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Insurance Medical Director Jobs (NOW HIRING)

Medical Director

Manhattan, NY ยท On-site

$300K - $325K/yr

Medical Director REPORTS : Executive Management DEPARTMENT : Medical FLSA CODE : Exempt PROGRAM ... Medical Insurance (Two Plans) * Dental and Vision Insurance * Additional Insurance Coverages ...

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Medical Director

Bowdon, GA ยท On-site

$10K - $50K/yr

Comprehensive health, vision, and dental insurance * Medical Director leadership stipend * Competitive compensation model with bonus potential How We Invest in You We believe that great doctors ...

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Medical Director

New Haven, CT ยท Hybrid

$300K - $450K/yr

Medical Director for our Healthcare Provider Services Compensation: $300,000 - $450,000 Benefits ... Medical, dental, vision, life insurance, long-term and short-term disability insurance and 401K ...

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Identity Theft Insurance * 401k with Safe Harbor Plan match Summary: The Medical Director ensures delivery of high-quality, integrated, and patient-centered medical and vision care. The Medical ...

Identity Theft Insurance * 401k with Safe Harbor Plan match Summary: The Medical Director ensures delivery of high-quality, integrated, and patient-centered medical and vision care. The Medical ...

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Identity Theft Insurance * 401k with Safe Harbor Plan match Summary: The Medical Director ensures delivery of high-quality, integrated, and patient-centered medical and vision care. The Medical ...

Fully covered Malpractice Insurance * Competitive compensation * Administrative and billing/coding support services Responsibilities * The physician will serve as the Medical Director for skilled ...

Fully covered Malpractice Insurance * Competitive compensation * Administrative and billing/coding support services Responsibilities * The physician will serve as the Medical Director for skilled ...

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Medical Director

Boca Raton, FL ยท On-site

$400K/yr

Medical Director Functional Medicine | Longevity | Weight Loss Boca Raton, Florida Our client is a ... Medical Malpractice Insurance Covered * Annual Licenses & Certifications Covered * A4M Conference ...

Fully covered Malpractice Insurance * Competitive compensation * Administrative and billing/coding support services * The physician will serve as the Medical Director for skilled nursing facilities ...

The Medical Director directs, plans, and coordinates activities of employees engaged in medical ... Valid driver's license, proof of adequate automobile liability insurance and reliable ...

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Insurance Medical Director information

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$13K

$232.4K

$357K

How much do insurance medical director jobs pay per year?

As of Jun 30, 2026, the average yearly pay for insurance medical director 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 are the key skills and qualifications needed to thrive in the Insurance Medical Director position, and why are they important?

To thrive as an Insurance Medical Director, you need a medical degree (MD or DO), board certification, clinical expertise, and experience with healthcare regulations and utilization review. Familiarity with claims management systems, ICD-10 coding, and tools like Milliman or InterQual guidelines is often required. Strong analytical skills, clear written and verbal communication, and the ability to make objective decisions are essential soft skills. These competencies are crucial for ensuring ethical, evidence-based determinations that balance patient care with organizational and regulatory requirements.

What does an Insurance Medical Director do?

An Insurance Medical Director is a physician who reviews medical claims, evaluates policyholder cases, and ensures treatments align with insurance guidelines. They analyze complex medical information to determine coverage eligibility and assess the necessity of procedures. They also collaborate with claims adjusters, underwriters, and other medical professionals to ensure fair and accurate decision-making. Their role helps insurance companies manage risk while maintaining compliance with healthcare regulations.

What are the typical daily responsibilities of an Insurance Medical Director?

Insurance Medical Directors typically review medical claims, assess prior authorization requests, and provide clinical guidance on complex cases to ensure that coverage decisions comply with current medical standards and company policies. They also collaborate closely with underwriters, case managers, and other healthcare professionals, participating in multidisciplinary meetings and developing policies for medical management. Additionally, Insurance Medical Directors may engage in quality improvement initiatives, conduct peer reviews, and assist in training staff on clinical procedures and regulatory changes. The role requires a balance of high-level decision-making, medical expertise, and effective communication with both internal teams and external providers.

More about Insurance Medical Director jobs
What cities are hiring for Insurance Medical Director jobs? Cities with the most Insurance Medical Director job openings:
What states have the most Insurance Medical Director jobs? States with the most job openings for Insurance Medical Director jobs include:
What job categories do people searching Insurance Medical Director jobs look for? The top searched job categories for Insurance Medical Director jobs are:
Infographic showing various Insurance Medical Director job openings in the United States as of June 2026, with employment types broken down into 28% Full Time, 57% Part Time, and 15% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $232,369 per year, or $111.7 per hour.
Medical Director

Medical Director

Odyssey House INC

Manhattan, NY โ€ข On-site

$300K - $325K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

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Job description

TITLE: Medical Director

REPORTS: Executive Management

DEPARTMENT: Medical

FLSA CODE: Exempt

PROGRAM: OASAS Certified Residential and Outpatient Services

LOCATION: Varies: East Harlem, Ward's Island and Bronx Locations

_________________________________________________________________________________

Our Mission:

Since 1967, Odyssey House has been providing innovative services and programs to a broad population of individuals and families struggling with substance use and mental health disorders. Odyssey House helps New Yorkers of all agesโ€”and across all five boroughsโ€”beat drugs and alcohol with highly individualized treatment programs. Odyssey House provides high quality, holistic treatment impacting all major life spheres, including psychological, physical, social, family, educational and spiritual to support personal rehabilitation, renewal and family restoration.

