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Remote Medical Director, Utilization & Policy Review

Remote / Online - Candidates ideally in
Frankfort, Franklin County, Kentucky, 40601, USA
Listing for: CAI
Full Time, Remote/Work from Home position
Listed on 2026-10-18
Job specializations:
  • Doctor/Physician
    Medical Doctor, Chief Medical Officer / Medical Director, Healthcare Consultant, Emergency Medicine Physician
Salary/Wage Range or Industry Benchmark: 234000 - 276000 USD Yearly USD 234000.00 276000.00 YEAR
Job Description & How to Apply Below

CAI is seeking a Medical Director to oversee utilization management, ensuring compliance with current clinical standards. This full-time, remote role requires board-certified MD/DO with licensure in PA, NY or WV and at least 5 years of direct patient care.

You will review cases, draft rationales, and participate in multidisciplinary teams to guide medical decision-making while maintaining policy alignment with NCQA, URAC, CMS, and related regulations.

Our organisation is growing, and we are hiring a Remote Medical Director, Utilization & Policy Review in Frankfort, KY, United States.

We aim to respond to suitable candidates as soon as possible.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote Medical Director, Utilization & Policy Review role in the description above.

We appreciate your interest in this position.

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