Source Job

US

  • Provide physician-level clinical oversight and strategic guidance across DRG validation, hospital bill audits, and itemized bill reviews.
  • Act as a clinical authority and escalation point for payer-facing clinical discussions and appeals, including peer-to-peer review.
  • Analyze appeal outcomes and sign off on clinical validation concepts to improve review guidelines and outcomes.

MS-DRG

20 jobs similar to Medical Director, Payer Clinical Services (US Remote)

Jobs ranked by similarity.

$95,250–$150,000/yr
UK US

  • Own the companion iOS app end-to-end — architecture, development, deployment, and iteration.
  • Surface real-time emotional-state outputs from the AI model through clean, intuitive interfaces.
  • Integrate backend APIs, set technical standards, and ship polished consumer-grade mobile experiences.

A Y Combinator-backed consumer wearable AI startup building a wearable that reads emotional state in real time. The seed-stage company has a small, fast-moving distributed team with presence in SF and London, offering high-ownership roles and meaningful equity.

US Unlimited PTO 12w maternity 12w paternity

  • Guide newly acquired companies through systems and process changes, configuring tools like Salesforce, HubSpot, and NetSuite.
  • Drive adoption of new processes through hands-on support, training, and change management with business stakeholders.
  • Leverage AI tools to diagnose issues, speed up configuration, and build enablement materials for faster onboarding.

Cordance is dedicated to accelerating the growth of vertically focused B2B SaaS companies through acquisition and long-term tactical and financial guidance. They are experienced operators with a passion for software and building businesses, partnering with founders to scale their companies.

Europe

  • Analyze and interpret complex data sets from blockchain transactions, financial markets, and customer data using statistical techniques and visualization tools.
  • Develop, maintain, and optimize SQL queries (Columnar databases) and leverage Python for advanced data models and machine learning.
  • Collaborate with cross-functional teams to translate data insights into actionable recommendations and build data-driven strategies.

Coinspaid Dev is the engineering brand behind the technology and infrastructure built within Coinspaid, with over 120 engineers and 11 years of experience. Coinspaid Solutions is a fintech company building blockchain payment infrastructure with a team of 350+ professionals working remotely across multiple countries, recognized in 2026 for Best Corporate Culture in the Blockchain Industry in Europe.

$233,750–$288,750/yr
Global

  • Lead Bevi's fastest-growing Food Service vertical, owning targets across Higher Ed, Government, Corrections, and Healthcare.
  • Manage, coach, and scale an existing sales team, with plans to double in size as the vertical grows.
  • Refine the go-to-market playbook, drive outbound motion, and own deal structuring for institutional accounts.

Bevi is on a mission to transform how beverages are delivered and consumed with IoT-enabled machines that eliminate single-use bottles and cans. The company has raised over $160M in venture capital, serves thousands of customers across the US, Canada, UK, and Ireland, and has saved over 1 billion bottles from waste.

Global 5w PTO

  • Generate qualified sales opportunities through inbound and outbound channels, targeting 2–5 demos per day.
  • Build strong relationships with prospects via confident, personalized communication and consistent follow-up.
  • Maintain accurate pipeline data and collaborate with Account Executives to hand over qualified opportunities.

Jobgether uses AI-powered matching to connect candidates with roles. They serve a global client base and emphasize objective, fair candidate evaluation.

UK

  • Participating in the live chat of livestreamed Biology lessons to provide subject-related responses to student questions and enforce codes of conduct.
  • Providing real-time support to teachers to ensure lessons run smoothly.
  • Assisting students with basic technical or access issues during live sessions.

MyEdSpace is an education technology platform that connects top teachers with students worldwide, regardless of location or means. Backed by $15m in Series A funding, we are a collaborative and ambitious team of over 15 nationalities, ready to scale and make a real impact.

US

  • Own first-level reviews of pre-certification requests for medical appropriateness and necessity.
  • Drive post-service reviews and manage the appeals process for non-certified services.
  • Coordinate smooth discharges and redirect care in-network to keep patients on track.

Personify Health created the first personalized health platform, bringing health plan administration, wellbeing solutions, and care navigation together in one place. Their team serves employers, health plans, and health systems with a mission to empower people to lead healthier lives.

$26–$34/hr
US

  • Act as the frontline connection between Care Access and potential study participants through phone, email, and mail.
  • Educate patients about clinical research and conduct remote pre-screening using checklists to assess eligibility.
  • Maintain meticulous records, schedule study visits, and collaborate with study teams and coordinators.

Care Access is a healthcare research company that brings clinical trials and health services directly to communities through hundreds of locations and mobile clinics. They are a global team with a culture focused on making health more accessible and putting people at the heart of medical progress.

Global

  • Assist in monitoring compliance with frameworks like ISO 27001, SOC 2, and Cyber Essentials.
  • Maintain the central Risk Register and track remediation progress across departments.
  • Support policy management and compliance training across the organization.

We are a global Physical AI company using data and AI to improve critical industries like healthcare, water, energy, and telecom. Our teams are ambitious, curious, and practical, with colleagues across Africa, Europe, the UK, and the US.

Americas

  • Develop, test, and release improvements to the Ubuntu Pro client, a command-line tool managing specialist services on Ubuntu.
  • Collaborate with distributed teams, write high-quality Python code, debug issues, and review code from other engineers.
  • Work remotely with global travel 2-4 weeks per year for internal and external events.

