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Insurance Medical Director Jobs (NOW HIRING)

Health insurance Medical Director I Elk Grove, California Full Time Schedule: Monday - Friday | 8:00 AM - 5:00 PM On-Call: Rotating Nights & Weekends The Medical Director I provides comprehensive ...

Medical Director

Kingston, NY · On-site

$213 - $288/hr

Paid vacation time, CME, and malpractice insurance. * An academic appointment to New York Medical ... The Medical Director provides consultation and supervision to on-site medical staff, including ...

Medical Director

Bowdon, GA · 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 ...

Clinical & Medical Director duties * Residential Treatment Center & IOP settings * Adult case load ... Paid Malpractice Insurance * Medical Education Loan Repayment Assistance, if needed * Relocation ...

Health, dental, and vision insurance, CME allowance, and paid time off. Are you passionate about making a difference in others' lives? We are looking for a MEDICAL DIRECTOR for our Skilled Nursing ...

Medical Director

Alliance, OH · On-site

$190K - $260K/yr

Health, dental, and vision insurance, CME allowance, and paid time off. Are you passionate about making a difference in others' lives? We are looking for a MEDICAL DIRECTOR for our Skilled Nursing ...

This role is part of Allstate's Health Solutions business and supports clinical decision-making across health insurance products and medical management programs. The Medical Director is a highly ...

Clinical & Medical Director duties * Residential Treatment Center & IOP settings * Adult case load ... Paid Malpractice Insurance * Medical Education Loan Repayment Assistance, if needed * Relocation ...

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

NY · On-site

$180 - $240/hr

Join us as a Medical Director at VCA Aventura Animal Hospital and Pet Resort in Aventura, Florida ... Health/dental/vision insurance, infertility benefits, gender affirmation services * Paid parental ...

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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Insurance Medical Director information

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$13K

$232.4K

$357K

How much do insurance medical director jobs pay per year?

As of Aug 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 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.

What are the key skills and qualifications needed to thrive in the Insurance Medical Director position?

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.

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:

Infographic showing various Insurance Medical Director job openings in the United States as of August 2026, with employment types broken down into 82% Full Time, 12% Part Time, 4% Temporary, and 2% Contract. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $232,369 per year, or $111.7 per hour.

Medical Director

Elk Grove, CA • On-site

Full-time

Medical, Retirement

Posted 16 days ago


Job description

Benefits:
  • 401(k) matching
  • Competitive salary
  • Health insurance

Medical Director I
Elk Grove, California
Full Time
Schedule: Monday – Friday | 8:00 AM – 5:00 PM
On-Call: Rotating Nights & Weekends
The Medical Director I provides comprehensive primary medical care for PACE participants while collaborating with the Interdisciplinary Team (IDT) to develop individualized care plans that promote independence, quality of life, and coordinated care.
This physician also oversees participant care across hospitals, skilled nursing facilities, and long-term care settings while providing clinical leadership and mentorship to Nurse Practitioners and other IDT members. The role offers the opportunity to build long-term relationships with participants in a value-based care environment focused on proactive, preventive medicine.
Key Responsibilities
  • Perform comprehensive medical assessments for PACE participants.
  • Develop individualized care plans with the Interdisciplinary Team (IDT).
  • Provide ongoing primary medical care and continuous clinical oversight.
  • Coordinate participant admissions and discharges from hospitals, skilled nursing facilities, and long-term care settings.
  • Conduct routine visits to participants residing in nursing facilities.
  • Collaborate with community physicians and specialists to ensure coordinated care.
  • Participate in daily Interdisciplinary Team meetings.
  • Guide clinical decision-making for complex geriatric patients.
  • Supervise and support Nurse Practitioners and other clinical team members.
  • Coordinate specialty referrals and follow-up care.
  • Participate in rotating night and weekend call coverage.
  • Maintain compliance with Medicare, Medi-Cal, and PACE regulatory requirements.
  • Promote participant-centered, value-based healthcare delivery.
  • Foster long-term relationships with participants and caregivers.
Required Qualifications
  • Successful completion of an ACGME-accredited Residency Program.
  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO).
  • Board Certified in:
    • Internal Medicine
    • Family Medicine
    • Emergency Medicine
  • Active California Physician License without restrictions.
  • Active DEA Registration.
  • Active California CDS Certification.
  • Eligible for Medicare and Medi-Cal provider enrollment.
  • Willingness to participate in rotating night and weekend call.
  • Current knowledge of chronic disease management and geriatric medicine.
  • Excellent interdisciplinary collaboration and communication skills.