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Insurance Medical Director Jobs (NOW HIRING)

Integrity Placement Group

Medical Director

Boca Raton, FL

$315K - $325K/yr

Medical Director Functional Medicine | Longevity | Weight Loss Boca Raton, Florida Our client is a ... Medical Malpractice Insurance Covered * Annual Licenses & Certifications Covered * A4M Conference ...

Integrity Placement Group

Medical Director

Boca Raton, FL

$315K - $325K/yr

Medical Director Functional Medicine | Longevity | Weight Loss Boca Raton, Florida Our client is a ... Medical Malpractice Insurance Covered * Annual Licenses & Certifications Covered * A4M Conference ...

AlohaCare

Medical Director

Honolulu, HI

... insurance coverage. Our members include children, seniors and adults residing on all islands. We ... The Medical Director of CCS (Medical Director) is a key operational and strategic leader who ...

AlohaCare

Medical Director

Honolulu, HI

... insurance coverage. Our members include children, seniors and adults residing on all islands. We ... The Medical Director of CCS (Medical Director) is a key operational and strategic leader who ...

MedElite Group, LLC.

Medical Director

Colchester, VT · On-site

$200K - $300K/yr

Medical Director Location: Springfield, Barre, Colchester, and Springfield Schedule: Contract ... Malpractice Insurance Why Work With Us? * Make a meaningful impact on the lives of seniors * Work ...

MedElite Group, LLC.

Medical Director

Burlington, VT · On-site

$200K - $300K/yr

Medical Director Location: Burlington, VT Schedule: Contract Salary per annum: $200,000 - $300,000 ... Malpractice Insurance Why Work With Us? * Make a meaningful impact on the lives of seniors * Work ...

MedElite Group, LLC.

Medical Director

South Burlington, VT · On-site

$200K - $300K/yr

Medical Director Location: South Burlington, VT Schedule: Contract Salary per annum: $200,000 ... Malpractice Insurance Why Work With Us? * Make a meaningful impact on the lives of seniors * Work ...

MedElite Group, LLC.

Medical Director

Canton, ME · On-site

$200K - $300K/yr

Medical Director Location: Canton, ME Schedule: Contract Salary: $200,000 - $300,000 About Infinite ... Malpractice Insurance Why Work With Us? * Make a meaningful impact on the lives of seniors * Work ...

MedElite Group, LLC.

Medical Director

South Burlington, VT · On-site

$200K - $300K/yr

Medical Director Location: South Burlington, VT Schedule: Contract Salary: $200,000 - $300,000 ... Malpractice Insurance Why Work With Us? * Make a meaningful impact on the lives of seniors * Work ...

MedElite Group, LLC.

Medical Director

Springfield, VT

$200K - $300K/yr

Medical Director Location: Springfield, Barre, Colchester, and Springfield Schedule: Contract Total ... Malpractice Insurance Why Work With Us? * Make a meaningful impact on the lives of seniors * Work ...

MedElite Group, LLC.

Medical Director

Colchester, VT · On-site

$200K - $300K/yr

Medical Director Location: Springfield, Barre, Colchester, and Springfield Schedule: Contract ... Malpractice Insurance Why Work With Us? * Make a meaningful impact on the lives of seniors * Work ...

MedElite Group, LLC.

Medical Director

Boston, MA · On-site

$200K - $300K/yr

Medical Director Location: Boston, MA Schedule: Full Time Salary per annum: $200,000 - $300,000 ... Malpractice Insurance Why Work With Us? * Make a meaningful impact on the lives of seniors * Work ...

Wellpath

Medical Director

Bellefonte, PA · On-site

$283K - $315K/yr

... insurance • Tax free Health Spending Accounts (HSA) • Wellness program featuring fitness ... How you make a difference As a Medical Director, you will play a pivotal role in ensuring strict ...

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Insurance Medical Director information

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$13K

$232.4K

$357K

How much do insurance medical director jobs pay per year?

As of Jun 30, 2026, the average yearly pay for insurance medical director in the United States is $232,369.00, according to ZipRecruiter salary data. Most workers in this role earn between $198,000.00 and $284,500.00 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.

More about Insurance Medical Director jobs
What cities are hiring for Insurance Medical Director jobs? Cities with the most Insurance Medical Director job openings:
What states have the most Insurance Medical Director jobs? States with the most job openings for Insurance Medical Director jobs include:
What job categories do people searching Insurance Medical Director jobs look for? The top searched job categories for Insurance Medical Director jobs are:
Insurance Medical Director jobs near you
Infographic showing various Insurance Medical Director job openings in the United States as of June 2026, with employment types broken down into 28% Full Time, 57% Part Time, and 15% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $232,369 per year, or $111.7 per hour.
Medical Director

Medical Director

Wexford Health Sources, Inc.

Sutton, WV • On-site

Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 26 days ago

Key responsibilities

  • Supervise the delivery of medical services at the correctional facility and ensure compliance with relevant medical standards.

  • Examine, diagnose, and treat inmates, including conducting sick calls, intake and annual examinations, and providing minor surgical treatment.

  • Supervise and evaluate the clinical activities of all health care staff, including reviewing referrals, monitoring treatment, and participating in staff recruitment and orientation.

