Medical Claims Review Medical Director - Remote in United States
Optum/UHG · Atlanta, Georgia, United States · US
Utilization Review
Remote
physician
Pharmacist
Demand75
Career growth68
Healthcare fit72
Remote potential100
5-year outlook
Physician compensation for utilization review medical directors is typically competitive and stable, with growth depending on leadership scope and organizational demand. Exact salary varies by location, experience, and employer.
Clinical license
Required
Applicant reach
narrow
Seniority
senior
Employment type
–
Date found
2026-11-08
Intelligence details
Flexible work details
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Pharmacist
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
A strong option for board-certified physicians with 5+ years of clinical experience who want remote, non-clinical utilization review work. Clinicians without a medical license or board certification should not apply.
Who should apply
Board-certified MD/DO physicians with at least 5 years of clinical practice, especially those interested in utilization management, insurance claims review, managed care, or remote non-clinical careers.
CV angle
Emphasize clinical decision-making, knowledge of medical necessity and benefit interpretation, experience communicating with providers, quality improvement, and documentation. Frame any utilization review, peer-to-peer, or managed care exposure as directly relevant.
Skills to highlight
- Utilization management
- Medical necessity review
- Benefit coverage determination
- Peer-to-peer provider communication
- Clinical documentation
- Quality improvement
- Cost-effective care
- Regulatory and accreditation compliance
Role summary
A remote physician role reviewing medical claims and service requests to determine benefit coverage and medical necessity, collaborating with providers and internal teams to support cost-effective, high-quality care.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.