Talent.com
Medical Director
Medical DirectorCSS Scientific • Pittsburgh, PA, US
Medical Director

Medical Director

CSS Scientific • Pittsburgh, PA, US
[job_card.1_day_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Title : Medical Director

Job Overview :

Contemporary Staffing Solutions is seeking a Medical Director to join our client to provide physician leadership that supports high-quality, cost-effective medical decision-making across health plan operations. This fully remote, contract role requires residency within NJ, DE, or PA and partners closely with utilization and care management teams to ensure coverage determinations align with clinical best practices and plan guidelines. The Medical Director brings deep clinical expertise, population health insight, and sound judgment to support patient safety, quality outcomes, and responsible resource use. This is a one-year contract opportunity starting January 5th.

Compensation : $145 / hour

Work Schedule :

Monday–Friday, 8 : 30 AM–5 : 00 PM, with potential for occasional weekend coverage

Key Responsibilities of the Medical Director :

  • Provide physician leadership for utilization and care management activities, supporting timely and appropriate coverage and payment determinations.
  • Apply evidence-based clinical guidelines and best practices to evaluate medical necessity, quality, and cost considerations.
  • Collaborate with internal clinical teams, leadership, and external partners to promote effective, patient-centered care delivery.
  • Support population health, quality management, and patient safety initiatives across multiple lines of business.
  • Ensure decisions align with health plan terms, provider contracts, and applicable regulatory requirements.

Qualifications and Skills for the Medical Director :

  • Medical Doctor (MD) or Doctor of Osteopathy (DO) from an accredited medical or osteopathic school.
  • Active, unrestricted Pennsylvania medical license with no encumbrances.
  • Current board certification through ABMS or AOBMS; family medicine or internal medicine preferred.
  • Strong clinical judgment with the ability to navigate utilization management and health insurance frameworks.
  • Ability to successfully complete required credentialing processes.
  • [job_alerts.create_a_job]

    Medical Director • Pittsburgh, PA, US

    [internal_linking.similar_jobs]
    Medical Director

    Medical Director

    Wellpath • La Belle, PA, US
    [job_card.full_time]
    The Site Medical Director provides clinical leadership at the assigned facility and ensures compliance with medical standards and regulations. They deliver direct care, supervise healthcare staff, a...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director, Clinical Quality Assurance

    Director, Clinical Quality Assurance

    Eisai • Pittsburgh, PA, United States
    [job_card.full_time]
    At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission.We're a growing pharm...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Key Account Director

    Key Account Director

    Celltrion USA • Pittsburgh, PA, US
    [job_card.full_time]
    Headquartered in New Jersey, Celltrion USA is committed to expanding access to biologics to improve care for U.Celltrion USA will continue to leverage Celltrion’s unique heritage in biotechno...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Certified Medical Assistant (Green Tree 15220) - Direct Hire / Full Benefits

    Certified Medical Assistant (Green Tree 15220) - Direct Hire / Full Benefits

    Novus Group • Pittsburgh, PA, US
    [job_card.full_time] +1
    Novus Group offers job-preparedness resources to help you navigate direct hire career opportunities through our partnership with the Employer. We are dedicated to helping you achieve your career goa...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel MRI Tech - $2,574 to $2,959 per week in Sellersville, PA

    Travel MRI Tech - $2,574 to $2,959 per week in Sellersville, PA

    AlliedTravelCareers • Pittsburgh, Pennsylvania, US
    [job_card.full_time]
    Facility in Sellersville, Pennsylvania.Fusion Medical Staffing is seeking a skilled MRI Tech for a 13-week travel assignment in Sellersville, Pennsylvania. As a member of our team, you'll have the o...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director, Home Health Clinical Practice

    Director, Home Health Clinical Practice

    BrightSpring Health Services • Pittsburgh, PA, United States
    [job_card.full_time]
    Director, Home Health Clinical Practice.US-MD-BALTIMORE | US-PA-PITTSBURGH | US-PA-ALLENTOWN.Provide oversight, leadership and support relating to clinical practice and care provision.Consult and c...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    100% Breast Surgery- Pittsburgh, PA- Medical Director

