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Insurance Medical Director Jobs in Edison, NJ (NOW HIRING)

Sun River Health is currently seeking full-time Site Medical Director to join our team supporting ... Medical, Dental and Vision Insurance: Comprehensive health coverage to ensure you and your family ...

... deliver insurance-covered care across all 50 states. Founded four years ago, we've completed ... About the Role As Medical Director, you will lead the clinical team of physicians and advanced ...

... deliver insurance-covered care across all 50 states. Founded four years ago, we've completed ... About the Role As Medical Director, you will lead the clinical team of physicians and advanced ...

Associate Medical Director

Morristown, NJ · On-site +1

$120K - $140K/yr

About the role The Associate Medical Director is responsible for providing medical expertise to ... Our benefits include: * Healthcare Coverage - Four medical insurance options, plus dental and ...

About the role The Associate Medical Director is responsible for providing medical expertise to ... Our benefits include: * Healthcare Coverage- Four medical insurance options, plus dental and vision ...

... insurance, or employer-sponsored health environments. * Demonstrated ability to advise senior ... health, medical benefit strategy, employee resilience, and sensitive health-related matters ...

Health, dental, and vision insurance * 401(k) with employer match * Paid CE/professional ... Medical Directors hired at select NY Metro Hospitals Referral Bonus Up to $25k for Internal ...

Showing results 21-40

Insurance Medical Director information

See Edison, NJ salary details

$13.5K

$240.6K

$369.6K

How much do insurance medical director jobs pay per year?

As of Sep 8, 2026, the average yearly pay for insurance medical director in Edison, NJ is $240,560.00, according to ZipRecruiter salary data. Most workers in this role earn between $205,000.00 and $294,500.00 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.

What job categories do people searching Insurance Medical Director jobs in Edison, NJ look for?

The top searched job categories for Insurance Medical Director jobs in Edison, NJ are:

What cities near Edison, NJ are hiring for Insurance Medical Director jobs?

Cities near Edison, NJ with the most Insurance Medical Director job openings:

Infographic showing various Insurance Medical Director job openings in Edison, NJ as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 90% In-person, 4% Hybrid, and 6% Remote job distribution, with an average salary of $240,560 per year, or $115.7 per hour.

Open Rank Medical Director

Rutgers University

New Brunswick, NJ • On-site

$100 - $125/hr

Other

Medical, Dental, Life, Retirement, PTO

Re-posted 4 days ago


Rutgers University rating

7.7

Company rating: 7.7 out of 10

Based on 68 frontline employees who took The Breakroom Quiz

265th of 631 rated colleges and universities


Job description

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply for this Job link/button.

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Salary Details A minimum of $119,263 as the academic base and eligible for faculty practice.

Offer Information

The final salary offer may be determined by several factors, including, but not limited to, the candidate’s qualifications, experience, and expertise, and availability of department or grant funds to support the position. We also take into consideration market benchmarks, if and when appropriate, and internal equity to ensure fair compensation relative to the university’s broader compensation structure. We are committed to offering competitive and flexible compensation packages to attract and retain top talent.

Benefits
  • Medical, prescription drug, and dental coverage
  • Paid vacation, holidays, and various leave programs
  • Competitive retirement benefits, including defined contribution plans and voluntary tax-deferred savings options
  • Employee and dependent educational benefits (when applicable)
  • Life insurance coverage
  • Employee discount programs
Posting Summary

The Medical Director serves as a senior clinical and organizational leader within the Health Center and is directly responsible for all clinical operations, quality of care, and patient safety initiatives. In this role, the Medical Director provides strategic oversight of medical services, ensuring the delivery of high-quality, evidence-based, and patient-centered care across all programs.

Working collaboratively with the Executive Director and the broader leadership team, the Medical Director helps advance the mission of the Health Center by aligning clinical operations with organizational goals, regulatory requirements, and community needs. This partnership includes shared responsibility for strategic planning, program development, performance improvement, and resource optimization.

The Medical Director leads and supports clinical staff, fosters a culture of professionalism and accountability, and promotes continuous quality improvement through data-driven decision making, provider education, and adherence to best practices. Key responsibilities also include oversight of clinical policies and procedures, compliance with federal, state, and accreditation standards, and integration of care models that improve access, outcomes, and patient experience.

