Remote Enterprise Medical Director: Quality & Utilization

Ladders; United States; Remote; USD 195,000 - 342,000; Full time

Benefits offered by this job

Comprehensive total rewards package

Opportunities for professional dev.

Supportive work environment fostering

Job summary

Ladders is seeking an Enterprise Medical Director for a remote leadership role in the Finance & Insurance space. You will guide medical decision-making, quality improvement, and clinical oversight across core operations, partnering with business and clinical stakeholders to shape utilization management and medical economics insights.

The ideal candidate will hold an MD/DO, with 5+ years of clinical experience and managed care exposure; an MBA/Healthcare Admin is preferred.

Qualifications

• MD or DO from an accredited medical program required.
• Completion of a residency training program, preferably in primary care.
• Minimum of five years of clinical practice experience.
• Managed care medical review or medical director experience preferred.
• Bachelor's or Master's in Business Administration, Healthcare Administration, or Medical Management preferred.

Responsibilities

• Develop and implement corporate quality improvement initiatives
• Create and revise policies and procedures
• Lead operational leadership and medical economics analytics
• Identify and address utilization management trends
• Support regulatory compliance and accreditation functions
• Provide training and clinical consultation to staff
• Conduct clinical reviews and manage appeals

Skills

MD/DO

Clinical leadership

Managed care experience

Regulatory compliance

Communication Training

Education

Residency completion

MBA/Healthcare Admin preferred

Job description

Ladders is seeking an Enterprise Medical Director for a remote leadership role in the Finance & Insurance space. You will guide medical decision-making, quality improvement, and clinical oversight across core operations, partnering with business and clinical stakeholders to shape utilization management and medical economics insights.

The ideal candidate will hold an MD/DO, with 5+ years of clinical experience and managed care exposure; an MBA/Healthcare Admin is preferred.