Last updated: 2025-05-22

10 Medical Director And Reviewer Positions jobs in Houston.

Hiring now: Clinical Reviewer @ Healthhelp, Medical Dir Behavioral He @ Molina Hea, Medicare Medical Dir Part @ Elevance H, Board Certified Board Eli @ The Ima, Gastroenterology Physicia @ The Gi All, Gastroenterology Physicia @ Gi Allianc, Gastroenterology Physicia @ The Gi All.Explore more at at kaamvaam.com

🔥 Skills

medical necessity (3) Gastroenterology (3) utilization review (2) clinical reviews (2) customer service (2) HIPAA (2) project prioritization (2) Medical Director (2) healthcare (2) private practice (2)

📍 Locations

Houston (6) Pasadena (2) Pearland (2)
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Healthhelp

Clinical Reviewer Houston
Skills & Focus: utilization review, medical necessity, clinical reviews, customer service, HIPAA, quality issues, compliance, teamwork, NCQA standards, project prioritization

Molina Healthcare

Medical Director, Behavioral Health Houston
Skills & Focus: Psychiatric leadership, Utilization management, Case management, Quality compliance, Medical necessity reviews, Cross coverage, Clinical practice guidelines, Recruitment, Training, Regulatory compliance
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 2 years previous experience as a Medical Director in clinical practice, 3 years’ experience in Utilization/Quality Program Management, 2+ years HMO/Managed Care experience.
Salary: $161,914.25 - $315,733 / ANNUAL
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Elevance Health

Medicare Medical Director- Part time Houston
Skills & Focus: Medicare, Medical Director, clinical experience, healthcare, cost-effective care, quality improvement, program development, clinical consultation, peer review, healthcare policies
About the Company: Elevance Health is a health company dedicated to improving lives and communities, providing healthcare solutions and services.
Experience: Minimum of 10 years of clinical experience or equivalent education and experience
Salary: $125,118 to $214,488
Type: Part-time
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k, medical, dental, visio…

Healthhelp

Clinical Reviewer Houston
Skills & Focus: utilization review, medical necessity, clinical reviews, documentation policy, HIPAA, customer service, quality management, regulatory requirements, independent work, project prioritization

The Ima Group

Board Certified / Board Eligible Physician Houston
Skills & Focus: medical assessments, medical histories, physical examinations, diagnostic tests, report writing, medical data, comprehensive medical reports, clinical skills, comprehensive medical assessments, health coverage
About the Company: For over 30 years, The IMA Group has been dedicated to enhancing the livelihood and productivity of individuals and organizations navigating challenging period…

Elevance Health

Medical Director, Cardiology Houston
Skills & Focus: Medical Director, Cardiology, clinical case reviews, medical necessity, peer-to-peer consultations, healthcare, vascular surgery, evidence-based guidelines, clinical criteria, treatments
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 1 year of experience with clinical case reviews for medical necessity.
Salary: $205,470.72 - $337,559.04
Type: Hybrid
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution.

The Gi Alliance Management Llc

Gastroenterology Physician (ADV or General) Pasadena
Skills & Focus: Gastroenterology, physician-led, private practice, outpatient role, hospital responsibilities, financial package, patient care, administrative support, call shared, CME
About the Company: GI Alliance (GIA) is the premier physician-led network of Board-Certified Gastroenterologists in the US, dedicated to providing an exceptional patient experien…
Benefits: Protected base salary for the 1st 2 years, with partnership track starting year 3, Local Autonomy with National Resourc…

Gi Alliance Management Llc

Gastroenterology Physician Pasadena
Skills & Focus: Gastroenterology, Physician, Private Practice, Patient Care, Clinical Skills, Partnership Track, Autonomy, Financial Package, Referral, GI Alliance
About the Company: GI Alliance is the premier physician-led network of Board-Certified Gastroenterologists in the US, dedicated to providing an exceptional patient experience wit…
Type: Full-time
Benefits: Generous Financial Package, Relocation Allowance, Signing Bonus & Annual CME, Great Work/Life Balance

The Gi Alliance

Gastroenterology Physician Pearland
Skills & Focus: Gastroenterology, Outpatient, Hospital, Physician-led, Patient-focused, Relocation Allowance, CME, Financial Package, Local Autonomy, Diversity
About the Company: The GI Alliance is the premier physician-led network of Board-Certified Gastroenterologists in the US, dedicated to providing an exceptional patient experience…
Experience: General GI or Advanced GI Physician
Salary: Generous Financial Package
Type: Employed Position
Benefits: Relocation Allowance, Signing Bonus & Annual CME, Great Work/Life Balance

The Gi Alliance Management Llc

Gastroenterology Physician Pearland
Skills & Focus: gastroenterology, physician, private practice, patient care, partnership track, autonomy, financial package, asc ownership, clinical governance, board-certified
About the Company: GI Alliance (GIA) is the premier physician-led network of Board-Certified Gastroenterologists in the US, dedicated to providing an exceptional patient experien…
Type: Employed Position
Benefits: Generous Financial Package, Relocation Allowance, Signing Bonus & Annual CME, Great Work/Life Balance