Remote Appeals Medical Director: Clinical & Leadership
Stryker Orthopaedics
- Remote job
UnitedHealth Group, offering UnitedHealthcare services, invites an experienced clinician to join our remote team. You will review appeals, respond to regulatory bodies, and coordinate with medical directors to interpret benefits and access issues. The role requires an MD/DO with active license, board certification, and a track record in quality management. Expect collaboration across departments, participation in committees, and opportunities to influence policy while maintaining high standards #J-18808-Ljbffr Stryker Corporation
$236.5k
...million members as a clinical professional on our Medical Management/Health... ...Purpose Provides medical leadership of all for... ...Assists Chief Medical Director in planning and establishing... ...network providers, appeals team, medical and... ...to work with remote, hybrid, field or...Remote jobFull timePart timeWork at officeFlexible hoursWeekend work- UnitedHealth Group is hiring for a remote-friendly clinical leadership role overseeing appeals and grievances across PPO, HMO, MAPD, and PDP products. The position emphasizes collaboration with medical directors and network management to improve access, quality, and outcomes...Remote job
$248.5k - $373k
...48,500.00 - $373,000.00Job Area: Medical & Clinical OperationsCompany: UnitedHealth GroupAt... ...ll enjoy the flexibility to work remotely * from anywhere within the U.S.... .... Primary Responsibilities:The Appeals and Grievances Medical Director is responsible for ongoing...Remote workMinimum wageWork experience placementLocal areaWork from home- UnitedHealthcare is hiring a Medical Director for Appeals and Grievances, responsible for clinical review and adjudication across... ...health plans. The role supports remote work from anywhere in the U.S.... ...position emphasizes clinical leadership, policy interpretation, and cross...Remote job
- ...Connecting. Growing together Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and... ...companies. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some...Remote jobWork from home
- ...highly organized Manager of Clinical Appeals to lead our clinical appeals... ...background in clinical review, medical necessity denials, payer appeal processes, and team leadership—ideally across both U.S. and... .... ~ Experience managing remote and/or offshore teams (Philippines...Remote work
- A leading healthcare organization is seeking an experienced Medical Director to provide strategic leadership in behavioral health. This remote position involves supervising clinical teams and ensuring compliance with healthcare standards. Candidates should have an MD or...Remote jobFlexible hours
- 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
- ...compliant practices, and managing patient care workflows to maintain service excellence. The position requires board certification in ER/FP/IM, active MD license in the state, DEA, and strong leadership and communication skills. #J-18808-Ljbffr American Family Care FrederickRemote job
- ...solutions company seeks a Manager of Clinical Appeals in New York. The role involves... ...in clinical appeals and team leadership, particularly in managing remote teams. The position requires strong... ...and a thorough understanding of medical coding and payer processes. Competitive...Remote work
- Confidential is seeking a Medical Director to lead utilization management activities... ...necessity, and support appeals while guiding policy and disease... ..., and collaborate across clinical and compliance teams to improve care processes. Remote work is supported with Eastern...Remote work
- UnitedHealth Group, through UnitedHealthcare, seeks a Medical Director of Clinical AI Innovation and Performance. This senior physician leads clinical... ...reports to UCS and collaborates with Medical Policy, Data Science, and UM leadership. #J-18808-Ljbffr UnitedHealth GroupRemote job
- NTT DATA in Tampa, Florida is seeking a Clinical Reviewer Manager to lead a team of clinical reviewers responsible for appeals and utilization management. The role emphasizes... ..., and strong analytical, communication, and leadership skills. #J-18808-Ljbffr NTT America, Inc.Remote job
$191.5k - $355.6k
...position is responsible for assigned aspects of medical policies and programs. Performs medical... ...of Osteopathic Specialists5 years of clinical experienceAnalytical and communication... ...specialties preferred but nt required This is a remote work from home role #LI-MG1Are you being...Remote workFull timeWork at officeWork from home- ...position of adding a Medical Director to our incredible... ...partnering with our clinical team to drive the best... ...Provides determination on appeals for cases where they... ...by organizational leadership, and perform reviews... ...to us. #LI-HW1 #LI-Remote What’s in it for...Remote workPermanent employmentFull timeCasual work
