Remote Medical Director, Orthopedic Spine Claims
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- Remote job
Optum, part of UnitedHealth Group, seeks a Medical Director to lead the Focus Claims Review team and oversee medical services and policy development for claim reviews nationwide. The role requires board-certified orthopedic spine expertise, medical licensure, and extensive clinical experience. Remote work from anywhere in the U.S. is available with a comprehensive benefits package and career development opportunities. #J-18808-Ljbffr Socket.dev
$248.5k - $373k
...000/yearJob Area: Medical & Clinical OperationsCompany... ...part of the Focus Claims Review team at Optum, the Medical Director provides... ...flexibility to work remotely * from anywhere... ...Association (AOA) in Orthopedic Surgery, with... ...clinical experience in Spine Surgery5+ years of...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$174.07k - $374.92k
...care resources. **This is a remote based (work at home) based... ...exciting opportunity for a Medical Director (Spine) that can be remote based,... ...(SME) with a background in Orthopedic Spine OR Neurosurgery,... ...predetermination reviews ad reviews of claim determinations, providing...Remote workClaimsHourly payFull timeTemporary workLocal areaWork from home$248.5k - $373k
...$373,000.00Job Area: Medical & Clinical OperationsCompany... ...of a team of medical directors, for the overall... ...the flexibility to work remotely * from anywhere within... ...prior authorizations for spine surgeryDocument... ...Board Certification in Orthopedic Surgery or Neurosurgery...Remote workMinimum wageWork experience placementLocal areaWeekend work$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...the flexibility to work remotely * from anywhere within the U... ...include prior authorizations for spine surgery Document clinical... ...Board Certification in Orthopedic Surgery or Neurosurgery through...Remote jobMinimum wageWork experience placementLocal areaWeekend work- ...Surgeon (Orthopedics/Neurosurgical Spine) Schedule: Part-time Locations: Seattle... ..., and case progression. Medical Reporting: Prepare clear, concise... ...use. Attorney & Claims Communication: Answer questions... ...to deliver high-quality remote patient care effectively...Remote workClaimsPart time
$248.5k - $373k
...- $373,000.00Job Area: Medical & Clinical OperationsCompany... ....As part of the Focus Claims Review team at Optum, the Medical Director provides leadership,... ...the flexibility to work remotely * from anywhere within the... ...experience with brain and spine surgeries post...Remote workClaimsMinimum wageWork experience placementWork at officeLocal area- UnitedHealth Group seeks a Medical Director to lead the Focus Claims Review program, guiding case reviews, provider... ...license, board certification in Orthopedic Surgery, 5+ years of orthopedic experience... ..., and proficiency with MS Office; remote work options available across the...Remote jobClaims
- Optum is seeking a Medical Director to lead the Focus Claims Review program, ensuring quality and coordination of... ...with an active license, ABMS/AOA orthopedic board certification, and 5+ years of... ...experience, with strong MS Office skills. Remote work within the U.S. #J-18808-...Remote jobClaims
$248.5k - $373k
...73,000.00/yearJob Area: Medical & Clinical OperationsCompany... ....As part of the Focus Claims Review team at Optum, the Medical Director provides leadership,... ...the flexibility to work remotely * from anywhere within the... ...board certification in Orthopedic Surgery through the American...Remote workClaimsMinimum wageFull timeWork experience placementLocal areaMonday to FridayFlexible hours$386.5k
...0 - $579,500/yearJob Area: Medical & Clinical OperationsCompany... ....The National Medical Director of Orthopedic and Musculoskeletal Programs... ...enjoy the flexibility to work remotely * from anywhere within the... ...accurateEvaluate clinical, quality and claims data to identify...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- Optum is seeking a Medical Director to provide leadership for the Focus Claims Review program. You will oversee medical services, participate in provider discussions... ...high-quality claim reviews. The role offers remote work from anywhere in the U.S. with a strong emphasis...Remote jobClaims
- ...Health, a major healthcare company, is seeking a Medical Director (Spine) to lead clinical strategy remotely from anywhere in the United States. The role focuses... ...and guiding utilization review, with emphasis on Orthopedic Spine or Neurosurgery expertise. The position...Remote job
$231.9k
Remote Behavioral Medical Director - Texas Join to apply for the Remote Behavioral Medical Director - Texas role... ...and health care quality. Reviews claims involving complex, controversial, or... ...Review Specialist-Bexar County, Texas Spine Telecommute Medical Review Stream Physician...Remote jobClaimsFull timeWork at officeFlexible hoursWeekend work- Dane Street, LLC is seeking a Physician Reviewer for orthopedic cases in Dallas, TX. This telework role allows flexibility in scheduling while ensuring timely responses to clients. Candidates must have a TX License and experience in deposition work. Reviewers will analyze...Remote jobClaims
- ...Medical Director OpportunityTop Healthcare Company is hiring a North Carolina Licensed Physician... ...North Carolina Physician License. 100% Remote role! Contract for one year to start!... ...or update various moderate to complex claims payments and payment errors for any business...Remote workClaimsContract work
