Remote Radiology Appeals Medical Director
UnitedHealthcare
Cypress, CA
- Remote job
UnitedHealthcare is seeking an Appeals Medical Director specializing in Radiology to ensure fair, evidence-based review of member appeals. The role supports improved healthcare outcomes nationwide while enabling remote collaboration with a multidisciplinary team. You will apply independent medical judgment, regulatory expertise, and cross-functional leadership to advance quality and policy interpretation within the Appeals and Grievances area. #J-18808-Ljbffr UnitedHealthcare
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Radiology Appeals Medical Director in Cypress, CA vacancy
- ...operation and administration of a Medical Management Department or... ...Medicine, Emergency Medicine and Radiology. Carry out assigned programs... ...participate in the clinical appeals process. Sole authority... ...medical rounds, attend Medical Director meetings and participate in...Remote workFull timeContract workWork experience placement
EmblemHealth
United States2 days ago $248.5k - $373k
...$248,500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...Growing together. Work at home!The Appeals and Grievances Medical Director is responsible for ongoing clinical... ...'ll enjoy the flexibility to work remotely * from anywhere within the U.S. as...Remote workMinimum wageFull timeWork experience placementLocal areaWork from homeUnitedHealth Group
Cypress, CA3 days ago- 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
- UnitedHealth Group, through UnitedHealthcare, seeks a Medical Director to lead clinical review and adjudication of appeals and grievances. Remote work within the U.S. is available, with responsibilities spanning case reviews across PPO, HMO, MAPD, and PDP products. You...Remote job
- UnitedHealthcare is seeking an Appeals and Grievances Medical Director to oversee clinical review and adjudication of appeals across health plans. This remote role offers the flexibility to work from anywhere in the U.S. You will perform case reviews, respond to regulatory...Remote job
- UnitedHealthcare is seeking an Appeals and Grievances Medical Director to lead clinical review and adjudication of appeals and grievances across multiple... ...and two years in Quality Management. The position is remote with collaboration across medical directors, regulatory...Remote job
- UnitedHealth Group is seeking an Appeals Medical Director to work remotely within the United States. The role focuses on clinical review and adjudication of appeals and grievances across various health plans and products. You will oversee individual case reviews, regulatory...Remote job
- Humana, Inc. in the United States is seeking a part-time Medical Director to review Medicare drug appeals (Part D and B) and provide expert clinical oversight within policy and regulatory guidelines. You will collaborate with clinicians and staff to support value-based...Remote jobPart time
- UnitedHealth Group is seeking an Appeals Medical Director (Pulmonology - Remote) to oversee ongoing clinical review and adjudication of appeals and grievances across multiple health plans. You will apply clinical criteria, coordinate with medical directors, and help shape...Remote job
$130k - $160k
...Care service at one of Minnesota's largest and most medically progressive small animal hospitals.This is an exciting... ..., soft tissue surgery, and orthopedic surgery, remote specialist support available for radiology and more.Collaboration with an experienced team of doctors...Remote workFlexible hoursEquine Veterinary Care
Saint Paul, MN1 day ago- ...and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across... ...a strong background in clinical review, medical necessity denials, payer appeal processes... ...commercial plans. Experience managing remote and/or offshore teams (Philippines...Remote work
- ...Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing... ...effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex...Remote workFull timeWeekend work
- ...our Specialty Infusion Pharmacy and work remotely in the USA. The role involves researching... ...reduce denials. Prior authorization and appeal activities are central to success. The ideal... ...skills, and familiarity with medical policy. #J-18808-Ljbffr Soleo Health IncRemote job
$215k - $408.5k
...Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical... ...with clinical teams, network providers, appeals team, medical and pharmacy consultants... ..., and a flexible approach to work with remote, hybrid, field or office work schedules...Remote workFull timePart timeWork at officeFlexible hoursWeekend work- ...The Manager, Clinical Revenue Integrity & Appeals is responsible for providing operational... ...reimbursement through comprehensive clinical review, medical necessity validation, and evidence-based... ...Integrity Work Location: Flexible Remote (Will need to commit to being onsite when...Remote workFull timeMonday to FridayFlexible hoursShift work
UChicago Medicine
Chicago, IL14 days ago - Providence Jobs is seeking a Care Manager RN for a remote, full-time position with day shifts in Torrance, CA. The role focuses on managing clinical appeals between Providence Health and Services and external payers, advocating for reimbursement and maintaining patient-...Remote jobFull timeDay shift
