Remote Senior Medical Director - Grievances & Appeals
Humana Inc
- Remote job
Humana Inc. is seeking a Corporate Medical Director with a medical background to provide clinical interpretation and make independent decisions on health claims. This remote position allows you to work from anywhere in the USA, collaborating with cross-functional teams to ensure compliance and quality standards in healthcare. Qualified candidates will have an MD or DO degree, board certification, and at least five years of clinical experience, along with knowledge of Medicare and Medicaid regulations. You'll be part of a caring community making impactful healthcare decisions. #J-18808-Ljbffr Humana Inc
- Humana Inc is seeking a Corporate Medical Director to provide clinical interpretations and decisions regarding healthcare services across the USA. This remote role demands independent judgment and collaboration with cross-functional teams to ensure quality and compliance...Remote jobSenior
$246.1k - $344.2k
Humana Inc., located in Providence, is seeking a Corporate Medical Director responsible for clinical decisions regarding health claims. This remote position requires strong judgment on complex issues with responsibilities that include collaborating with legal and compliance...Remote jobSenior$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing... ...Work at home! You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough...Remote jobMinimum wageWork experience placementLocal areaWork from home$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- Humana Inc. is seeking a Corporate Medical Director to provide clinical interpretation... ...collaborating with teams to address grievances, making independent decisions on appeal cases, and maintaining knowledge of regulations. This remote position allows flexibility while ensuring...Remote job
$246.1k - $344.2k
Humana Inc. is looking for a Corporate Medical Director to provide clinical interpretation and medical decision-making... ...collaboration with various teams to address grievances and appeals. With responsibilities in a remote setting, the role offers a competitive salary...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... ...certification and significant clinical experience. Remote work is possible. Competitive salary range is $269,500...Remote job- Humana Inc is seeking a Corporate Medical Director in Phoenix, Arizona. The role... ...medical decisions on complex appeal cases, and collaborating with teams on grievances. The ideal candidate will have... ...years of clinical 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... ...collaborating with cross-functional teams to resolve grievances and appeals while maintaining compliance with healthcare...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 seeking an Appeals and Grievances Medical Director, responsible for reviewing and adjudicating cases. This position allows you to work remotely while positively impacting millions of lives. Key requirements include an MD or DO with a board certification...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... ...liaising with medical directors. The position offers remote work flexibility and a comprehensive benefits package....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
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
Crains Cleveland seeks a qualified MD or DO for a remote position focused on managing health plan appeals and grievances. The role requires extensive clinical... ...the ability to communicate effectively with medical directors. You will also provide clinical strategy and...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 health plans, ensuring quality and compliance. Candidates should possess an MD or DO and be Board...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$248.5k - $373k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director responsible for reviewing and adjudicating medical appeal cases. Candidates... ...significant clinical experience. The role allows for remote work within the U.S. and entails collaboration with various...Remote job$248.5k - $373k
Texas Health Institute is seeking a qualified Medical Director responsible for reviewing appeals and grievances within various health products. The role requires a... ...with a comprehensive benefits package available for remote employees within the U.S. #J-18808-Ljbffr Texas...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 health plan products while collaborating with medical directors. The role requires an MD or DO with board certification...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... ...500 to $373,000, this role offers flexibility to work remotely within the U.S. and a comprehensive benefits package....Remote job- Stryker Corporation is seeking a qualified Medical Director to perform case reviews for appeals and grievances within various health plans. The role involves communication... ...and expertise in quality management. This is a remote position available within the U.S. with a strong...Remote job
$248.5k - $373k
Work at home! You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals...Remote jobMinimum wageWork experience placementLocal areaWork from home- Blue Shield of CA is seeking a Medicare Appeals RN Senior in Los Angeles, CA. This role involves reviewing member appeals and grievances, ensuring compliance with Medicare/National... ...for hybrid virtual work, balancing remote responsibilities with in-office requirements...Remote workSeniorWork at office
- L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider... ...include at least 2 years in Managed Care, knowledge of medical terminology, and excellent communication skills. This full-...Remote jobSeniorFull time
$248.5k - $373k
UnitedHealth Group is seeking an Appeals and Grievances Medical Director responsible for reviewing and adjudicating cases in various health plans. This... ...practice and Quality Management. This position offers remote work flexibility, allowing for a dynamic work environment...Remote job$269.5k - $425.5k
...organization, anywhere. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication...Remote jobMinimum wageFull timeWork experience placementLocal area$21.78 - $31.52 per hour
...Grievances And Appeals Senior Coordinator Founded in 1977 as the Senior Care Action Network, SCAN began... ..., primary care, care for the most medically and socially complex populations, and... ...Coordinator Sr Work Mode: Mostly Remote An annual employee bonus program...Remote workSeniorHourly payWork at office$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- ...solutions company seeks a Manager of Clinical Appeals in New York. The role involves overseeing... ...leadership, particularly in managing remote teams. The position requires strong... ...writing skills and a thorough understanding of medical coding and payer processes. Competitive...Remote workSenior
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