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Insurance Medical Director Jobs in Reno, NV (NOW HIRING)

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 ...

At Concentra, our Medical Directors spend most of their time clinically treating patients; the ... Life/Disability Insurance: * Colleague Referral Bonus Program * Opportunity to teach residents and ...

At Concentra, our Medical Directors spend most of their time clinically treating patients; the ... Life/Disability Insurance: * Colleague Referral Bonus Program * Opportunity to teach residents and ...

At Concentra, our Medical Directors spend most of their time clinically treating patients; the ... Life/Disability Insurance: * Colleague Referral Bonus Program * Opportunity to teach residents and ...

At Concentra, our Medical Directors spend most of their time clinically treating patients; the ... Life/Disability Insurance: * Colleague Referral Bonus Program * Opportunity to teach residents and ...

Nurse Practitioner | , | Group

Reno, NV · On-site

$104K - $156K/yr

Consults with the Hospice Medical Director as needed, informs primary physician of recommended ... Current driver's license and vehicle insurance, access to a dependable vehicle or public ...

Nurse Practitioner | , | Group

Reno, NV · On-site

$104K - $156K/yr

Consults with the Hospice Medical Director as needed, informs primary physician of recommended ... Current driver's license and vehicle insurance, access to a dependable vehicle or public ...

... insurance plans, grant programs, external billing partners, and direct pay sources. • Prepare and ... medical or behavioral health setting. • High school diploma or equivalent required. • ...

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Insurance Medical Director information

See Reno, NV salary details

$13K

$231.7K

$356K

How much do insurance medical director jobs pay per year?

As of Jul 27, 2026, the average yearly pay for insurance medical director in Reno, NV is $231,687.00, according to ZipRecruiter salary data. Most workers in this role earn between $197,400.00 and $283,700.00 per year, depending on experience, location, and employer.

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

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 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 popular job titles related to Insurance Medical Director jobs in Reno, NV? For Insurance Medical Director jobs in Reno, NV, the most frequently searched job titles are:
What job categories do people searching Insurance Medical Director jobs in Reno, NV look for? The top searched job categories for Insurance Medical Director jobs in Reno, NV are:
What cities near Reno, NV are hiring for Insurance Medical Director jobs? Cities near Reno, NV with the most Insurance Medical Director job openings:
Infographic showing various Insurance Medical Director job openings in Reno, NV as of July 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 100% In-person job distribution, with an average salary of $231,687 per year, or $111.4 per hour.
Medical Director

Full-time

Medical, Life, PTO

Posted 6 days ago


Job description

JOB SUMMARY: The Medical Director provides clinical leadership within their site and specialty, ensuring high-quality, evidence-based medical care while advancing HOPES' quality incentive, risk management, and Centers of Excellence goals. This role partners with the Chief Medical Officer and operational leaders on access, quality, sustainability, talent development, and community engagement priorities and supports provider performance, regulatory compliance, and continuous quality improvement while fostering a collaborative, patient-first culture.

