ZipRecruiter

Log In

1

Insurance Medical Director Jobs in Madison, WI (NOW HIRING)

Protouch Staffing

Veterinarian Medical Director

Madison, WI · On-site

$160K - $180K/yr

Veterinarian Medical Director - Madison, WICompensation * $160,000 - $180,000 annually * Full-time ... Dental insurance * Paid time off * Employee discount * Professional development assistance About ...

Athra Systems

Medical Director Psychiatrist

Middleton, WI · On-site

$325K - $360K/yr

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 Don Council

Director of Nursing

Verona, WI · On-site

$90 - $110/hr

You will be given great benefits such as Medical, Dental, 401(k), Life Insurance, Health Savings ... As the Director of Nursing at Four Winds Manor, Inc., you will take on a full‑time administrative ...

Wellpath

Nurse Practitioner PRN Corrections

Madison, WI

$89.10 - $99/hr

Company paid life insurance * Tax free Health Spending Accounts (HSA) * Wellness program featuring ... They ensure necessary documentation of services is provided to the Site Medical Director or ...

Wellpath

Nurse Practitioner (NP) Hourly

Madison, WI · On-site

... insurance • Tax free Health Spending Accounts (HSA) • Wellness program featuring fitness ... They ensure necessary documentation of services is provided to the Site Medical Director or ...

next page

Showing results 1-20

All JobsInsurance Medical JobsInsurance Medical Director JobsInsurance Medical Director Jobs in Madison, WI

Insurance Medical Director information

See Madison, WI salary details

$13.1K

$234.1K

$359.7K

How much do insurance medical director jobs pay per year?

As of Aug 21, 2026, the average yearly pay for insurance medical director in Madison, WI is $234,141.00, according to ZipRecruiter salary data. Most workers in this role earn between $199,500.00 and $286,700.00 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 Madison, WI look for?

The top searched job categories for Insurance Medical Director jobs in Madison, WI are:

What cities near Madison, WI are hiring for Insurance Medical Director jobs?

Cities near Madison, WI with the most Insurance Medical Director job openings:

Insurance Medical Director jobs near you
Infographic showing various Insurance Medical Director job openings in Madison, WI as of August 2026, with employment types broken down into 79% Full Time, 14% Part Time, 3% Temporary, and 4% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $234,141 per year, or $112.6 per hour.

Site Medical Director

Wellpath / Correct Care Solutions

Madison, WI • On-site

$223.58 - $248.42/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago

Job description

Compensation Information

$162.3 - $180.33 / hour

Department

Administration

Perks and Benefits

In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:

  • DailyPay, receive your money as you earn it!
  • Tuition Assistance and dependent Scholarships
  • Employee Assistance Program (EAP) including free counseling and health coaching
  • Company paid life insurance
  • Tax free Health Spending Accounts (HSA)
  • Wellness program featuring fitness memberships and product discounts
  • Preferred banking partnership and discounted rates for home and auto loans

*Eligibility for perks and benefits varies based on employee type and length of service.

How you make a difference

The Site Medical Director oversees medical care at the assigned facility in compliance with company, institutional, NCCHC, and ACA standards. They provide direct patient care, supervise clinical staff, and ensure accurate, timely documentation in the EMR or approved formats. The role includes managing emergency situations, adhering to formulary guidelines, and utilizing in-house resources before external referrals. The Director collaborates with the Health Services Administrator to lead quality improvement initiatives, chronic care clinics, and pharmacy oversight. They also liaise with community health providers, review clinical protocols annually, and contribute to the continuous enhancement of patient outcomes.

Key Responsibilities
  • Provide direct medical care, supervise staff, and ensure complete, accurate documentation of patient encounters.
  • Respond to urgent and emergency situations, adhere to established formularies, and use in-house resources before external referrals.
  • Oversee clinical program compliance with NCCHC and ACA standards, reviewing and approving protocols annually.
  • Partner with the Health Services Administrator to lead quality improvement programs, chronic care clinics, and pharmacy monitoring.
  • Serve as liaison with community healthcare providers and offer consultation to facility professionals.
Qualifications & Requirements

EDUCATION

  • Medical school graduate.

EXPERIENCE

  • Experience in Family Practice, Emergency Medicine, Internal Medicine or Public Health preferred.

LICENSES/CERTIFICATIONS

  • Must have and maintain current licensure within the State of employment.
  • Maintains a current DEA number.
  • Must be able to obtain and maintain CPR certification.
  • Must maintain privileges. Maintains CME requirements for continued medical practice in the State.
We are an Equal Employment Opportunity/Affirmative Action Employer

We celebrate diversity and are committed to creating an inclusive environment for all employees.

#J-18808-Ljbffr

Apply