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Medical Management Jobs (NOW HIRING)

Cigna

Medical Director

Medical Director: Inpatient Utilization and Population Management ABOUT OUR TEAM: We pride ourselves on being trusted clinical leaders and subject matter experts in the market and across the ...

Argus Medical Management

Physician Assistant

Downey, CA · On-site

$75/hr

Argus Medical Management is a physician practice management company that has served physician communities in the greater Long Beach, Los Angeles, Orange County, and Inland Empire areas for 30+ years.

Managed Staffing

Medical Director/Medical Officer

RI · Remote

$130 - $135/hr

Oversee utilization review, quality assurance, and case management support . * Collaborate with clinical staff, account teams, and healthcare providers to improve care outcomes. * Review and ...

Laukoa

IL · On-site

$32 - $39/hr

POSITION SUMMARY Medical Readiness Training Manager to administer readiness training for ... Instructional systems, education, healthcare administration, or program-management degree ...

Matrix Medical Management

IT Technical Support

Spring, TX · On-site

$19.25 - $26.25/hr

Matrix Medical Management is seeking a dedicated and knowledgeable IT Technical Support professional to join their team in Spring, TX. The ideal candidate will provide technical assistance and ...

CVS Health

Medical Director - ENT

$250K/yr

Conduct utilization management and medical necessity reviews. * Support timely and consistent clinical determinations for members and providers. * Review prior authorizations, predeterminations, and ...

Centene

Remote Medical Director, Appeals

$236K - $449K/yr

Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. * Performs medical review activities pertaining to utilization review ...

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Medical Management information

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$14

$44

$74

How much do medical management jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for medical management in the United States is $44.26, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $57.69 per hour, depending on experience, location, and employer.

What is medical management?

Medical management refers to the process of overseeing and coordinating healthcare services to ensure patients receive appropriate, cost-effective, and high-quality care. It often involves tasks such as evaluating medical necessity, coordinating care plans, managing healthcare resources, and working with providers and insurance companies. Professionals in medical management may focus on case management, utilization review, quality assurance, and compliance with healthcare regulations. The goal is to optimize patient outcomes while controlling healthcare costs.

What are the key skills and qualifications needed to thrive in medical management?

To thrive in Medical Management, you need a strong background in healthcare administration, clinical operations, and a relevant degree such as healthcare management or nursing. Familiarity with healthcare information systems, regulatory compliance tools, and certifications like Certified Medical Manager (CMM) are often required. Leadership, problem-solving, and effective communication are standout soft skills for this role. These skills and qualifications are crucial for ensuring efficient operations, regulatory adherence, and high-quality patient care in healthcare organizations.

How does a medical management professional typically collaborate with healthcare providers and insurance teams?

Medical Management professionals work closely with both healthcare providers and insurance teams to ensure patients receive appropriate, cost-effective care. They review patient cases, coordinate utilization management, and often act as liaisons to facilitate communication between clinical staff and payers. This collaboration involves regular meetings, detailed documentation, and working with multidisciplinary teams to optimize care plans and adhere to regulatory guidelines. Effective teamwork and strong communication skills are essential for success in this role.

What is the difference between Medical Management vs Medical Coding?

AspectMedical ManagementMedical Coding
Required CredentialsHealthcare administration, certifications like CCM or CPHQCertified Professional Coder (CPC), CPC-H, or CCS
Work EnvironmentHospitals, clinics, healthcare organizations, office settingsMedical offices, billing companies, remote work
Employer & Industry UsageHealthcare management companies, hospitals, insurance firmsMedical billing companies, healthcare providers, insurance companies

Medical Management focuses on overseeing healthcare operations, policy implementation, and patient care coordination. Medical Coding involves translating medical diagnoses and procedures into standardized codes for billing and record-keeping. While both roles are essential in healthcare, Medical Management emphasizes administrative leadership, whereas Medical Coding centers on accurate documentation for billing purposes.