    100% Breast Surgery- Pittsburgh, PA- Medical Director

    Jackson Physician Search • Pittsburgh, US
    [job_card.full_time]
    Join Hospital named America's 100 Best Hospitals affiliated with the Mayo Clinic and Hillman Cancer Center.The breast program is ranked 2nd busiest breast surgery program and infusion center in Wes...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Chief of Breast Medical Oncology- Pittsburgh, PA- Leadership Role- Competitive Salary

    Chief of Breast Medical Oncology- Pittsburgh, PA- Leadership Role- Competitive Salary

    HealthEcareers - Client • Pittsburgh, PA, USA
    [job_card.full_time]
    The overall function of the Chief of Breast medical oncology is to coordinate the delivery of inpatient and outpatient specialty care by division faculty to all breast cancer patients as needed in ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Certified Medical Assistant

    Certified Medical Assistant

    Novus Group • Allison Park, PA, US
    [job_card.full_time]
    Evening and weekend availability are required.Company’s hours of operation.Pay Rate and Title will be determined based on the successful candidate's education and experience.Directly supp...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Director – Liver Transplant (Transplant Hepatologist)

    Medical Director – Liver Transplant (Transplant Hepatologist)

    Department of Veterans Affairs • Pittsburgh, US
    [job_card.full_time]
    Medical Director – Liver Transplant (Transplant Hepatologist) Needed at VA Pittsburgh Medical Center.Eligible for up to $200k in student loan reimbursement and a hiring incentive / bonus • •.The...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director – Liver Transplant (Transplant Hepatologist)

    Medical Director – Liver Transplant (Transplant Hepatologist)

    HealthEcareers - Client • Pittsburgh, PA, USA
    [job_card.full_time]
    Medical Director – Liver Transplant (Transplant Hepatologist) Needed at VA Pittsburgh Medical Center.Eligible for up to $200k in student loan reimbursement and a hiring incentive / bonus • •.The Pitts...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Administrative - Medical Director

    Administrative - Medical Director

    UPMC Shadyside • Pittsburgh, PA, United States
    [job_card.full_time]
    Physician - Permanent Administrative - Medical Director - Pittsburgh, PA - Full Time Days - Pay Negotiable - Pittsburgh, PA. The Regional Medical Director, CC / DP and Utilization Review, provides cli...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Director - Liver Transplant

    Medical Director - Liver Transplant

    U.S. Department of Veterans Affairs • Pittsburgh, PA, US
    [job_card.full_time]
    This role blends clinical excellence, program leadership, education, and collaborative team-based care.As the Liver Transplant Medical Director, you will be a key member of a nationally recognized ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director of MR Guided Radiation Therapy (Accepting New Graduates)

    Director of MR Guided Radiation Therapy (Accepting New Graduates)

    Allegheny Health Network • Pittsburgh, PA, US
    [job_card.full_time]
    Allegheny Health Network's Cancer Institute (AHNCI).Radiation Oncologist for the Allegheny General Hospital AHNCI site in. Director of MR Guided Radiation Therapy for the health system.New graduates...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Healthcare Financial / Actuarial Director

    Healthcare Financial / Actuarial Director

    Willis Towers Watson Plc • Pittsburgh, PA, US
    [job_card.full_time]
    Healthcare Financial / Actuarial Director.As a Health and Benefits Financial / Actuarial Director, you will serve as the financial lead for large, complex client assignments. You'll leverage your experi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Administrative - Medical Director

    Administrative - Medical Director

    UPMC Presbyterian • Pittsburgh, PA, United States
    [job_card.full_time]
    Physician - Permanent Administrative - Medical Director - Pittsburgh, PA - Full Time Days - Pay Negotiable - Pittsburgh, PA. The Regional Medical Director, CC / DP and Utilization Review, provides cli...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Chief Medical Officer

    Chief Medical Officer

    East Liberty Family Health Care Center • Pittsburgh, PA, US
    [job_card.full_time]
    Chief Medical Officer (CMO) - ELFHCC.Salary commensurate with experience & education.Join ELFHCC's Executive Leadership Team as Chief Medical Officer and shape the future of community healt...[show_more]
    [last_updated.last_updated_30] • [promoted]
    CLINICAL DIRECTOR

    CLINICAL DIRECTOR

    Resources for Human Development • Pittsburgh, PA, US
    [job_card.full_time]
    Are you experienced in providing high-quality, evidence-based behavioral health services across diverse populations? Join a dynamic team dedicated to delivering compassionate care through individua...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]