ESSENTIAL FUNCTIONS:
  • Provide medical care as outlined by the appropriate medical provider position job description.
  • Provide clinical guidance to assigned medical staff, ensuring adherence to ethical, evidencebased, and teambased practice.
  • Schedule and facilitate regular individual and group staff meetings.
  • Support staff members in selfmanagement, goal setting, and performance improvement.
  • Develop staffing schedules that meet patient medical care needs.
  • Coordinate changes in medical provider staffing patterns to ensure timely response to patient needs, including inpatient and subspecialty care.
  • Support the Medical Continuous Quality Improvement (CQI) Committee and supervise assigned CQI initiatives as directed.
  • Demonstrate accountability for medical programs within the Quality Management and ValueBased Revenue programs.
  • Offer feedback on operational processes and incorporate feedback received from providers.
  • Partner with other leaders to resolve operational concerns and issues.
  • Delegate clinically related program duties to responsible parties to carry out program initiatives.
  • Maintain medical operations in compliance with applicable laws, regulations, policies, and ethical practice standards.
  • Develop, implement, and monitor systems to ensure ongoing regulatory compliance.
  • Communicate compliance issues to the Chief Medical Officer in a timely manner.
  • Develop corrective strategies to address compliance concerns.
  • Assist with the investigation of patient complaints as requested.
  • Assist in the development of clinical policies, procedures, and training materials to anchor best practices in the clinical setting.
  • Conduct medical record reviews and chart audits, developing procedures and recommendations based on findings.
  • Support recruitment, hiring, and training of new medical staff members.
  • Support the credentialing and privileging process for new medical staff, reviewing qualifications, training, and experience as requested by the Chief Medical Officer.
  • Monitor medical program resource utilization and provide input regarding budget planning and stewardship.
  • Build collaborative relationships with community partners, referral organizations, and healthcare stakeholders.
  • Lead sitelevel implementation of HOPES' Centers of Excellence priorities in Maternity SUD, Addiction Medicine, Pediatrics, and Geriatric Medicine, alongside excellence across primary and specialty care services.
  • At HOPES, we’re more than just a healthcare provider — we’re a team of changemakers dedicated to delivering affordable, high-quality medical, behavioral health, and support services to everyone in our community.

    Why Choose HOPES?
  • PurposeDriven Work
  • Be part of a team that’s transforming lives every day. Your work will directly contribute to improving health outcomes and building a stronger, healthier Northern Nevada.

  • PeopleFirst Culture
  • At HOPES, every team member is encouraged to bring their unique talents and perspectives to the table. Collaboration and innovation are at the heart of everything we do.

  • Career Growth and Development
  • We invest in your future by offering a mentorship program, leadership and soft-skills training, networking opportunities, and support for continuing education.

  • Exceptional Benefits
  • 100% employer-paid health insurance

    Employer-paid life insurance coverage

    Accrue 3 weeks of PTO in your first year, increasing w/ tenure to a maximum of 6 weeks

    Accrue 1 week of paid Major Medical Leave (MML) per year

    12 paid holidays per year

    Paid Parental Leave (after 12 months)

    CME PTO and training stipends

    Employer-paid license renewals and board memberships

    Loan Repayment Options: NHSC Loan Repayment Programs | Nevada Health Equity and Loan Assistance (HEAL) Program | PSLF

    FTCA Malpractice Coverage

    24/7 Employee Assistance Program

    No State Income Tax

    MINIMUM QUALIFICATIONS:
  • Graduate of an accredited medical school and residency program in area of expertise, or an Advanced Practice Clinician (APC) who completed an accredited training program, required.
  • Board Certification required.
  • Current and unrestricted professional license in the State of Nevada required: MD, DO, PA, or NP.
  • Active state Pharmacy and DEA license, including controlled substance prescribing authority required.
  • Valid Basic Life Support certification prior to hire and throughout employment required.
  • Computer literacy, including proficiency with electronic health record management, web browsers, and Microsoft Outlook required.
  • Skill in operating basic office equipment, including calculator, copier, scanner, fax machine, and telephone required.
  • Ability to interview and communicate with patients, with and without an interpreter, in a clinical setting in English required.
  • Skill in operating and interpreting various outpatient medical office equipment required.
  • Ability to communicate effectively with patients, staff, leadership, and community partners in verbal and written formats required.
  • Experience with eClinicalWorks preferred.
  • At least 5 years of clinical experience preferred.
  • Experience with staff supervision preferred.
  • Experience in organizational development, personnel management, budget oversight, resource planning, and strategic planning preferred.
  • Due to real and potential conflicts of interest that exist when HOPES Behavioral Health providers render services to their coworkers, it is HOPES’ policy (Policy HR0005) that HOPES employees may not access HOPES Behavioral Health Services. For the same reason, current Behavioral Health patients/clients cannot be employed by HOPES. Accordingly, you hereby acknowledge and understand that if you are receiving services from a HOPES Behavioral Health provider at the time you are offered and accept employment with HOPES, you have the option of rescinding your acceptance of employment or finding a new behavioral health provider outside of HOPES before starting employment with HOPES.