What can I do with a medical management degree?

A medical management degree prepares individuals for roles such as healthcare administrator, medical office manager, or health services manager. These positions involve overseeing healthcare operations, managing staff, and ensuring compliance with regulations, often requiring strong organizational and leadership skills.

What degree do you need to be a medical management?

Medical management roles typically require a bachelor's degree in healthcare administration, health services management, or a related field. Advanced positions may require a master's degree such as a Master of Healthcare Administration (MHA) or Master of Business Administration (MBA) with a focus on healthcare. Relevant certifications and experience in healthcare settings can also enhance job prospects.
More about Medical Management jobs

What cities are hiring for Medical Management jobs?

Cities with the most Medical Management job openings:

What are the most commonly searched types of Medical Management jobs?

The most popular types of Medical Management jobs are:

What states have the most Medical Management jobs?

States with the most job openings for Medical Management jobs include:

Medical Management jobs near you
Infographic showing various Medical Management job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 87% Physical, 1% Hybrid, and 12% Remote job distribution, with an average salary of $92,054 per year, or $44.3 per hour.

Medical Director, Utilization Management Physician - Optum - Remote

UnitedHealth Group

San Antonio, TX • On-site, Remote

Full-time

Medical, Retirement

Re-posted 12 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

191st of 898 rated healthcare providers

Job description

WellMed, part of the Optum family of businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care organization that is changing the way clinicians work and live.
The Medical Director for Utilization Management will support WellMed Medical Management, Inc. by making utilization management determinations, identifying utilization trends suggesting possible over or under utilization of services and proactively suggesting improvements to WellMed Medical Management's utilization management program.
At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. Here, you'll work alongside talented peers in a collaborative environment that is guided by diversity and inclusion while driving towards the Quadruple Aim. We believe you deserve an exceptional career and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Position Highlights & Primary Responsibilities:
  • Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values
  • Remain current and proficient in CMS criteria hierarchy and organizational determination processes
  • Participates in case review and medical necessity determination
  • Maintain proficiency in compliance regulations for both CMS and delegated health plans
  • Conducts post service reviews issued for medical necessity and benefits determination coding
  • Assists in development of medical management, care management, and utilization management protocols
  • Performs all other related duties as assigned

Customer Service:
  • Oversees and ensures physician compliance with UM plan
  • Performs all duties in a professional and responsible manner
  • Responds to physicians and staff in a prompt, pleasant and professional manner
  • Respects physician, patient, and organizational confidentiality
  • Provides quality assurance and education of current medical technologies, review criteria, accepted practice of medicine guidelines, and UM policies and procedures with counsel when criterion are not met
  • Personal and Physician Development
  • Strives to personally expand working knowledge of all aspects of the UM department
  • An active participant in physician meetings
  • Orients new physicians to ensure understanding of company policy and resources available for physician support
  • Assists in the growth and development of subordinates by sharing special knowledge with others and promotes continued education classes
  • Attends continuing education classes to keep abreast of medical advancements and innovative practice guidelines

In 2011, WellMed partnered with Optum to provide care to patients across Texas and Florida. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices. At WellMed our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. WellMed has
more than 22,000+ primary care physicians, hospitalists, specialists, and advanced practice clinicians who excel in caring for 900,000+ older adults. Together, we're making health care work better for everyone.
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Doctor of Medicine (M.D.), Doctor of Osteopathy (D.O.), or M.B.B.S.
  • Board certification in Family Medicine, Internal Medicine, or emergency medicine
  • An active, unrestricted medical license (any state)
  • 5+ years of post-residency clinic practice experience
  • Proficiency with Microsoft Office applications

Preferred Qualifications:
  • 2+ years of experience in utilization management activities
  • 2+ years of experience with acute admissions
  • 2+ years of experience working in a managed care health plan environment
  • Bilingual (English/Spanish) fluency

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $248,500.00 to $373,000.00 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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