Remote Clinical Appeals PA - Impactful Healthcare
Texas Health Institute
- Remote job
UnitedHealthcare is hiring a Physician Assistant/Associate to join the appeals and grievances team. You will adjudicate cases with medical directors and collaborate closely with a multi-disciplinary staff to review benefits, medical necessity, and policy criteria across plans such as PPO, HMO, MAPD, and PDP. The role requires a PA license, NCCPA certification, and at least five years of clinical PA practice. #J-18808-Ljbffr Texas Health Institute
- ...health care experience and improving communities. We offer remote work within the U.S. and opportunities to impact care quality and access. The Physician Associate will conduct clinical review and adjudication of appeals and grievances, collaborate with medical directors and...Remote job
- ...Assistant/Associate to oversee appeals and grievances with a... .../HMO/Medicare plans, applying clinical criteria and medical necessity... ...outcomes. Required is an active PA license, NCCPA certification,... ...strong MS Office skills. This remote role supports US-based work hours...Remote job
$73.6k - $92k
...our domestic and global clinics, have allowed us to... ...world through proactive healthcare while working with cutting... ...Physician Assistant (PA) . Willingness and ability... ...Skills: Outstanding remote communication, interpersonal... .... We are proud of our impact on our patients' lives,...Remote workLocal areaImmediate startFlexible hours- NeurAbilities Healthcare is seeking a Lead Board-Certified Behavior Analyst (BCBA) for our Bala Cynwyd, PA location. The role focuses on conducting assessments, developing individualized plans, and supervising clinical staff. The position emphasizes workload planning,...Suggested
$55.28 - $57.69 per hour
...Clinical Consulting Pharmacist Schedule: Monday - Friday... ...EST Must reside in PA or TN to be considered.... ...hospice and post-acute healthcare. This is where... ...of the transformational impact we're making on the industry... ...complex case reviews and appeals with accurate clinical...Remote jobRelocation packageMonday to FridayShift work$80k
...Employer: ARR Healthcare Pay: Competitive... ...the psychological impacts of illness. Appropriately... ...team-based NP or PA. Contribute... ...for students and clinical learners.... ...providers use one remote day ) ~ Flexible... ..., making it appealing to many residents....Remote workWeekly payFull timeTemporary workLocal areaImmediate startFlexible hoursShift workAfternoon shift$53 - $61 per hour
A healthcare provider is seeking an Advanced Practitioner for a hybrid position in Jenkintown, PA. This role involves overseeing infusion care and creating individualized plans for patients. Must be a licensed Nurse Practitioner or Physician's Assistant, with preferred...Remote jobHourly pay$83.1k - $120.36k
Position Summary: The Appeals & Grievances (A&G) unit... ...of or delivery of clinical and non-clinical services... ...providers. This is either a remote or on-site position... ...-quality, affordable healthcare. As part of the... ...broader issues that can impact health and well-being....Remote workContract workWork at officeLocal area- ...UnitedHealth Group, seeks a Physician Associate to perform clinical review and adjudication of appeals and grievances across various health plans. You will... ...and benefit interpretations. The role offers remote work from anywhere in the U.S. with standard business...Remote job
$170k - $210k
...Clinical Account Manager/Senior Clinical Account Manager - PITTSBURGH, PA Statistics show that women and underrepresented... ...Making a positive impact to help ultra-rare... ...note this is a remote position but candidate... ...of Sobi products to healthcare professionals in accordance...Remote workTemporary workSummer workLocal areaRelocationNight shift$90k - $143k
...Job Title Clinical Solution Specialist - Patient Monitoring (Field: Buffalo/Rochester, NY/Harrisburg, PA) Job Description Bring your passion for patient... ...an office/home office and/or remote setting, as well as in a hospital/healthcare environment; adhere to...Remote workFull timeWork at officeImmediate startWork from homeHome officeWork visaRelocation packageFlexible hoursNight shift3 days per week- ...Nurse Or Physician Assistant - Clinic Based A privately operated... ...APRN) or Physician Assistant (PA) to serve as the primary clinical... ...health services in a remote setting. This role offers a... ...care, and becoming a trusted healthcare resource for a close-knit workforce...Remote work
- A healthcare solutions company seeks a Manager of Clinical Appeals in New York. The role involves overseeing clinical appeals operations with commercial and government... ...and team leadership, particularly in managing remote teams. The position requires strong writing...Remote work
- 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
- ...Description: Job Description The Clinical Appeals Specialist reviews clinical denials involving... .... Maintain a private and secure remote work environment suitable for handling... ...written appeal. Working knowledge of healthcare reimbursement, payer denials, documentation...Remote work
$71.59k - $116.48k
A prominent healthcare organization is seeking an A&G Clinical Specialist to manage health member complaints and appeals. This fully remote position requires expertise in clinical case management, understanding of regulatory compliance, and the ability to effectively resolve...Remote job$135k
...Ambulatory Clinic Nurse Practitioner or Physician Assistant – Washington... ...-of-care ultrasound, and remote patient monitoring, with... ...Team, structure, and daily impact The Ambulatory Clinic Nurse... ...medical assistants, and a diverse healthcare professional team that includes...Remote workFull time- The Wellness Medical Clinic in Chandler, Arizona, is seeking a physician assistant/FNP to join its... ...clinic prides itself on providing up-to-date healthcare to a diverse patient population. Qualified candidates must hold a PA or NP certificate, a valid license to...