- ...forward-thinking organization as a Physician Leadership Fellow, where you will gain invaluable... ...fellowship program designed for future Medical Directors. You'll collaborate with a dedicated... ...care while enjoying the flexibility of remote work. Embrace the chance to grow with...Remote job
- ...United States is hiring for a high-level clinical specialist to review appeals and manage quality programs. This role offers remote work from anywhere in the U.S. and... ...regulatory responses, and communications with medical directors. Required credentials include an active...Remote job
- ...Remote100% Remote100% Remote in the 28 states -... ...DO from accredited medical school Industry Specific... ..., MA, FEP, and Appeals. Would cover call on... ...application of a Medical Director’s knowledge and clinical skills will vary... ...business area supported.Leadership Skills:Project...Remote work
- ...physician leader to conduct case reviews for appeals and grievances across multiple health... ...responses, collaboration with medical directors, and guidance on benefit interpretations... ...certification, and at least five years of clinical practice plus two years #J-18808-Ljbffr...Remote job
- ...Medical DirectorBecome a part of our caring... ...communityThe Medical Director relies on medical... ...include national clinical guidelines, CMS policies... ..., grievance and appeals processes, and... ...functional teams, regional leadership, and other Humana... ...Work Style: Fully Remote in the United...Remote workTemporary workWork at officeWork from homeHome officeMonday to Friday
$215k - $270k
...Medical Director (MD or DO) (NHC-1455120) Raleigh, North Carolina Salary... ...Location: Primarily Remote (North Carolina preferred)... ...Medical Director provides clinical leadership and oversight for physical... ...Conduct initial, concurrent, and appeal utilization management reviews...Remote workFull timeWork visaMonday to FridayAfternoon shift$110 - $130 per hour
...Title: Medical Director Location: Remote Duration: 6 Months with possible extension... ..., credentialing, and appeals for high-volume inpatient... ...responsibilities Provide medical leadership for utilization... ...and/or MCG. Inpatient clinical background or prior...Remote work$248.5k - $373k
...73,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...flexibility to work remotely * from anywhere... ...with medical director teams focusing on inpatient... ...review, member appeals clinical review, medical... ...requires exceptional leadership skills, the knowledge...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$290k - $350k
...Medical DirectorHabitat Health empowers older... ...coordinated clinical and social care in... ...terms.The Medical Director is the senior clinical... ...clinical care, clinical leadership, team development,... ...grievances, appeals, CLIA-waived onsite... ...administrative, community, or remote environments,...Remote workContract workTemporary workFor contractorsWork at officeWork from homeFlexible hours$386.5k
...79,500/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... .... The Medical Director, Clinical AI... ...UCS clinical and AI leadership team, collaborating on... ...flexibility to work remotely * from anywhere within... ...insights from production, appeals, audits, and quality...Remote workMinimum wageFull timeWork experience placementLocal area- ...drive down healthcare costs. The Medical Director serves as a clinical subject matter expert and physician... ...necessity determinations, and appeal support. The Medical Director ensures... ...Responsibilities: Provide clinical leadership and medical oversight for audit...Remote work
$248.5k - $373k
...- $373,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...at Optum, the Medical Director provides leadership, organization, and... ...discussions and provider appeals. In addition, the Medical... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$190k - $200k
...seeking a board‑certified Medical Director (Internal Medicine or... .... This role is fully remote and focuses on... ...quality review, and clinical oversight for high‑volume... ...Provide medical leadership for utilization management... ...services and claims appeals. Support physician...Remote workFull time$248.5k - $373k
...0 - $373,000.00Job Area: Medical & Clinical OperationsCompany: UnitedHealth... ...at Optum, the Medical Director provides leadership, organization, and... ...discussions and provider appeals. In addition, the Medical... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageWork experience placementWork at officeLocal area$248.5k - $373k
...- $373,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...at Optum, the Medical Director provides leadership, organization, and... ...discussions and provider appeals. In addition, the Medical... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area
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