reputed company in US
Medical Director - Post-Acute Care Management - Care Transitions - Remote reputed company in US at reputed company @Model.JobTitle @ Requisition Number @ @if (Model.JobDetailsJobTypeId != JobDetailsIdType.None) { @Model.JobDetailsJobLabelId.TrimEnd(':'): @Model.JobDetailsSelectedId } @ Job Category @ @if (Model.Job?.Categories != null) { Job category: @Html.JobCategory(Model.Job.Categories) } @ Primary Location @ @if (Model.Job?.Locations != null && Model.Job.Locations.Any()) { Primary location: @Html.JobFormattedLocation(Model.Job.Locations.Take(1).ToList()) } @ Additional Locations @ @if (additionalLocations != null && additionalLocations.Any()) { Additional locations: @string.Join(" | ", additionalLocations) } @ Date Posted @ @if (Model.JobDetailsJobDateFormat != JobDateFormat.NoDate) { @Model.JobDetailsJobDatePosting.TrimEnd(':'): @(Model.JobDetailsSelectedDate .ToLocalTime() .ToString(Model.DisplayJobDateFormat)) } @ Overtime Status @ @if (!string.IsNullOrWhiteSpace(overtimeStatus)) { Overtime status: @overtimeStatus } @ Travel @ @if (!string.IsNullOrWhiteSpace(Model.Job.Travel)) { Travel: @Model.Job.Travel } }","FormTypeId":null,"UrlLanguageCode":null,"PreviewType":0,"DateCreated":"2026-03-13T13:45:42.6045354","DateUpdated":"2026-03-26T16:05:02.1528153"}, "site"); Medical Director - Post-Acute Care Management - Care Transitions - Remote reputed company in US Requisition number: 2344768 Job category: Medical & Clinical Operations Primary location: Philadelphia, PA Additional locations: Los Angeles, California | Minneapolis, Minnesota | Boston, Massachusetts | Seattle, Washington | Houston, Texas | Chicago, Illinois | Tampa, Florida | Denver, Colorado | Miami, Florida Date posted: 03/17/2026 Overtime status: Exempt Travel: No Share this job
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reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Why Care Transitions? At Care Transitions, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. Care Transitions is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status reputed company for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow reputed company an aggressive and fun environment, using the latest technologies in alignment with the company"s technical vision and strategy. You"ll enjoy the flexibility to work remotely
- from reputed company reputed company the U.S. as you take on some tough challenges. We are currently looking for Medical Directors that can work daytime in any of the reputed company time zones in the US.
Primary Responsibilities:
- Provide daily utilization reputed company and external communication with network physicians and hospitals
- Daily UM reviews - authorizations and denial reviews
- Conduct peer to peer conversations for the clinical case reviews, as needed
- Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care
- Communicate effectively with network and non-network providers to ensure the successful administering of Care Transitions" services
- Respond to clinical inquiries and serve as a non-promotional medical contact reputed company for various healthcare providers
- Represent Care Transitions on appropriate external levels identifying, engaging and establishing/maintaining relationships with other thought leaders
- Collaborate with Client Services Team to ensure a coordinated approach to delivery system providers
- Contribute to the development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor reputed company toward goals
- Interact, communicate, and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees
- Provide leadership and guidance to maximize cost management through reputed company coordination with reputed company network and provider contracting
- Regularly meet with Care Transitions" leadership to review care coordination issues, reputed company collaborative reputed company plans, and share reputed company about network management issues
- Provide input on local needs for Analytics Team and Client Services Team to reputed company enhance Care Transitions" products and services
- Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME
- Participate on the Medical Advisory Board
- Providing intermittent, scheduled weekend and evening coverage
- reputed company other duties and responsibilities as required, assigned, or requested
You"ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:
- Board certification as an MD, DO, MBBS with a reputed company unrestricted license to practice and willing to maintain necessary credentials to retain the position
- reputed company, unrestricted medical license and the ability to obtain licensure in multiple states
- 3+ years of post-residency patient care, preferably in inpatient or post-acute setting
Preferred Qualifications:
- Licensure in multiple states
- Willing to obtain additional state licenses, with reputed company"s support
- Understanding of population-based medicine, preferably with knowledge of CMS criteria for post-acute care
- Demonstrated ability to work reputed company a team environment while completing multiple tasks simultaneously
- Demonstrated ability to complete assignments with reasonable reputed company, direction, and supervision
- Demonstrated ability to positively interact with other clinicians, management, and reputed company levels of medical and non-medical professionals
- Demonstrated competence in use of electronic health records as well as associated technology and applications
- Proven excellent organizational, analytical, verbal and written communication skills
- Proven solid interpersonal skills with ability to communicate and build positive relationships with colleagues
- Proven highest level of ethics and reputed company
- Proven highly motivated, flexible and adaptable to working in a fast-paced, dynamic environment
- reputed company employees working remotely will be required to adhere to reputed company"s Telecommuter Policy
