ZipRecruiter

Log In

1

Director Medical Management Jobs (NOW HIRING)

Managed Staffing

Medical Director/Medical Officer

RI · Remote

$130 - $135/hr

Medical Director (Remote - USA) 100% Remote | Must have an active, unrestricted state medical ... Provide clinical oversight and decision-making to support medical management programs. * Oversee ...

Point32Health

Director, Medical Policy

Canton, MA · On-site

Effective stakeholder management is a critical function of a director. Key Responsibilities/Duties - what you will be doing (top five): * Medical Policy * Responsible for all initiatives, project ...

Socket.dev

Director, Medical Communications

Palo Alto, CA · On-site

$203 - $253/hr

Director, Medical Communications will lead the development and execution of a comprehensive medical ... This role will oversee and manage scientific communications platforms and contribute to medical ...

next page

Showing results 1-20

All JobsHealthcare JobsHospital JobsDirector Medical Management Jobs

Director Medical Management information

See salary details

$13K

$232.4K

$357K

How much do director medical management jobs pay per year?

As of Sep 4, 2026, the average yearly pay for director medical management in the United States is $232,369.00, according to ZipRecruiter salary data. Most workers in this role earn between $198,000.00 and $284,500.00 per year, depending on experience, location, and employer.

What is the difference between Director Medical Management vs Medical Case Manager?

AspectDirector Medical ManagementMedical Case Manager
CredentialsTypically requires a healthcare-related degree and management experienceLicensed healthcare professionals, often registered nurses or social workers
Work EnvironmentSenior leadership in healthcare organizations, overseeing teams and policiesDirect patient interaction, assessing and coordinating care
Employer & IndustryHospitals, insurance companies, healthcare systemsInsurance companies, healthcare providers, community agencies

The main difference is that the Director Medical Management focuses on overseeing medical management programs and teams at an organizational level, while the Medical Case Manager directly manages individual patient cases, coordinating care and services. Both roles require healthcare knowledge, but the director role emphasizes leadership and strategy, whereas the case manager role emphasizes patient care coordination.

What cities are hiring for Director Medical Management jobs?

Cities with the most Director Medical Management job openings:

What are the most commonly searched types of Medical Management jobs?

The most popular types of Medical Management jobs are:

What states have the most Director Medical Management jobs?

States with the most job openings for Director Medical Management jobs include:

Director Medical Management jobs near you
Infographic showing various Director Medical Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 15% Part Time, and 7% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $232,369 per year, or $111.7 per hour.

Sr. Med Dir, Med Mgmt

University of Massachusetts Medical School

Boston, MA • On-site

$220K - $260K/yr

Full-time

Re-posted 10 days ago

Job description

Overview
The Senior Medical Director for Medical Management will lead medical management strategy and operations for the MassHealth Office of Clinical Affairs to ensure the delivery of medically necessary, cost-effective, and high quality care for MassHealth members. Working closely with clinical and operational leaders within the Office of Clinical Affairs, this leader will oversee program initiatives related to utilization management (including prior authorizations), medical coverage policy, and care management.
Responsibilities
Medical Management Strategy and Policy
• Leads development and implementation of Office of Clinical Affairs strategy for medical management to ensure appropriate, efficient, and high quality care delivery
• Collects, analyzes and reports on medical management metrics to identify trends and recommend interventions
• Accountable to improving efficiency, cost-effectiveness, and quality in OCA's medical management programs, including through use of new technology as appropriate
• Contributes to MassHealth's cross-agency medical management strategy
Medical Management Programs
• Oversees Office of Clinical Affairs Medical Management Programs and functions
• Oversees and contributes to OCA utilization management initiatives, including related to prior authorization, concurrent review, and retrospective review
• Oversees and contributes to development and implementation of clinical coverage policies, including assessment of new and existing technologies.
• Oversees and contributes to clinical reviews of providers
• Reviews, analyzes, and responds to quality and safety data
• Ensures high-performing medical management programs that adhere to all relevant regulatory and other requirements, including those set forth by CMS and other oversight entities
Stakeholder Engagement
• Advises and collaborates with the Chief Medical Officer (CMO) and Medical Directors on
strategic issues involving medical management programs
• Serves as a lead interface for OCA medical management programs with other teams throughout the agency
• Leads and/or supports external stakeholder engagements regarding coverage and medical management of services for MassHealth members
Leadership
• Manages clinical and non-clinical staff who are directly responsible for executing on OCA's medical management initiatives
• Ensures Medical Management staff maintain up-to-date knowledge, skills and abilities
related to the administration of assigned responsibilities and functions
• Oversees relevant contractors performing utilization management reviews on behalf of OCA/MassHealth
Other
• May engage in other clinical policies and program work within the MassHealth portfolio
• Other duties as assigned
Qualifications
LICENSURE/CERTIFICATION
• Current, unrestricted physician license in Massachusetts throughout employment with OCA
REQUIRED EDUCATION
• M.D. or D.O. degree required
• Board Certified in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards; Internal Medicine or Family Medicine preferred
REQUIRED QUALIFICATIONS
• At least 5 years experience in direct patient care post-residency
• At least 5 years experience in utilization management in a managed care organization/health plan
• In active clinical practice throughout employment with the Office of Clinical Affairs; internal medicine or family medicine preferred
• Thorough knowledge of the principles and practices of medical management including utilization management
• Excellent oral and written communication and presentation skills
• Must work two days per week on site in Boston and/or Quincy during normal business hours
Additional Information
Preferred Qualifications:
PREFERRED EDUCATION
  • Master of Health Administration (MHA), Master of Public Health (MPH), or Master of Business Administration (MBA) in Healthcare Management preferred

PREFERRED QUALIFICATIONS
  • Demonstrated commitment to serving Medicaid patients
  • Thorough knowledge of Medicaid and related regulations

#LI-AC1
#LI-Hybrid

Apply