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Insurance Medical Director Jobs in Nevada (NOW HIRING)

The Medical Director is a key clinical leader responsible for driving excellence in documentation ... Vision insurance * Life insurance * Paid time off Location * Remote with limited travel to client ...

The Medical Director provides clinical leadership within their site and specialty, ensuring high ... Exceptional Benefits 100% employer-paid health insurance Employer-paid life insurance coverage ...

Join us as a Medical Director at VCA Decatur Animal Hospital. You'll quickly discover that you're ... Health/dental/vision insurance, infertility benefits, gender affirmation services * Paid parental ...

Medical Director

Elko, NV · On-site

$315K - $330K/yr

As a Full Time Medical Director, you'll provide care to client employees and their dependents in ... insurance, a 401(k) program with company match, paid holidays and vacation time, a company ...

Veterinary Medical Director

Reno, NV · On-site

$220K - $260K/yr

Medical Director - BluePearl Pet Hospital, Reno, NV | Competitive Compensation, Sign-On Bonus, and ... Company-paid short/long-term disability and life insurance * Health and well-being resources to ...

$200K/yr

Introduction A veterinary group in Las Vegas, Nevada is seeking a Medical Director Veterinarian to ... Medical, dental, and vision insurance * 401K with company match * Work-Life balance * Generous Paid ...

Medical, Dental, and Vision Insurance * 401(k) with Company Match * Annual CE & Licensing Stipend ... The Medical Director provides leadership, oversight, and strategic direction for veterinary medical ...

$200K/yr

... Director Veterinarian to join their expanding team. With a mission to help as many pets as possible ... Medical, dental, and vision insurance * 401K with company match * Work-Life balance * Generous Paid ...

Physician Center Medical Director Location US-NV-Las Vegas Job ID 351093 Pos. Category Medical ... Life/Disability Insurance * Colleague Referral Bonus Program * Unmatched potential to grow your ...

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Showing results 1-20

Insurance Medical Director information

See Nevada salary details

$13.2K

$236.6K

$363.5K

How much do insurance medical director jobs pay per year?

As of Aug 17, 2026, the average yearly pay for insurance medical director in Nevada is $236,622.00, according to ZipRecruiter salary data. Most workers in this role earn between $201,600.00 and $289,700.00 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.

What job categories do people searching Insurance Medical Director jobs in Nevada look for?

The top searched job categories for Insurance Medical Director jobs in Nevada are:

What cities in Nevada are hiring for Insurance Medical Director jobs?

Cities in Nevada with the most Insurance Medical Director job openings:

Infographic showing various Insurance Medical Director job openings in Nevada as of August 2026, with employment types broken down into 82% Full Time, 13% Part Time, 3% Temporary, and 2% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $236,622 per year, or $113.8 per hour.

Other

Medical, Vision, Life, PTO

This job post has expired today. Applications are no longer accepted.


Job description

The Medical Director is a key clinical leader responsible for driving excellence in documentation integrity and coding accuracy across inpatient care. This role ensures that the complexity and acuity of each patient’s hospital stay are fully captured and reflected in compliant coding practices. By partnering with DRG Validation Auditors, the Medical Director validates diagnoses, procedures, and DRG assignments to optimize quality metrics, reimbursement accuracy, and organizational compliance.

As a strategic advisor and operational leader, the Medical Director influences clinical documentation standards, fosters physician engagement, and leverages data-driven insights to advance organizational goals. This position requires a visionary approach to quality improvement, regulatory compliance, and collaboration across clinical, operational, and technology teams.

Key Responsibilities:

  • Clinical Leadership: Provide strategic oversight for documentation and coding integrity, ensuring accurate representation of patient acuity and complexity.
  • Collaboration: Partner with DRG Integrity Specialists to confirm principal diagnoses, procedures, and DRG assignments in alignment with official coding guidelines.
  • Compliance & Quality: Ensure all documentation and coding practices meet federal regulations, payer requirements, and organizational standards.
  • Physician Engagement: Develop and deliver education to providers on documentation best practices and compliance requirements.
  • Analytics & Strategy: Review performance metrics, identify trends, and implement initiatives to improve opportunity capture and quality outcomes.
  • Innovation: Utilize advanced technology and EMR systems to streamline workflows and enhance accuracy.
  • Leadership Development: Mentor team members, foster collaboration, and contribute to organizational growth through strategic initiatives.

Qualifications:

  • Education:
    • MD or DO degree from an accredited institution.
    • Completion of an ACGME-accredited residency program preferred.
  • Experience:
    • Minimum of 5 years of clinical practice experience, including residency.
    • Prior experience in clinical documentation improvement, coding compliance, or revenue integrity preferred.
  • Strong clinical judgment and expertise in documentation standards.
  • Executive-level leadership and strategic thinking.
  • Excellent communication and collaboration skills.
  • Proficiency in Microsoft Office and EMR navigation.
  • Ability to thrive in a dynamic, fast-paced environment.
  • Health insurance
  • Vision insurance
  • Life insurance
  • Paid time off

Location

  • Remote with limited travel to client locations, internal business meetings, and other locations as needed.
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