Remote Medical Director, Spine & Brain Surgery Claims
Optum
Optum is seeking a Medical Director to provide leadership for the Focus Claims Review program. You will oversee the medical review of claims, engage in provider discussions, and guide policy development to support compliant clinical criteria. This role offers remote work from anywhere in the U.S. and requires board certification in Neurological Surgery with 5+ years of brain and spine surgery experience. Strong communication and regulatory knowledge are essential. #J-18808-Ljbffr
$248.5k - $373k
...,000.00Job Area: Medical & Clinical OperationsCompany... ...of the Focus Claims Review team at Optum, the Medical Director provides... ...flexibility to work remotely * from anywhere... ...in Neurological Surgery through the American... ...experience with brain and spine surgeries post residencyMS...Remote workClaimsMinimum wageWork experience placementWork at officeLocal area- Optum, part of UnitedHealth Group, seeks a Medical Director to lead the claims review program for brain and spine cases. This role involves oversight of medical services... ...programs and clinical criteria.You can work remotely from anywhere in the U.S., with...Remote jobClaims
$248.5k - $373k
...As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization... ...flexibility to work remotely * from anywhere within... ...in Neurological Surgery through the American Board... ...clinical experience with brain and spine surgeries post...Remote workClaimsMinimum wageWork experience placementLocal area$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... ...AOA) in Orthopedic Surgery, with fellowship training... ...experience in Spine Surgery5+ years of...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$248.5k - $373k
...Medical DirectorOptum is a global organization... ...part of the Focus Claims Review team at Optum, the Medical Director provides... ...flexibility to work remotely from anywhere within... ...AOA) in Orthopedic Surgery, with fellowship training... ...experience in Spine Surgery5+ years of...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$248k - $373k
...Optum is hiring an Orthopedic Spine Surgeon to be a part of the Focus Claims Review team . The Medical Director will participate in all... ...certification in Orthopedic Surgery Active, unrestricted medical... ...preferably spine) Why Join Optum? Remote Flexibility: Work from...Remote workClaimsWork from homeMonday to FridayFlexible hoursWeekday work- Optum is hiring an Orthopedic Spine Surgeon to join the Focus Claims Review team. The Medical Director will participate in all aspects of claim review services, including... ...procedures development.The role emphasizes remote work flexibility within the U.S., a Monday-Friday...Remote jobClaimsMonday to FridayFlexible hours
$260k - $280k
...Medical Director Spine Surgery United States Opportunity Overview: We are looking for physicians... ...s support Pay & Perks: Fully remote opportunity with about 5% travel Medical... ...authorization data with post-service claims validation, we're creating a...Remote workClaimsFlexible hours$248.5k - $373k
...responsible, in part, as a member of a team of medical directors, for the overall quality,... ...You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you... ...will include prior authorizations for spine surgery Document clinical review findings,...Remote workMinimum wageFull timeWork experience placementLocal areaWeekend work$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... ...Certification in Orthopedic Surgery or Neurosurgery...Remote workMinimum wageWork experience placementLocal areaWeekend work- ...OSIC is actively recruiting a Spine Focused Physician (Orthopedic Spine, General... ...You will provide clear, defensible medical opinions to attorneys, claims professionals, and care teams while... ...demonstrating ability to deliver high-quality remote patient care efficiently Comfort...Remote workClaims
- ...UnitedHealth Group seeks a Medical Director to lead the claims review program, ensuring quality and coordination of medical services. The role involves... ...criteria across programs. This position offers remote work flexibility from anywhere in the U.S. and requires...Remote workClaims
- ...UnitedHealth Group is seeking a Medical Director to lead the Focus Claims Review team. The role ensures quality... ...telephonic discussions and appeals. Remote work is allowed within the U.S.,... ...MD/DO licensure, ABMS/AOA vascular surgery board certification, and 5+ years of...Remote workClaims
$248.5k - $373k
...373,000/yearJob Area: Medical & Clinical OperationsCompany... ...coverage and medical claims reviews. Our role is... ...costs.The Medical Director provides physician support... ...flexibility to work remotely * from anywhere within... ...in General Surgery through the American Board...Remote workClaimsMinimum wageFull timeWork experience placementLocal area$174.07k - $374.92k
...Medical DirectorWe're building a world of health around... ...resources.This is a remote based (work from home)... ...states.In the Medical Director role you will provide oversight... ...reviews and review of claim determinations. This... ...or Med / Peds / General Surgery Preferred.Education:...Remote workClaimsHourly payFull timeTemporary workWork from home$248.5k - $373k
