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Medical Director

Long Beach, CA 90802

Posted: 06/26/2025 Industry: Healthcare Job Number: 48306799 Pay Rate: $119.25 / hour

Job Description

Contract Medical Directors Needed – Remote | $180/hr | KY-Licensed MDs Only Client: Our client, a major healthcare organization

Location: Remote – Must hold active Kentucky medical license
Pay Rate: $180/hour (1099 contract)About the Role:We are hiring contract Medical Directors to support a critical system migration initiative. 
  • Two MDs are needed for 40 hours/week
  • One MD is needed for 20 hours/week
Please specify in your submission which schedule (40 or 20 hours per week) the candidate is interested in and available for.Ideal Candidates:
  • Licensed to practice in Kentucky (required)
  • Board Certified (or eligible) in Primary Care, Family Medicine, or Pediatrics (preferred)
  • Experience with Utilization Management (UM) is strongly preferred
  • Able to complete credentialing, background checks, and contract paperwork promptly
Key Responsibilities:
  • Provide medical oversight of utilization management and clinical care reviews
  • Evaluate authorization requests for medical necessity and regulatory compliance
  • Participate in clinical appeals, quality reviews, and adverse incident investigations
  • Support implementation of medical policies and quality improvement initiatives
  • Liaise between medical staff and administrative leadership
  • Monitor care delivery across hospitals, skilled nursing facilities, and home settings
  • Contribute to NCQA and URAC readiness and regulatory compliance activities
Required Qualifications:
  • MD or DO with active, unrestricted Kentucky medical license
  • Minimum 3 years of clinical experience
  • At least 2 years of experience as a Medical Director in clinical or managed care settings
  • Strong knowledge of Medicaid, Medicare, and managed healthcare systems
  • Excellent communication, leadership, and analytical skills
Preferred Qualifications:
  • Experience with NCQA, HEDIS, Pharmacy Benefit Management, and Quality/Utilization Management
  • Master’s degree in Public Health, Healthcare Administration, or Business
  • Familiarity with peer review, provider contracting, and evidence-based clinical practice
Job Types: Contract, TemporaryPay: $180.00 per hourExpected hours: No less than 20 per weekSchedule:

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