- BK Healthcare Management is seeking a Board Certified Behavior Analyst (BCBA) to provide remote ABA services to children and families throughout Georgia. This is currently a fully... ...with caregivers to support meaningful clinical progress, all while maintaining ethical standards...Remote job
$100k - $110k
Acute Care Clinics of America, LLC, a subsidiary of Presley Healthcare, is hiring experienced Nurse Practitioners (NPs) or Physician Assistants (PAs) for a Primary... ...on experience and requires an active TN NP or PA license. New graduates are encouraged to apply, with...$81.1k - $116.48k
Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist - 100% Remote Join to apply for the Appeals and Grievances Clinical Specialist - RN, LPN or Dental Hygienist... ...Employment type: Full-time Job function: Healthcare Provider Industries: Hospitals and...Remote jobFull timeMonday to FridayShift work- Piper Companies is seeking a Clinical Appeals Nurse for a fully remote healthcare-based opportunity. This Clinical Appeals Nurse position is a long-term contract role focused on clinical review, appeal resolution, regulatory compliance, and member/provider support within...Remote jobLong term contract
$60.42k - $84.28k
Compass Healthcare is seeking a Semi-Remote Clinical Dietitian in Breese, IL. You'll provide Medical Nutrition Therapy and education within an acute care... ...CDR eligible, thrives in collaboration, and is ready to impact patient wellness. The position offers a mix of on-site...Remote job- ...important to us. Make an Impact: Enhance the quality... ...desires. Outpatient Clinical Documentation Integrity... ...’s multi-facility PACE healthcare system. This role... ...Active, unrestricted RN, PA, NP, MD/DO, or other clinically... ...-up activities in a remote environment. Strives...Remote workLocal areaFlexible hours
$120k - $155k
...DescriptionThis role is fully remote and must be located... ...Provider (NP or PA) to help build and staff... ...Your Responsibilities and Impact will include: Performing... ...including pharmacy, clinical nursing, and social work... ...during the weekend. As our healthcare environment and service...Remote workFull timeContract workInternship10 hours per weekShift work$113k - $197.7k
...partner is looking for a Clinical Operations Program Manager - Clinical Appeals based in United States.... ...within a complex healthcare environment. You will coordinate... ...while working on high-impact initiatives in a... ...employee well-being. Remote work environment within...Remote jobFull time$112k - $140k
...Practice Provider (APRN / PA) Full-Time... ...Mobile field role with remote documentation and care-... ...Supervising Physician / Clinical Operations Leadership... ...technology-enabled home healthcare models Technology &... ...autonomy, and meaningful impact in community-based medicine...Remote workDaily paidFull timeWork at officeWeekend work$115k - $140k
...driven, interdisciplinary clinical team focused on... ...or Physician Assistant (PA) license.3+ years of outpatient... ...and dignity.Flexible remote environment: Work from... ...want to make a lasting impact on the lives of older... ...of further changing the healthcare experience.Devoted is an...Remote workFull timeContract workInternshipLocal areaWork from homeFlexible hours$115.4k - $192.3k
...community of clinicians and healthcare professionals?Do you thrive in... ...drive meaningful, measurable impact across a global product portfolio... ...for a broad portfolio of Clinical Solutions products, ensuring... ...the organization. We offer an appealing working prospect for our people...Remote workFull timeLocal areaImmediate startWork from homeFlexible hours$110k - $150k
...fast, and we're looking for a Clinical Operations Manager to become the... ...How You'll Make an Impact Be the Physician's Right Hand... ...When something gets stuck in the healthcare system — and in New York, it will... ...RN required at minimum; NP or PA welcome. Active New York license...Full timeWork at officeLocal areaMonday to FridayShift work
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