As a visible leader within the organization, the Medical Director champions health equity, supports interdisciplinary collaboration, and serves as a clinical ambassador to internal stakeholders and external partners. Through effective leadership and partnership with executive management, the Medical Director plays a critical role in ensuring that clinical excellence remains central to fulfilling the Health Center’s mission and commitment to the community.

Position Status

Full Time

Posting Number

26FA0097

Qualifications Minimum Education and Experience
  • 1. MD or DO degree
  • 2. Board certified or board eligible in a primary care medical field
  • 3. New Jersey Medical License
  • 4. DEA certificate
  • 5. NJ CDS certificate
  • 6. Basic Life Support certificate
Certifications/Licenses Required Knowledge, Skills, and Abilities Campus Rutgers Biomedical and Health Sciences (RBHS) Home Location Campus Home Location Campus Downtown New Brunswick City State State NJ Position Information

Recruitment/Posting Title Open Rank Medical Director Department RWJ - EBCHC Medical Salary Details A minimum of $119,263 as the academic base and eligible for faculty practice. Offer Information The final salary offer may be determined by several factors, including, but not limited to, the candidate’s qualifications, experience, and expertise, and availability of department or grant funds to support the position. We also take into consideration market benchmarks, if and when appropriate, and internal equity to ensure fair compensation relative to the university’s broader compensation structure. We are committed to offering competitive and flexible compensation packages to attract and retain top talent. Benefits Rutgers provides a comprehensive benefits package to eligible employees. The specific benefits vary based on the position and may include:

  • Medical, prescription drug, and dental coverage
  • Paid vacation, holidays, and various leave programs
  • Competitive retirement benefits, including defined contribution plans and voluntary tax-deferred savings options
  • Employee and dependent educational benefits (when applicable)
  • Life insurance coverage
  • Employee discount programs
Posting Summary The Medical Director serves as a senior clinical and organizational leader within the Health Center and is directly responsible for all clinical operations, quality of care, and patient safety initiatives. In this role, the Medical Director provides strategic oversight of medical services, ensuring the delivery of high-quality, evidence-based, and patient-centered care across all programs. Working collaboratively with the Executive Director and the broader leadership team, the Medical Director helps advance the mission of the Health Center by aligning clinical operations with organizational goals, regulatory requirements, and community needs. This partnership includes shared responsibility for strategic planning, program development, performance improvement, and resource optimization. The Medical Director leads and supports clinical staff, fosters a culture of professionalism and accountability, and promotes continuous quality improvement through data-driven decision making, provider education, and adherence to best practices. Key responsibilities also include oversight of clinical policies and procedures, compliance with federal, state, and accreditation standards, and integration of care models that improve access, outcomes, and patient experience. As a visible leader within the organization, the Medical Director champions health equity, supports interdisciplinary collaboration, and serves as a clinical ambassador to internal stakeholders and external partners. Through effective leadership and partnership with executive management, the Medical Director plays a critical role in ensuring that clinical excellence remains central to fulfilling the Health Center’s mission and commitment to the community. Equal Employment Opportunity Statement

It is university policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, affectional or sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As an institution, we encourage all qualified applicants to apply. For additional information please see the Non-Discrimination Statement at the following web address: http://uhr.rutgers.edu/non-discrimination-statement

Posting Specific Questions

Required fields are indicated with an asterisk (*).

Required Documents
  • Resume/CV
  • Cover Letter/Letter of Application
Optional Documents

It is university policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, affectional or sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As an institution, we encourage all qualified applicants to apply. For additional information please see the Non-Discrimination Statement at the following web address: Non-Discrimination-Statement .

In compliance with the Americans with Disabilities Act (ADA) and the New Jersey Law Against Discrimination (NJLAD), if you have a disability and would like to request an accommodation with regard to your access to and/or your participation in the application and selection processes (for example, the online application process or interviews), please call 848-932-3973 or e-mail us .

Rutgers University is an equal access/equal opportunity institution. If you have trouble accessing this page because of a disability, please contact us at 732.745.7378 or via email at OneSource@Rutgers.edu .

Rutgers University participates in the E-Verify program as required by law. Learn more about the E-Verify program .

For technical assistance with the applicant tracking system (login, filling out your application, resetting your password, etc.) please contact the ROCS Help Desk at 848-932-4444 or ROCS@hr.rutgers.edu . To learn more about Rutgers University’s commitment to diversity and inclusion on its campuses, click here .

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