Remote Physician Assistant - Appeals & Grievances Consultant
Unitedhealth Group
- Remote job
UnitedHealthcare, a part of UnitedHealth Group, is seeking a Physician Assistant/Associate to join the Appeals and Grievances team. Under supervision of a Medical Director, you will review and adjudicate appeals for multiple health plans, collaborate with physicians, and contribute to process improvements while working remotely across the U.S. Ideal candidates have an active PA license, NCCPA certification, at least 5 years of PA practice, and proficiency with MS Office. #J-18808-Ljbffr UnitedHealth Group
- UnitedHealthcare is seeking a Physician Assistant to join the Appeals & Grievances team. You will adjudicate appeals across multiple plans, collaborating with... ...appeals staff to support coverage decisions. This remote U.S. role requires NCCPA certification, a PA license...Remote jobMonday to Friday
- UnitedHealthcare is seeking a Physician Assistant to join our Appeals and Grievances team. In collaboration with Medical Directors, you will review and adjudicate appeals for multiple health plans, working remotely from anywhere in the U.S. You will participate in team...Remote jobMonday to Friday
- Sagility is seeking an Appeals and Grievance Coordinator who will manage and resolve member and provider complaints while adhering to regulatory requirements. This role involves conducting investigations, documenting actions, and ensuring compliance. As a key contact for...Remote jobWork from home
- ...Pride Health is seeking a Grievances and Appeals Nurse for a remote contract position. This role is vital in investigating and resolving grievances and appeals efficiently for a well-known client. Responsibilities include acting as a subject matter expert, ensuring compliance...Remote workContract work
- Blue Cross Blue Shield of Arizona is seeking a skilled professional for a clinical role addressing provider appeals and grievances. This position demands expertise in managed care while ensuring compliance with privacy regulations. The ideal candidate will possess a relevant...Remote job
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote job
- ...Geisinger is seeking a dedicated professional to support the administration of the Appeals and Grievance process. The role involves acting as a liaison between members and the Plan regarding denied claims, services, and other concerns. Responsibilities include managing...Remote work
- ...Grievances And Appeals Nurse Pride Health is hiring a Grievances and Appeals Nurse for a well-known client! (Remote Contract) Schedule: 5x8s Day shift Contract: 6 months Pay Rate... ...disability insurance, an employee assistance program, legal support, auto, home...Remote workContract workWork experience placementLocal areaDay shift
- ...Schedule: The position is 100% Remote, and the candidates must reside in Southern California Description: The Temporary Grievance & Appeals Nurse (LVN) is responsible for managing and... ...: Impresiv Health is a healthcare consulting partner specializing in clinical & operations...Remote workTemporary workWork at officeImmediate start
- ...Elevance Health is seeking a Grievance/Appeals Analyst I to review and process non-complex grievances and appeals in the Enterprise Grievance & Appeals Department. This entry-level position allows for virtual work but requires in-person training sessions. The ideal candidate...Remote work
- ...Elevance Health is looking for a dedicated individual to handle customer grievances and appeals within the health insurance sector, ensuring efficient service and communication. The role offers a virtual work environment with a standard shift from 9:00 am to 6:00 pm EST...Remote workShift work
- ...L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider complaints, ensuring compliance with various health regulations, and preparing reports. Requirements include at least 2 years...Remote workFull time
$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities... ...together. Work at home! You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough...Remote jobMinimum wageWork experience placementLocal areaWork from home- Texas Health Institute is seeking an Appeals and Grievances Medical Director who will be responsible for the clinical review and adjudication... ...of appeals cases. This role offers the flexibility to work remotely from anywhere within the U.S. It involves communicating with...Remote job
$248.5k - $373k
UnitedHealthcare is hiring an Appeals and Grievances Medical Director responsible for clinical review and adjudication of cases. This role allows remote work within the U.S., providing flexibility as you tackle significant healthcare challenges. The position requires an...Remote job- UnitedHealthcare is seeking a Physician Associate to join our Appeals and Grievances team. The role involves clinical review and adjudication of appeals across... ...years of practice is required. The position allows remote work from anywhere in the United States, with a comprehensive...Remote job