Wexford Health Sources rating

6.4

Company rating: 6.4 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

636th of 877 rated healthcare providers

Job description

To Apply for this Job Click Here
Wexford Health Sources, one of the nation's leading innovative correctional health care companies, provides clients with experienced management and technologically advanced services, combined with programs that control costs while ensuring quality. For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical, behavioral health, pharmacy, utilization management, provider contracting, claims processing, and quality management services.
At Wexford Health our philosophy is that health care should not be considered a luxury for anyone. We simply care for those in need and the corrections environment is our venue.
Wexford Health has an exceptional opportunity for a Site Medical Director for 4 hours per week to join our team of healthcare professionals at Central Regional Jail in Sutton, West Virginia.
For our full-time employees, we're proud to offer a competitive benefits package including:
  • Annual review with performance increase
  • Generous paid-time off program that combines vacation and sick leave
  • Paid holidays
  • Comprehensive health insurance through Blue Cross Blue Shield
  • Dental and Vision insurance
  • 401(k) retirement saving plans
  • Company-paid short-term disability
  • Healthcare and dependent care spending account

POSITION SUMMARY
The Site Medical Director is responsible for providing the overall supervision of the delivery of medical services at the correctional facility. The Medical Director attends to patients, provides medical consultations for the medical staff and institutional officials, and functions as the liaison for clinical matters with medical providers outside the institution. The Medical Director ensures that all activities of the health care unit are conducted in accordance with standards of medical care delineated by state regulations, NCCHC, AMA and ACA standards.
DUTIES/RESPONSIBILITIES
Administrative:
  • Evaluate all existing medical programs and assess the health care needs of the inmate population, making recommendations regarding medical programs or services as appropriate.
  • Assist in designing and implementing policies, procedures and protocol for health care unit and medical staff.
  • Report any problems and/or unusual incidents to the Health Services Administrator or designee.
  • Attend staff meetings and participate on various committees as requested by the Health Services Administrator or designee.

Clinical Duties:
  • Conduct inmate sick call on days and at times authorized by the correctional facility.
  • Examine, diagnose and treat inmates referred to the Medical Director.
  • Review and/or monitor the staff physician review of all laboratory, x-ray and ancillary reports, and ensure that the review is documented on inmates' charts.
  • Provide 24-hour on call emergency care to the correctional facility.
  • Perform employment, worker's compensation or other physician examinations for the correctional facility when so designated by specific contract agreement.
  • Provide minor surgical treatment at the institution as deemed medically appropriate to include suturing for minor lacerations.
  • Formulate written individual treatment plans for inmates with medical problems, which include directions to health care and other personnel regarding their roles in the care and supervision of these patients.
  • Conduct infirmary rounds, or ensure that another physician conducts rounds.
  • Conduct intake and annual examinations on inmates as provided for by appropriate procedures or as dictated by sound medical practice.

Staff Recruitment and Evaluation:
  • Participate in recruitment of health care staff as requested by the Health Services Administrator or designee.
  • Supervise and evaluate the clinical activities of all health care staff, including:
  • Supervising infirmary rounds made on patients by other physicians.
  • Reviewing and approving all referrals to outside hospitals or specialists.
  • Evaluating services and treatment provided by other staff physicians, physician's assistants and other health care staff.
  • Properly completing employee evaluations for those employees under the Medical Director's direct supervision in accordance with applicable Wexford Health policy.
  • Assisting in planning schedules of health care staff to provide optimal coverage, when requested.

Quality Assurance:
  • Implement and direct the quality assurance program including, but not limited to, conducting audit and medical chart review procedures as identified in the Wexford Health QA manuals.

Training and Orientation:
  • Participate in and ensure that all new health care personnel are provided with orientation on site regarding medical practices.
  • In conjunction with the Health Services Administrator, direct the development of the correctional facility's continuing medical education curriculum and oversee a program providing in-service education and communicate such to the Pittsburgh Human Resources Department.
  • Participate in ensuring that staff members receive training as necessary to ensure proper performance of their medical duties.

Referrals to Outside Hospitals or Specialists:
  • Provide verification to the Corporate Medical Director of admitting privileges at the hospital.
  • Make referrals and arrangements with medical specialists as needed for treatment of those inmates with health problems extending beyond the scope and capability of on-site services provided (subject to the security coverage of the facility.)
  • Review the health care status of inmates admitted to outside hospitals to ensure that the duration of the hospitalization is medically appropriate.
  • Ensure that discharge summaries are furnished to the correctional institution by the hospital in a timely fashion.

The duties and responsibilities outlined herein are for payroll purposes only; employees may be assigned other duties as required.
ENVIRONMENTAL CONDITIONS
Standard medical setting in a correctional facility, which includes daily interfacing with inmates, correctional staff and health care personnel. Temperature extremes may be encountered while moving throughout the facility outdoors and indoors in buildings without air conditioning.
Job Requirements:
TRAVEL: Minimal travel throughout region and state is required.
LICENSING: Current West Virginia Medical License
CERTIFICATION:
  • Current DEA certificate
  • Current CPR certification
  • CCHP Preferred

EDUCATION: Medical Degree required.
PREFERRED EXPERIENCE:
  • Minimum of three (3) year experience in an institutional healthcare setting.

EOE/M/F/D/V
22555
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To Apply for this Job Click Here

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