...Medical DirectorOptum is a global organization that... ...coverage and medical claims reviews. Our role is to... ...care costs.The Medical Director provides physician support... ...flexibility to work remotely from anywhere within... ...certification in General Surgery through the American...Remote workClaimsMinimum wageFull timeWork experience placementLocal area$76k - $114k
...developing innovative medical technologies that... ...disorders, spine conditions, and chronic... ...stimulation, deep brain stimulation, and... .... While this is a remote position not located... ...DBS during surgeries and implants by providing... ...message claiming to be from Medtronic...Remote workClaimsFull timeH1bWork at officeLocal areaImmediate startWorldwideFlexible hoursNight shiftWeekend workAfternoon shift$102k - $177.1k
...United States of America, Remote (US), Warsaw, Indiana, United... ...elective foot and ankle; spine; and robotics and digital surgery. Your unique talents... ...closely with Product Marketing, Medical Affairs and Communications... .... Guide development of claims-based content strategies...Remote workClaimsLocal areaImmediate start$100k - $300k
New: Part-Time Medical Director Opportunity in Michigan Position Available... ...in Mich., and may be partly remote. It is a Michigan-based... ...of medical and disability claims and preauthorization requests... ...and newer technologies, surgeries and medications •...Remote workClaimsHourly payTemporary workPart timeFor contractorsImmediate start- Concentra is seeking a Board Certified Spine Surgeon or Board Certified Neurosurgeon for a telecommute medical review contractor role in Newark, NJ. This 1099 independent... .... Responsibilities include reviewing health claims for utilization, quality of care, and...Remote workClaimsFor contractorsFlexible hoursWeekday work
$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... ...13 joint-venture outpatient surgery centers throughout the five boroughs...Remote workClaimsFull timeTraineeshipWork experience placementLocal area- ...developing innovative medical technologies that improve... ...team. While this is a remote position not located at... ...neurological disorders, spine conditions, and chronic... ...solutions for spine surgery and Click here to learn... ...a suspicious message claiming to be from Medtronic, do...Remote workClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours
$231.9k
...Remote Behavioral Medical Director - Texas Join to apply for the Remote Behavioral Medical Director - Texas... ...and health care quality. Reviews claims involving complex, controversial, or... ...Review Specialist-Bexar County, Texas Spine Telecommute Medical Review Stream...Remote workClaimsFull timeWork at officeFlexible hoursWeekend work$386.5k
...579,500/yearJob Area: Medical & Clinical OperationsCompany... ....The National Medical Director of Surgical Clinical... ...care across general surgery, minimally invasive,... ...the flexibility to work remotely * from anywhere within... ...clinical, quality and claims data to identify...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$95k - $115k
...Healthcare, Ophthalmology, Medical Practice Employee... ...Manager and/or Director of Operational Excellence... ...Conduct in-person or remote practical training sessions... ...and timely submission of claims. Ensure technicians code... ...exclusively in diseases and surgery of the retina, vitreous...Remote workClaimsFull time$155k
...developing innovative medical technologies that... .... While this is a remote position not... ...neurological disorders, spine conditions, and... ...communication between the brain and pelvic floor,... ...Regional Business Director regarding sales... ...message claiming to be from Medtronic...Remote workClaimsFull timeH1bWork at officeLocal areaImmediate startFlexible hours$53k - $65k
...Location: Flagstaff office (Remote considered) Responsibilities... ...Analyze and interpret medical information in the medical record... ...answer questions and resolve claim denials. Employ strong understanding... ...Must have orthopedic/spine coding experience and the ability...Remote workClaimsTemporary workPrivate practiceWork at officeImmediate start- ...developing innovative medical technologies that... .... While this is a remote position not... ...neurological disorders, spine conditions, and... ...communication between the brain and pelvic floor,... ...Regional Business Director on sales... ...suspicious message claiming to be from Medtronic...Remote workClaimsH1bWork at officeLocal areaImmediate startFlexible hours
- ...aesthetic and reconstructive surgery. With more than four decades of... ...development and execution of global Medical Affairs strategies and... ...approve scientific and promotional claims, marketing materials,... ...organizations. Why us? -Full remote position wihtin one of our HQ...Remote workClaims
- ...experienced Board-Certified Orthopedic Spine Surgeons to join our team of... ...reviewers. This is a fully remote, 1099 independent contractor... ...include reviewing medical records, preparing summaries,... ...license, and 5+ years of spine surgery experience. #J-18808-LjbffrRemote workFor contractors
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