- A staffing solutions company is seeking a Grievance & Appeals Coordinator for a fully remote position in Detroit, MI. This role involves processing appeals, grievances, and inquiries while maintaining accurate documentation and effective communication. The ideal candidate...Remote jobContract work
- Mass General Brigham Health Plan Holding Company, Inc. is seeking a Duals Supervisor for Appeals and Grievances to lead a team responsible for overseeing the appeals process. The ideal candidate will have significant experience in healthcare appeals and grievances, regulatory...Remote job
$31 per hour
...Grievance And Appeals Nurse Position Type: Full time Schedule: (Hybrid) M-F, 8:00 am - 5 pm; Mon./Fri. work from home, Tues./Wed./Thurs. onsite Pay: $31 The Grievance & Appeals Nurse is responsible for working directly with the IPAs, Hospitals, internal departments...Full timeWork from home$30 - $35 per hour
...Mid-Senior Level professional for a contract role to manage grievances and appeals. Candidates should have 6+ years in customer service with strong... ...pay range of $30.00/hr - $35.00/hr based on qualifications. Remote work is available for candidates within 100 miles of...Remote jobContract workFor contractors- Geisinger is looking for a professional to provide support in the administration of the Appeals and Grievance process. This role involves liaising between members and the plan to address denied claims and benefit issues. Applicants should have a minimum of 5 years of relevant...Remote job
- ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established... ...and applying contract and regulatory provisions. This is a Remote Role Experience Experience handling a large load of work in...Remote workContract workApprenticeshipLocal area
$248.5k - $373k
...seeking a Medical Director for UnitedHealthcare. This role involves clinical review and adjudication of appeals and grievances for various health plans while working remotely. The ideal candidate will have an MD or DO, board certification, and significant clinical practice...Remote job$248.5k - $373k
Texas Health Institute is seeking an Appeals and Grievances Medical Director to oversee the clinical review and adjudication of appeals and grievances... ...extensive clinical experience. This role allows flexible remote work from anywhere in the United States, with a competitive...Remote jobFlexible hours- UnitedHealthcare is seeking an Appeals and Grievances Medical Director to review and adjudicate appeal cases. You will conduct reviews related... ...and ensure adherence to clinical policies while working remotely within the U.S. The ideal candidate will hold an MD or DO,...Remote job
$238k - $357.5k
UnitedHealthcare is seeking an Appeals and Grievances Medical Director responsible for clinical review of appeals for various health plans. This role offers flexibility to work remotely from anywhere within the U.S. The qualified candidate will have an MD or DO with an...Remote job- ...organization in Somerville is seeking a Duals Supervisor for Appeals and Grievances to oversee a team and ensure compliance with operational... ...presentation, and cross-functional collaboration. This role allows for remote work with occasional onsite meetings. Competitive benefits...Remote job
$248.5k - $373k
UnitedHealthcare is seeking an Appeals and Grievances Medical Director to support the clinical review and adjudication of cases while offering flexible, remote work within the United States. The candidate must have an MD or DO, with at least 5 years of clinical experience...Remote jobFlexible hours$248.5k - $373k
Texas Health Institute is looking for an Appeals and Grievances Medical Director to oversee clinical reviews for appeals and grievances cases. This remote position requires an MD or DO with an active license and offers a competitive salary between $248,500 and $373,000...Remote job- ...Job Description. Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory... ...and applying contract and regulatory provisions. This is a Remote Role Experience; Experience handling a large load of work in...Remote workContract workApprenticeshipLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Physician Assistant - Appeals & Grievances Consultant. Be the first to apply!
- epicor consultant Minnetonka, MN
- transportation consultant Minnetonka, MN
- physical therapy consultant Minnetonka, MN
- ecommerce consultant Minnetonka, MN
- fitness consultant Minnetonka, MN
- life science consultant Minnetonka, MN
- loss control consultant Minnetonka, MN
- child care consultant Minnetonka, MN
- pega consultant Minnetonka, MN
- seo consultant Minnetonka, MN