Canonical is a leading provider of open source software and operating systems, publishing Ubuntu, a platform for AI, IoT, and cloud. With 1200+ colleagues in 75+ countries, the company is founder-led, profitable, and growing with a pioneering distributed work culture.

$75,000–$90,000/yr
US Unlimited PTO

  • Manage the full partner lifecycle from onboarding to long-term growth, building trusted relationships and driving engagement.
  • Analyze partner performance data, optimize referral workflows, and leverage AI tools to improve processes and productivity.
  • Collaborate cross-functionally with marketing, technology, and business teams to create seamless referral experiences and maximize partner impact.

They expand access to specialized healthcare services through strategic partnerships. They foster a collaborative, mission-driven culture where innovation and ideas are encouraged, though company size is not specified.

UK 5w PTO

  • You will own the relationship with allocated accounts and act as the main point of contact.
  • You will build trusted stakeholder relationships and influence IT strategy.
  • You will drive revenue growth through strategic account planning and solution-based sales.

sa.global is a global Microsoft partner specializing in AI-powered, cloud-based solutions for service-centric organizations. With over 1,000 employees across 25 countries, it offers a dynamic and collaborative work environment.

Canada 16w maternity 16w paternity

  • Design and scale technical enablement programs for Solutions Engineers and Technical Account Managers.
  • Collaborate with Sales, Product, and Marketing to improve onboarding and technical selling capabilities.
  • Analyze performance metrics to identify skill gaps and enhance program effectiveness.

The company is a fast-growing SaaS organization that provides technical solutions. They foster a remote-first culture with a focus on innovation, collaboration, and employee well-being.

US 5w PTO

  • Manage database administration and technical support for risk management systems such as Riskonnect and OnBase.
  • Perform data analysis, create reports, and ensure data integrity for insurance lines.
  • Collaborate with ITG, vendors, and internal teams to support system upgrades and process improvements.

OHSU is Oregon's only public academic health center, providing patient care, groundbreaking research, and training for healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance in a system of hospitals and clinics, and is committed to building an anti-racist, multicultural institution.

$115,000–$160,000/yr
US Canada India UK Unlimited PTO

  • Own the full operational stack of the company website, including CMS governance, SEO and AEO strategy, and production operations.
  • Drive organic search strategy, monitor AI answer engine representation, and implement structured data frameworks.
  • Design AI workflows for automation, manage cross-functional projects, and report on performance KPIs to leadership.

Juniper Square is a private markets operations partner that unifies technology, data, and fund administration services for 2,300+ GPs. With 1,000+ employees and $350M+ funding, they foster a culture of ownership, urgency, and open debate.

Canada

  • Draft, review, and negotiate commercial agreements to ensure legal compliance and develop contract templates.
  • Manage corporate governance, maintain corporate records, and support mergers and acquisitions activities.
  • Act as legal advisor to internal teams, identify legal risks, and recommend practical solutions.

Unimax is a leading tire distributor in Canada, with divisions in tire distribution, wheel and rim distribution, and a retail network including Point S, V1, Otobox, and Local Tire Centre. Founded in 1979 and based in Boucherville, the company has a strong network of distribution centres and over 1,300 points of sale, valuing collaboration, expertise, and entrepreneurial respect.

Global

  • Own the reliability of Supabase's deployment and release systems against clear SLOs and error budgets.
  • Standardize and instrument pre-production deployment workflows for trustworthy signal.
  • Drive disaster-recovery readiness and reduce mean-time-to-detect and recover for deploy-related incidents.

Supabase is the Postgres development platform providing a complete backend solution including Database, Auth, Storage, Edge Functions, Realtime, and Vector Search. They are a globally distributed team of ~400 members across 60+ countries, with over $1B raised and 540,000+ community members.

Global

  • Source, screen, and place candidates for light industrial roles while using AI feedback.
  • Make high-volume calls to workers across different time zones and coordinate with the Territory Operations Team.
  • Coordinate interviews and provide timely feedback to candidates and the operations team.

Traba is an AI operating layer for the industrial supply chain, starting with temp staffing and expanding into broader operational workflows. Backed by Founders Fund, Khosla Ventures, and General Catalyst, the company is a fast-growing startup with a culture of dreaming big, working hard, and obsessing over customers.

$101,250–$123,750/yr
Canada

  • Own the architecture and evolution of scalable .NET applications across application, infrastructure, and cloud layers.
  • Design and deliver cloud-native, distributed systems for mission-critical industry workflows.
  • Lead complex technical initiatives, providing technical leadership through hands-on execution and mentorship.

This company specializes in digital transformation for the nuclear industry. They foster a collaborative, values-driven engineering culture with a focus on technical excellence and meaningful impact, though specific size is not disclosed.

Mexico

  • Responsible for managing financial processes for precision medicine projects.
  • Collaborates with cross-functional teams to ensure accurate budgeting and forecasting.
  • Supports financial reporting and analysis for client engagements.

Precision Medicine Group is a global leader in precision medicine, providing clinical development, commercial, and data solutions to biopharmaceutical companies. They employ thousands of professionals and foster a collaborative culture.