Remote ENT Medical Director Health Plan Leader
$174.07k - $374.92kHispanic Alliance for Career Enhancement
- Remote job
The Hispanic Alliance for Career Enhancement is offering a remote position with Aetna, a leader in health insurance, focused on expanding medical management programs. The role requires an MD or DO, with extensive experience in health care delivery and utilization management. Key responsibilities include supporting medical staff, leading utilization reviews, and providing clinical expertise. The estimated salary ranges from $174,070 to $374,920, with additional benefits offered. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$174.07k - $374.92k
...Alliance for Career Enhancement seeks a Medical Director to oversee medical policy and support... ...management programs in Arizona. This fully remote role requires an active medical license... ...at least two years of experience in health care delivery. Responsibilities include...Remote jobHealth Insurance$248.5k - $373k
Crains Cleveland is hiring a Medical Director in Phoenix, Arizona. This role focuses on clinical reviews and determining coverage for health services. Applicants must possess an M.D. or D.O., board certification in Otolaryngology, and 5+ years of clinical experience. The...Remote jobHealth Insurance- Texas Health Institute is looking for a Medical Director to lead clinical coverage and medical claims reviews in Phoenix, Arizona. This position focuses on improving... ...at least 5 years of clinical practice experience. Remote flexibility is offered with a focus on PST time zone....Remote jobHealth Insurance
- ...Mockingbird Towers 4th FLR PCHP - Parkland Community Health Plan Remote PRIMARY PURPOSE Oversees medical coordination required for effective utilization... ...by the State of Texas for Managed Care Medical Directors. Board certification in the relevant specialty...Remote workHealth InsuranceContract workWork at officeLocal area
$248.5k - $373k
Crains Cleveland seeks a qualified MD or DO for a remote position focused on managing health plan appeals and grievances. The role requires extensive... ...experience and the ability to communicate effectively with medical directors. You will also provide clinical strategy and...Remote jobHealth Insurance- Stryker Corporation is seeking a qualified Medical Director to perform case reviews for appeals and grievances within various health plans. The role involves communication with... ...expertise in quality management. This is a remote position available within the U.S. with a...Remote jobHealth Insurance
$174.07k - $374.92k
...Description Summary Aetna, a CVS Health Company, a Fortune 6 company,... ...of health care resources. Remote Work This role is remote; work... ...Responsibilities Expand Aetna's medical management programs to address... ...experience with a Health Plan or Payor. Education MD or DO...Remote workHealth InsuranceHourly payFull timeTemporary workLocal areaWork from home$149.88k - $224.82k
E2E Alignment Healthcare USA, LLC is seeking a Remote Director of Health Plan Economics to lead health plan analytics. This role involves developing risk-stratification frameworks and predictive models, translating data into actionable insights, and managing a high-performing...Remote jobHealth Insurance- ...Responsible for determining appropriateness and medical necessity of member dental care services... ...senior leadership to establish strategic plans and objectives. Contributes to... ...and unrestricted in state of practice. Health care management/leadership experience preferred...Remote jobHealth InsuranceWork at office
$149.88k - $224.82k
Remote Director of Health Plan Economics The Remote Director of Health Plan Economics drives the health plan... ..., and product teams. Evaluate medical cost trends with clear decomposition... ...actionable recommendations for senior leaders. Experience establishing governance,...Remote jobHealth InsuranceContract work- Optum is looking for a Senior Director, Service Delivery to lead effective service commitments for Health Plan clients. This position offers remote work flexibility across the U.S. and focuses on operational excellence while partnering with strategic leadership. The ideal...Remote jobHealth Insurance
$250k - $300k
...Strategic Medical Director, MSK United States Opportunity Overview: The Strategic Medical... ...and needs of Cohere's clients (i.e., health plans, health systems, & ACOs). You will... ...relationships Pay & Perks: Fully remote opportunity with about 25% travel...Remote workHealth InsuranceFlexible hours$112.7k - $193.2k
Optum is seeking a Director of Service Delivery to drive execution of service delivery commitments for Health Plan clients. The role involves maintaining multi-level client relationships... ...management and leadership roles. This remote position offers a salary range from $112,...Remote jobHealth Insurance$248.5k - $373k