$248.5k - $373k
...500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany:... ...enjoy the flexibility to work remotely * from anywhere within the U.... ...each memberWork with medical director teams focusing on inpatient... ...appeals clinical review, medical claim review and provider appeals...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$248.5k - $373k
...500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany:... ...Billing Validation (SSBV) Medical Director to join our Clinical and... ...enjoy the flexibility to work remotely * from anywhere within the U.... ...of short-stay inpatient claims to ensure accurate billing status...Remote workClaimsMinimum wageFull timeWork experience placementLocal area$225k - $275k
...Overview The Client Medical Director (CMD) is a key member of the Go To Market team. Along... ...Solutions teams. Have in-depth knowledge of claims, claims adjudication, medical policy... ...candidate is selected. #LI-JB1 #LI-Remote #director #J-18808-Ljbffr...Remote workClaimsWork at officeImmediate startWork from home$248.5k - $373k
...500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany:... ...clinical coverage and medical claims reviews. Our role is to... ...health care costs.The Medical Director provides physician support to... ...enjoy the flexibility to work remotely * from anywhere within the U....Remote workClaimsMinimum wageFull timeWork experience placementLocal area$248.5k - $373k
...500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany:... ...clinical coverage and medical claims reviews. Our role is to... ...health care costs.The Medical Director provides physician support to... ...enjoy the flexibility to work remotely * from anywhere within the U....Remote workClaimsMinimum wageFull timeWork experience placementLocal area- Concentra, Inc. is seeking a Board Certified Orthopedic Surgeon for a telecommute medical review role. This is a 1099 independent contractor position reviewing health claims, providing medical interpretation, and making decisions in line with Concentra Physician Review...Remote jobClaimsContract workFor contractorsMonday to Friday
$280.84k - $393.18k
...President of Health Services, the Senior Medical Director Policy & Outcomes (Sr. Medical Director... ...experience, provider relations, and claims.Serve as a liaison with providers, county... ...a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga...Remote workClaimsTemporary workLocal area- Concentra, Inc. seeks an experienced Board Certified Orthopedic Surgeon for our medical reviewstream division. This telecommute role allows you to customize... ...appeals, with responsibility for reviewing health claims and ensuring compliance with Concentra policies and #J-1...Remote jobClaimsContract workFor contractorsMonday to Friday
$187.28k - $312.13k
Position SummaryA Medical Affairs Medical Director has strong clinical and scientific training and can take... ...generated including recommending medical claims.ResponsibilitiesThis role will... ...Hybrid role with a mix of on-site and remote work. Exact on-site days will be discussed...Remote workClaimsFull timeLocal area$79.72k - $128.12k
...reported by the hospital on its claim, matches both the attending... ...in the beneficiary’s medical record. Responsible for performing... ...conjunction with the Associate Director and Director of DRG Validation... ..., Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation...Remote workClaimsFull timeTraineeshipWork experience placementLocal area$206.01k
...Purpose The Molecular Diagnostics Medicare Medical Director at Palmetto GBA oversees medical staff,... ...(40-hours/week) Monday-Friday working REMOTE in the United States or ONSITE at our... ...medical and regulatory matters. Develops claim adjudication criteria for situations...Remote workClaimsFull timeFor contractorsWork experience placementWork at officeLocal areaMonday to Friday$223.8k - $313.1k
Medical Director physician job in Texas : Become a part of our caring community The Medical... ...medical background and reviews health claims. The Medical Director work assignments... ...information. Travel: While this is a remote position, occasional travel to Humana's...Remote workClaimsBi-weekly payTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeWork visaMonday to FridayWeekend work$215k - $408.5k
...clinical professional on our Medical Management/Health Services team... ...re Hiring: Full time Medical Director for our Health Plan in New... ...care quality. \n Reviews claims involving complex, controversial... ...approach to work with remote, hybrid, field or office work...Remote workClaimsFull timePart timeWork at officeFlexible hoursWeekend work$270k - $330k
...of California or otherwise can sit remotely. The Vice President, Medical Director serves as the clinical leader for... ...supporting workers' compensation claims operations in conjunction with the... ...Rehabilitation, Emergency Medicine, Orthopedic Surgery, Neurology, Trauma Surgery...Remote workClaimsWork experience placementWork at office- ...Medical Director Opportunity At Karoo Health Karoo Health is a cardiovascular technology company... ...care. The company connects clinical, claims, pharmacy, and patient data to enable... ...care management, transitions of care, remote patient management, or chronic disease...Remote workClaims
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