Remote Appeals Medical Director - Clinical Review Leader
$248.5k - $373kWisconsin Psychiatric Association Inc
- Remote job
Wisconsin Psychiatric Association Inc is seeking an Appeals and Grievances Medical Director responsible for the clinical review of appeals and grievances cases for UnitedHealthcare-associated companies. Ideal candidates are MD or DO licensed professionals with at least 5 years of clinical practice and 2 years in Quality Management. The compensation typically ranges from $248,500 to $373,000, depending on factors like experience and productivity. Interested candidates will enjoy a comprehensive benefits package including a 401(k) plan. #J-18808-Ljbffr Wisconsin Psychiatric Association Inc
$248.5k - $373k
Stryker Corporation is looking for an Appeals and Grievances Medical Director to oversee clinical reviews related to appeals and grievances. The role demands a minimum of 5 years in clinical practice and substantial communication skills. Qualified candidates will have an...Remote job$248.5k - $373k
Wisconsin Psychiatric Association Inc is searching for a Medical Director to oversee clinical reviews and adjudications for appeals at UnitedHealthcare. This remote position allows flexibility while requiring substantial clinical and quality management expertise. Candidates...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$191.5k - $355.6k
...is looking for a Physician to handle medical policy reviews and provider interactions. The role requires... ..., and a minimum of 5 years of clinical experience. Strong analytical and communication... ...skills are essential. This is a remote position, and the company offers a rich...Remote job$21 - $23 per hour
Addison Group is seeking an Appeals Supervisor to lead a high-volume appeals team in a fully remote environment. The ideal candidate will have over 2 years of leadership experience in healthcare operations and the ability to manage a team of 15-20 employees. Responsibilities...Remote jobHourly payFlexible hours- ..., and retrospective reviews. As a Medical Director, UM you ensure all patient... ..., procedures, and clinical guidelines aligned... ...Work Arrangement Remote role Monday... ...utilization management or appeals experience in a... ...generation of health care leaders. At AmeriHealth...Remote workLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shift
$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health... ...the flexibility to work remotely from anywhere within the... ...Perform individual case review for appeals and grievances... ...coverage and the application of clinical criteria of medical...Remote jobMinimum wageWork experience placementLocal areaWork from home$269.5k - $425.5k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director in Boston, MA. This role involves reviewing clinical appeals and grievances, requiring an MD or DO with... ...and significant clinical experience. Remote work is possible. Competitive salary range...Remote job$248.5k - $373k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director to oversee clinical reviews and adjudications. This role offers the flexibility to work remotely from anywhere in the U.S. Key responsibilities include reviewing appeals cases, communicating with...Remote job$248.5k - $373k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director to oversee clinical reviews and adjudications of appeals. This role offers the flexibility to work remotely from anywhere in the U.S. and involves significant interaction with medical directors...Remote job$248.5k - $373k
A healthcare organization is seeking a Medical Director for Appeals and Grievances to oversee ongoing clinical reviews and adjudications. This role requires an MD or DO with... ...with medical directors. The position offers remote work flexibility and a comprehensive benefits...Remote job$248.5k - $373k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director. The role encompasses clinical review and adjudication of appeals for health plan products.... ...certification and 5+ years of clinical experience. Work remotely from anywhere in the U.S., with...Remote job$248.5k - $373k
UnitedHealth Group is looking for a Medical Director for Appeals and Grievances, responsible for clinical review and adjudication of cases. The role offers flexibility to work remotely from anywhere in the U.S. Ideal candidates will possess an MD or DO and board certification...Remote job$248.5k - $373k
UHC is seeking a Medical Director for the clinical review of appeals and grievances cases, allowing remote work from anywhere in the U.S. This role involves overseeing case reviews, communicating with medical directors, and providing input for organizational committees....Remote job$248.5k - $373k
This role is a Medical Director responsible for the ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Remote work: Work at home or from anywhere within the U.S. with flexibility. Primary Responsibilities...Remote jobWork experience placementLocal areaWork from home$248.5k - $373k
UnitedHealth Group is looking for a Medical Director for Appeals and Grievances, responsible for clinical review and adjudication of cases across various health plans. The... ...373,000, this role offers flexibility to work remotely within the U.S. and a comprehensive benefits...Remote job- A prominent healthcare organization is seeking an Appeals and Grievances Medical Director to manage clinical reviews of appeals for various health plans. The role offers flexibility to work remotely. Qualified candidates should have an MD or DO, be board certified, and...Remote job
$248.5k - $373k
...Institute is seeking a qualified Medical Director responsible for reviewing appeals and grievances within various health... ..., and have over 5 years of clinical practice and Quality Management experience... ...benefits package available for remote employees within the U.S. #J-188...Remote job$248.5k - $373k
UnitedHealth Group is seeking an Appeals and Grievances Medical Director, responsible for reviewing and adjudicating cases. This position allows you to work remotely while positively impacting... ...certification, along with 5+ years of clinical experience and 2+ years in...Remote job$248.5k - $373k
The Texas Health Institute is seeking an Appeals and Grievances Medical Director. This role involves reviewing clinical appeals and grievances remotely within the U.S. Required qualifications include an MD or DO with a valid license and board certification. Ideal candidates...Remote jobLocal area$248.5k - $373k
Stryker Corporation is hiring a Medical Director specializing in Appeals and Grievances, offering the flexibility to work remotely from anywhere in the U.S. This role involves clinical review of appeals related to healthcare services. The ideal candidate will have an MD...Remote job$248.5k - $373k
UnitedHealth Group seeks a Medical Director for Appeals and Grievances, responsible for clinical review and adjudication of appeal cases. You will lead case reviews for... ...decisions with medical directors. This role offers remote flexibility within the U.S. Ideal candidates...Remote job$248.5k - $373k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director responsible for reviewing and adjudicating medical appeal cases. Candidates... ...certification, alongside significant clinical experience. The role allows for remote work within the U.S. and entails...Remote job$248.5k - $373k
...home! You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on... ...tough challenges. Primary Responsibilities The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances...Remote jobMinimum wageWork experience placementLocal areaWork from home$248.5k - $373k
UnitedHealth Group is seeking an Appeals and Grievances Medical Director in Atlanta, Georgia. This remote position involves reviewing appeals and grievances across various health plans... ...or AOBMS specialty with significant clinical and quality management experience. The role...Remote job- ...Corporation is seeking a qualified Medical Director to perform case reviews for appeals and grievances within various health... ...certification, at least 5 years of clinical practice, and expertise in quality management. This is a remote position available within the U.S. with...Remote job
$238k - $357.5k
A leading healthcare organization is seeking an Appeals and Grievances Medical Director to be responsible for clinical review and adjudication of cases. This role allows for flexible remote work from anywhere in the U.S. Ideal candidates will have an MD or DO, be board-...Remote jobFlexible hours- ...Medical Director Opportunity At Curative Curative is building... ...utilization reviews, prior authorizations,... ...Director will serve as a key clinical expert, ensuring appropriate... .... This is a remote position requiring a "... ...relevant regulations and appeal processes. Collaborate...Remote workFull timeFlexible hours
$236.5k
...million members as a clinical professional on our Medical Management/Health... ...Assist the Chief Medical Director to direct and... .... Performs medical review activities pertaining... ...network providers, appeals team, medical and pharmacy... ...to work with remote, hybrid, field or office...Remote jobFull timePart timeWork at officeFlexible hoursWeekend work
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