...for an experienced physician (MD/DO) to handle appeals and grievances for various health plans. In this remote role, you will engage in case reviews and collaborate with medical directors while providing strategic input in team settings. The ideal candidate will have at...Remote jobHealth Insurance- ...Plan Performance Medical Director- Missouri Medicaid Market Plan Performance Medical Director- Missouri Medicaid Market Location: This role enables... ...PPMD will oversee clinical program operations within the health plan. The individual will collaborate closely with...Remote workHealth InsuranceFull timeDay shift
- UnitedHealthcare is seeking a qualified medical professional for a remote position focused on appeals and grievances for health plans. Responsibilities include reviewing cases, communicating decisions, and participating in team processes. The ideal candidate will have an...Remote jobHealth Insurance
$121.7k - $202.9k
...Operations Director As the Express Scripts Inc. (ESI) Health Plans Division (HPD) Operation Director... ...working relationships with leaders from both internal and... ...mentoring on-site and remote team members Work collaboratively... ...benefits including medical, vision, dental, and...Remote workHealth InsuranceWork experience placementLocal areaWork from homeShift workNight shift$135k - $150k
...The Sales Director- Health Plan will report directly to the VP of Sales – Health Plan and have responsibility... ...accounts. ~ Sell to senior leaders and C-level executives at National and... ...Good Health Comprehensive Medical, Dental, and Vision insurance plans...Remote workHealth InsuranceContract workTemporary work$180.8k - $226k
...individual for the position of Director Health Planning for the design practice, to... ...will be a dynamic leader with deep expertise in healthcare... ...benefit package including medical, dental and vision coverage... ...off, flex-time schedules, remote work options and a 401k plan...Remote jobHealth InsuranceFor contractorsWork experience placementFlexible hours- Itlearn360 is hiring a Medical Director - ENT for a remote position based anywhere in the United States. The ideal candidate holds an MD or DO and is... ..., with a minimum of 2 years' experience in the Health Care Delivery System. This role requires expertise in utilization...Remote job
$248.5k - $373k
Texas Health Institute is seeking an Appeals and Grievances Medical Director to oversee clinical review for appeals and grievances cases. The role involves detailed case analysis and collaboration with medical directors, while aiming to improve processes and communicate...Remote job$248.5k - $373k
Wellness Health Careers is seeking an Appeals and Grievances Medical Director responsible for clinical review and adjudication of appeals for UnitedHealthcare. The ideal candidate must be an MD or DO with a valid license and board certification. Responsibilities include...Remote job- A leading U.S. healthcare company is seeking a Behavioral Health Medical Director who will be instrumental in managing the behavioral health care strategy. This remote position requires an MD or DO degree, along with 5+ years of clinical experience. The ideal candidate...Remote job
- ...Manager, Benefits to design the foundation of a next-generation health plan. You will define how care is paid for, shape benefit design,... ...designs into efficient systems. This role offers competitive compensation and remote work flexibility. #J-18808-Ljbffr Harbor HealthRemote workHealth Insurance
- Lifepoint Health® is seeking a Manager, Accounts Receivable to oversee operations and improve workflows. This role is pivotal in ensuring... ...addition to base compensation, benefits include comprehensive medical coverage, financial protection, and opportunities for...Remote jobHealth Insurance
- ...Territory Manager focused on generating new enrollments and retaining existing members within their life and health insurance plans. The position is primarily remote with a focus in the Los Angeles, CA area. Responsibilities include meeting sales goals, developing...Remote jobHealth Insurance
- A healthcare startup is seeking a full-time Partnerships Manager to develop relationships with health plans to enhance access to services for individuals with opioid use disorder (OUD). This role involves integrating workflows to improve member access and driving referrals...Remote jobHealth InsuranceFull time
- ...and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health Plan is seeking a Director - Medical Director to join our team in Wausau, WI ! The Medical Director is responsible for conducting day-to-day...Health InsuranceFull timePart time
- Medpace is seeking a Medical Director in Neurology to provide medical leadership for clinical trials in Cincinnati, Ohio. This role encompasses... ...hybrid work from home flexibility and potential for full remote work based on experience. Travel may be required up to 20%. #J...Remote jobWork from home
$97.3k - $189.73k
Molina Healthcare is seeking a seasoned professional to lead and direct operations for health plan services in Florida. This remote role involves managing teams and ensuring compliance with health plan requirements, focusing on member satisfaction and provider management...Remote jobHealth Insurance
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