Remote Appeals Medical Director - Clinical Grievances Lead
$248.5k - $373kUnitedHealth Group
- Remote job
UnitedHealth Group is seeking an Appeals and Grievances Medical Director responsible for reviewing and adjudicating cases in various health plans. This role requires an MD or DO with experience in clinical practice and Quality Management. This position offers remote work flexibility, allowing for a dynamic work environment where you’ll engage in clinical reviews, strategic input, and collaboration with medical directors to enhance healthcare outcomes. Compensation ranges from $248,500 to $373,000, along with a comprehensive benefits package. #J-18808-Ljbffr UnitedHealth Group
$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience,... ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as... ...and coverage and the application of clinical criteria of medical policies. Perform...Remote jobMinimum wageWork experience placementLocal areaWork from home- Humana Inc. is seeking a Corporate Medical Director to provide clinical interpretation and make... ...collaborating with teams to address grievances, making independent decisions on appeal cases, and maintaining knowledge of regulations. This remote position allows flexibility...Remote job
$246.1k - $344.2k
Humana Inc. is looking for a Corporate Medical Director to provide clinical interpretation and medical decision-making. This... ...with various teams to address grievances and appeals. With responsibilities in a remote setting, the role offers a competitive salary...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$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- ...is seeking a Corporate Medical Director in Phoenix, Arizona.... ...role involves providing clinical interpretation, making... ...decisions on complex appeal cases, and collaborating with teams on grievances. The ideal candidate will... ...experience. This remote position offers competitive...Remote job
- Humana Inc. is seeking a remote Corporate Medical Director to provide clinical interpretation and decision-making on healthcare services. This role involves... ...with cross-functional teams to resolve grievances and appeals while maintaining compliance with healthcare regulations...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... ...liaising with medical directors. The position offers remote work flexibility and a comprehensive benefits...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
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
UnitedHealth Group is seeking an Appeals and Grievances Medical Director, responsible for reviewing and adjudicating... .... This position allows you to work remotely while positively impacting millions... ..., along with 5+ years of clinical experience and 2+ years in Quality...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
...Institute is seeking a qualified Medical Director responsible for reviewing appeals and grievances within various health products.... ..., and have over 5 years of clinical practice and Quality Management... ...benefits package available for remote employees within the U.S. #J-1...Remote job$248.5k - $373k
Join UnitedHealthcare as an Appeals and Grievances Medical Director, working remotely from anywhere in the U.S. You'll oversee appeals and grievances for various... ...MD or DO with board certification and extensive clinical experience. UnitedHealthcare offers a competitive...Remote job$248.5k - $373k
...Cleveland seeks a qualified MD or DO for a remote position focused on managing health plan appeals and grievances. The role requires extensive clinical experience and the ability to communicate effectively with medical directors. You will also provide clinical strategy...Remote job$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... ...in an ABMS or AOBMS specialty with significant clinical and quality management experience. The role...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 across various health plans... ...$373,000, this role offers flexibility to work remotely within the U.S. and a comprehensive benefits...Remote job$248.5k - $373k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director responsible for reviewing and adjudicating medical appeal... ...board certification, alongside significant clinical experience. The role allows for remote work within the U.S. and entails...Remote job$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- ...Corporation is seeking a qualified Medical Director to perform case reviews for appeals and grievances within various health plans. The... ..., at least 5 years of clinical practice, and expertise in quality management. This is a remote position available within the U....Remote job
$248.5k - $373k
...at home! You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some... ...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$269.5k - $425.5k
...Growing together. What makes your clinical career greater with UnitedHealth Group... ...’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as... .... Primary Responsibilities The Appeals and Grievances Medical Director is responsible for ongoing clinical...Remote jobMinimum wageFull timeWork experience placementLocal area$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$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$98.2k - $130.8k
VNS Health is seeking a Clinical Supervisor in New York who will oversee the Grievance & Appeals department, ensuring compliance with state and federal regulations. The role demands a Registered Professional Nurse license and at least three years of healthcare experience...- Humana Inc. is seeking a Corporate Medical Director who will provide clinical interpretation on the appropriateness of services delivered by healthcare professionals... ...of 5 years clinical experience. The position offers a remote working model and the opportunity to contribute...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
UnitedHealth Group is looking for an Appeals and Grievances Medical Director. The role encompasses clinical review and adjudication of appeals for health plan products... ...and 5+ years of clinical experience. Work remotely from anywhere in the U.S., with responsibilities...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- Humana Inc. is seeking a Corporate Medical Director to provide clinical interpretation and make medical decisions regarding services provided by healthcare... ...knowledge of Medicare regulations. This position is remote, allowing work flexibility while maintaining engagement...Remote job
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