If that sounds different than other treatment programs, youโ€™re right. Because Odyssey is where recovery gets real.

In addition to competitive salaries, Odyssey House offers:

  • A 35-hour work week (as opposed to a 40-hour work week)
  • Vacation Plan and Holiday Schedule
  • Life Insurance
  • Medical Insurance (Two Plans)
  • Dental and Vision Insurance
  • Additional Insurance Coverages (hospitalization, accidental, critical illness coverage)
  • Long-Term & Short-Term Disability
  • Flexible Spending Account/Health Reimbursement Account
  • 403(b) Plan
  • Corporate Counseling Associates (CCA) EAP benefit
  • Ability Assist Counseling Services (through The Hartford)
  • Commuter Benefits
  • Educational Assistance Programs
  • Special shopping discounts through ADP Marketplace and PlumBenefits
  • RUFit?! Fitness Program
  • Legal Assistance through ARAG
  • Optum Financial Service through ConnectYourCare
  • Benefit Advocacy Center through Gallagher

MAJOR FUNCTIONS:

The Medical Director is a multi-function, executive level position, encompassing responsibilities in medical administration and medical supervision, patient medical services and program development. The Medical Director is responsible for ensuring a high level of quality care and adherence to all applicable Federal, State and Local laws and regulations governing delivery of substance use disorder treatment services and supportive housing.

SPECIFIC DUTIES & RESPONSIBILITIES:

  1. Participates in the development of medical policies, procedures, and protocols and ensures that they are consistent with regulatory requirements and best practices.
  2. Provide training, supervision and oversight to medical providers including, psychiatrists, nurse practitioners, and other medical providers.
  3. Provide supervision to the Director/Supervisor of Nursing Services.
  4. Provide direct care as necessary.
  5. Monitor care to ensure adherence to medical policies, procedures and protocols.
  6. Ensure medical care is integrated with other care clinical services.
  7. Ensure medical care is coordinated with services delivered by providers at other healthcare organizations.
  8. Ensure medical records are reviewed on a regular basis.
  9. Ensure all required treatment services are available according to medical necessity.
  10. Keeps abreast of new and emerging medical treatments and implements changes as appropriate.
  11. Ensures availability general primary care services and specialty care services to patients which include complete medical assessment, diagnosis and treatment and ongoing monitoring and reassessment of health status.
  12. Ensure that each prospective patientsโ€™ healthcare needs are evaluated and may be adequately managed in the residential treatment setting prior to admission, that ancillary withdrawal is managed according to established protocols and that addiction medications are prescribed where medically necessary.
  13. Ensure reporting of communicable diseases and infection in accordance with applicable law.
  14. Ensure facility adherence to infection control policy.
  15. Assists in the development of collaborative relationships with other institutions and agencies such as general or specialty hospitals and nursing homes, health-related facilities, home health agencies, hospital outpatient departments, diagnostic and treatment facilities, laboratories and other healthcare service provider organizations.
  16. Participate in the recruitment and hiring of medical personnel.
  17. Participate in development and implementation of QA and CQI activities.
  18. Advises Senior Management Team on best practices and innovations in the medical treatment of substance use disorders.
  19. Serves as primary clinical lead when the organization participates in academic research studies.
  20. Assures coverage without gaps in the facility medical staff on-call system as required by applicable regulations.
  21. Other duties as required.
REQUIREMENTS: EDUCATION/TRAINING AND EXPERIENCE KNOWLEDGE, SKILLS AND ABILITIES
  1. Currently licensed and registered as a Physician in the State of New York.
  2. Current DEA Registration, Infection Control Certification and Board Certification in Addiction Medicine or:
  3. Other applicable Board Certification (Family Medicine, Internal Medicine) with (3+) years of post-residency experience in specialty addiction treatment
  4. In good standing with New York State Department of Education Professional Licensing Boards and without any outstanding malpractice judgments.
  5. Familiarity with best practices for prescribing addiction medicine required
  6. Familiarity with best practices related to managing mild and moderate withdrawal symptoms required
  7. At least one year of education, training, and/or experience in substance use disorder services.
  8. Board certification in addiction medicine is preferred
  9. This position will require availability as needed including on call responsibilities

Odyssey House is an equal opportunity employer maintaining a non-discriminatory policy on hiring of its personnel. Odyssey House, and its operational divisions, will not discriminate against any employee or applicant because of race, creed, color, national origin, sex, disability, marital status, sexual orientation or citizen status in all employment decisions including but not limited to recruitment, hiring, upgrading, demotion, downgrading, transfer, training, rate of pay or other forms of compensation, layoff, termination and all other terms and conditions of employment.