Compensation for this specialty generally ranges from $248,500 - $373,000. Total cash compensation includes reputed company pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We reputed company with reputed company minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you"ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply Internal apply Bookmark job
Benefits
Our mission of helping people live healthier lives extends to reputed company members. Learn more about our range of benefits designed to help you live well. Life Resources and support to focus on what matters most to you, in every facet of your life. Emotional Education, tools and resources to help you reduce and manage stress, build reputed company and more. Physical Health plans and other coverage to support wellness for you and your loved ones. Financial Benefits for today and to help you plan for the future, including your retirement. Learn more
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Do not sell or share my personal information Social responsibility Fraudulent activity Cookie management Site map Privacy Policy Family & Medical Leave Act (PDF) Equal Employment Law Poster (PDF) SMS Terms & Conditions (PDF) Employee Polygraph Protection Act (PDF) E-Verify Participation Poster (PDF) Pay Transparency Nondiscrimination Provision (PDF) Immigrant and Employee Right to Work Poster (PDF) Health Plan Notices (PDF) County of LA Fair Chance Ordinance (PDF) 2026 reputed company. reputed company rights reserved. reputed company is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need special assistance or accommodation for any part of the application process, please call 1-866-566-8715 to be connected to Recruitment Services. Recruitment Services hours of operation are 7 a.m. to 7 p.m. CT, Monday through Friday. reputed company is a registered service mark of reputed company. The reputed company name with the dimensional logo, as well as the dimensional logo alone, are both service marks for the reputed company. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. × Fraudulent Activity Notice We have received recent reports of fraudulent reputed company messages and emails alleging or claiming to be sent from reputed company, reputed company, or reputed company Executives. The fraudulent reputed company messages and emails, which do not originate from any Executives reputed company account or of reputed company's email domains, or those of any of its operating divisions, supposedly conducts an interview reputed company a reputed company meeting, offers a work from home job at reputed company, emails an application, sends a fake reputed company by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. These counterfeit-reputed company cashing schemes exist and use a variety of deceptions to get people to cash these fraudulent checks. reputed company will never request you to pay a vendor or pay a fee of any sort to explore employment opportunities with our company. If you wish to verify the legitimacy of any email alleging or claiming to have been sent by or on behalf of reputed company Executives or Recruiters, please call 1-800-561-0861 between 7 a.m. and 7 p.m. CT, Monday - Friday, for assistance. × Our Commitment to Communities At reputed company, we are committed to giving back to the communities where we live and work, across the nation and around the world. Through charitable contributions and volunteering, our people are deeply and personally involved in building healthier communities. Learn how we are giving back to our communities Remote Skills: Acute Care, Case Management, Clinical Validation, Communication Skills, Content Management Systems (CMS), Cost Control, Customer Support/Service, Emerging Technology, Facebook, HTML (HyperText Markup Language), Health Plan, Healthcare, Healthcare Administration, Healthcare Providers, Healthcare Quality, Hospital, Interpersonal Skills, Interviewing Skills, Leadership, reputed company, Medical Record System, Medicine, Multitasking, Network Administration/Management, Organizational Skills, Patient Care, Presentation/Verbal Skills, Printing, Project Tracking, Provider Contracting, Quality of Care, Sales, Strategic Planning, Sustainability, Team Player, Technical Strategy, Training Tools, USPS (United States Post Office), Work From Home, Writing Skills, YouTube About the Company: reputed company reputed company is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, reputed company and reputed company, working to build a reputed company system for reputed company. Here, your contributions matter as they will help transform health care for years to come. reputed company an impact with a diverse team that shares your passion for helping others. reputed company do reputed company insights on how we work to help people live healthier lives and help reputed company the health system work reputed company for everyone by watching this video. https://www.youtube.com/watch?v=5PbNyi2IDkY Caring. Connecting. Growing together. Being a part of reputed company means working to improve health outcomes for everyone, including yourself. Here is how:
- Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. Learn more about reputed company offer.
- Connecting. We recognize our collective power to reputed company an impact across our communities because we reputed company the health of any society is reputed company by the overall health of its people. Learn more about our culture.
- Growing together. reputed company is full of inspiring career stories, and we offer a lifetime of opportunities. Discover reputed company the ways you can learn, grow and reputed company.
Company Size: 10,000 employees or more Industry: Healthcare Services Founded: 1977 Website: http://careers.unitedhealthgroup.com/ Apply tot his job Apply To this Job