- Frederick Health Medical Group (FHMG), a highly respected 160+ provider... ...Radiologist Medical Director to join a progressive, high-performing... ...practice with hybrid (onsite/remote) flexibility.Attractive shift... ...high-quality diagnostic radiology interpretations across a broad...Remote workFull timeTemporary workShift workAfternoon shift
Frederick Health
Frederick, MD1 day ago $174.07k - $374.92k
...of health care resources. This is a remote based (work from home) position for the... ...value-based care relationships. The Medical Director will be responsible for overseeing the... ...hospitalizations, prior authorizations, and appeals. You will participate in the...Remote workHourly payFull timeTemporary workLocal areaWork from home$174.07k - $374.92k
...of health care resources. This is a remote based (work from home) position for the... ...value-based care relationships. The Medical Director will be responsible for overseeing the... ...hospitalizations, prior authorizations, and appeals. You will participate in the...Remote workHourly payFull timeTemporary workLocal areaWork from home$174.07k - $374.92k
...at a time. Position Summary This is a remote-based (work from home) role. Candidates... ...health care resources. In this role as Medical Director (Behavioral Health), you will: Provide... ...involving clinical issues Participate in the appeals process, including the investigation of...Remote workHourly payFull timeTemporary workLocal areaWork from homeWeekend workVoices for Voices
Austin, TX3 days ago$174.07k - $374.92k
...Position Summary The Radiation Oncology Medical Director supports the CVS Health Specialty... ...management when necessary. This is a remote based (work from home) position One... ...Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee...Remote workHourly payFull timeTemporary workLocal areaWork from homeWeekend work$174.07k - $374.92k
...6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). This is a full-time, remote based, work from home opportunity. The Medical... ...utilization reviews and/or medical necessity appeals for commercial clients, governmental (Medicare/Medicaid...Remote workHourly payFull timeTemporary workLocal areaWork from homeWeekend workAfternoon shift$223.8k - $313.1k
...a part of our caring community The Medical Director relies on medical background and reviews... ...clinical documentation, grievance and appeals processes, and outpatient services and... ...of business. Work Style: Fully remote living in the contiguous USA. Occasional...Remote workFull timeTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday$301.6k - $312k
...Medical Director As the Medical Director you will provide clinical oversight and signed authorization of... ...closely with the departments that manage external appeal and independent review operations. This is a part-time remote position (All work must be performed within...Remote workHourly payContract workPart timeFor contractors$290k - $350k
...Medical DirectorHabitat Health empowers older adults to experience... ...their own terms.The Medical Director is the senior clinical leader... ...regulations; oversees grievances, appeals, CLIA-waived onsite lab... ...administrative, community, or remote environments, depending on role...Remote workContract workTemporary workFor contractorsWork at officeWork from homeFlexible hoursHabitat Health
Chicago, IL2 days ago- ...across health insurance products and medical management programs. The Medical Director is a highly experienced physician... ...decision-making, including appeals, rescissions, grievance reviews,... ...and shared purpose. You can work remotely and will commute to a nearby office...Remote workContract workWork at officeWork from homeWork visa
Allstate Insurance Company
United States4 days ago $200k - $240k
...Associate Medical Director Blue Earth Diagnostics, a subsidiary of Bracco Imaging, is a global... ..., MA. Strongly qualified candidates in remote work arrangements within the US may... ...training and/or certification in oncology, radiology, nuclear medicine, pharmaceutical...Remote workWork at office3 days per week- ...Medical Director Curative is seeking an enthusiastic and highly skilled Medical Director to... ...effective peer-to-peer discussions. This is a remote position requiring a "roll up your... ...with all relevant regulations and appeal processes. Collaborate closely with...Remote workFull timeFlexible hours
CURAtive
United States3 days ago $10 - $15 per hour
...once the position is released. Role: Medical Director Duration: 6+ Months Contract-to-Hire Location: 100% Remote Rate: $200/hr on C2C Please... ...initial determination of cases, review of appeals and grievances, and other reviews as...Remote workContract workPrivate practiceAnveta
United States1 day ago- ...Join to apply for the Senior Medical Director role at Iovance Biotherapeutics, Inc. Join to apply... ...to request an accommodation. #LI-remote Seniority level Seniority level Director... ...Clinical Development Medical Director (REMOTE Appeals Medical Director - Pacific Standard...Remote workFull time
Iovance Biotherapeutics, Inc.
New York, NY3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Radiology Appeals Medical Director. Be the first to apply!
Related searches
- director of health information management Cypress, CA
- health services director Cypress, CA
- occupational health manager Cypress, CA
- public health director Cypress, CA
- remote medical billing manager Cypress, CA
- clinic supervisor Cypress, CA
- health manager Cypress, CA
- healthcare supervisor Cypress, CA
- medical coding supervisor Cypress, CA
- health services manager Cypress, CA