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Insurance Medical Director Jobs in Wisconsin (NOW HIRING)

The Medical Director will oversee and direct the clinical care of clients in an in-patient setting ... Employer paid health insurance that is effective day one of employment. * Retirement plan with ...

WI · On-site

General Practice Care - Medical Director - Anderson, CA Anderson, United States | Posted on 05/15 ... Company covered Professional Liability Insurance, state and DEA licensure, accreditations and ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... Director provides administrative oversight to the medical staff, analyzes medical review ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... Director provides administrative oversight to the medical staff, analyzes medical review ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... Director provides administrative oversight to the medical staff, analyzes medical review ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... Director provides administrative oversight to the medical staff, analyzes medical review ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... Director provides administrative oversight to the medical staff, analyzes medical review ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... Director provides administrative oversight to the medical staff, analyzes medical review ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... Director provides administrative oversight to the medical staff, analyzes medical review ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... Director provides administrative oversight to the medical staff, analyzes medical review ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... The Physical Medicine and Rehabilitation Medical Director may also write and revise medical ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... The Physical Medicine and Rehabilitation Medical Director may also write and revise medical ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... The Physical Medicine and Rehabilitation Medical Director may also write and revise medical ...

We are the largest insurance company in South Carolina ... and much more. We are one of the nation ... The Physical Medicine and Rehabilitation Medical Director may also write and revise medical ...

Showing results 41-60

Insurance Medical Director information

See Wisconsin salary details

$13.1K

$234.5K

$360.3K

How much do insurance medical director jobs pay per year?

As of Aug 22, 2026, the average yearly pay for insurance medical director in Wisconsin is $234,542.00, according to ZipRecruiter salary data. Most workers in this role earn between $199,900.00 and $287,200.00 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 Wisconsin look for?

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

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

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

Infographic showing various Insurance Medical Director job openings in Wisconsin as of August 2026, with employment types broken down into 13% As Needed, and 87% Full Time. Highlights an 100% In-person job distribution, with an average salary of $234,542 per year, or $112.8 per hour.

Physician Medical Director - Competitive Salary

VitalCore Health Strategies

Janesville, WI • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

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


VitalCore Health Strategies rating

5.6

Company rating: 5.6 out of 10

Based on 13 frontline employees who took The Breakroom Quiz


Job description

Join the VitalCore Team in Wisconsin! We’re people who are fueled by passion, not by profit.


VitalCore Health Strategies (VCHS), an industry leader in Correctional Healthcare has an opening for a Medical Director / Physician at Rock County Jail in Janesville, Wisconsin!


Looking for a rewarding career in the healthcare field with competitive wages, an annual incentive bonus, and an excellent benefits package?

At VitalCore we pride ourselves on retaining and acquiring compassionate, dedicated individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health Strategies promotes a positive work environment that is based on respect and appreciation of the hard work and dedication of our staff.

MEDICAL DIRECTOR / PHYSICIAN BENEFITS PACKAGE:

  • Holiday Pay: New Year’s Day, Martin Luther King Jr. Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day, and Christmas Day
  • Medical
  • Dental
  • Vision
  • Health Savings Account
  • Life Insurance
  • Short Term/Long Term Disability
  • Identity Theft Protection
  • Pet Insurance
  • Employee Assistance Program and Discount Center
  • 401K & Plan Matching
  • PTO
  • Annual Incentive Bonus

MEDICAL DIRECTOR / PHYSICIAN POSITION SUMMARY

The Site Medical Director serves as the responsible Physician and health authority required by national standards. They provide overall supervision for clinical services for the site to ensure appropriate delivery of on and off site necessary medical care but have no other managerial responsibilities.

MEDICAL DIRECTOR / PHYSICIAN ESSENTIAL FUNCTIONS

  • Consult with medical providers in the community to resolve issues in delivering services to patients.
  • Supervise the clinical services provided by the professional and paraprofessional staff.
  • Ensure and provide on-call services.
  • Annually review and approve clinical protocols, policies and procedures, and medical disaster plans.
  • Manage referrals to outside healthcare facilities for appropriateness, quality, and continuity of care.
  • Sponsor Physician Assistants and Nurse Practitioners in compliance with the state law for correctional facilities.
  • Serve as a resource to all staff Physicians and applicable clinical staff at the facility(s).
  • Assist in screening, interviewing, evaluating credentials, and hiring of healthcare providers.
  • Participate in in-service training classes.
  • Represent the healthcare program in discussions with local civic groups or visiting officials as requested.
  • Attend medical, clinical and other meetings, as required.
  • Complete sick call, chronic care and infirmary care as required.
  • Document all encounters in patient's medical record.
  • Ensure all documentation is timed, legible and signed.
  • Ensure all verbal or telephone orders are countersigned as required.
  • Adhere to approved formulary for therapeutic regimens before utilizing non-formulary procedure.
  • Review all non-formulary requests to ensure documentation of pertinent observations and treatment conclusions.
  • Utilize available in-house resource personnel for treatment and resolution of identified problems before utilizing off-site
  • referral.
  • Provide emergency treatment on-site and respond appropriately in urgent or emergency situations.
  • To redefine benchmarks for the industry utilizing core values, strong partnerships, effective clinical practices, and innovative healthcare strategies.
  • Ensure competence in proper technique for basic cardiopulmonary resuscitation and AED use.
  • Follow evidence base standards of medical care through adherence to existing policies and procedures.

MEDICAL DIRECTOR / PHYSICIAN MINIMUM REQUIREMENTS

  • Graduate of an accredited medical school
  • Fully licensed to practice in the state of Virginia
  • Current DEA Registration
  • Preferred board certified or board eligible in primary care specialty (Family Medicine, Internal Medicine) with administrative experience in corrections and/or managed healthcare delivery
  • Must be fluent in English language, including reading, writing, speaking, and understanding.
  • Must be a supportive team member who contributes to and demonstrates team work and team concept.
  • Able to make independent decisions when circumstances warrant such action.
  • Able to deal tactfully with personnel, family members, visitors, government agencies/personnel, and the general public.
  • Possess leadership and supervisory ability and be able to work harmoniously with and supervise other personnel.
  • Must not pose a direct threat to the health or safety of other individuals in the workplace

VitalCore Health Strategies is an equal opportunity employer and committed to creating and maintaining an inclusive workplace in which all employees have an opportunity to participate and contribute to the success of the business and are valued for their skills, experience, and unique perspectives.

Keywords: Medical Director, Correctional Healthcare, physician, MD #indmg #ZR


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