Senior Medical Director, Grievances & Appeals - Remote
Humana
Humana Inc. is looking for a Corporate Medical Director who will provide clinical oversight for the appropriateness of medical services. This role involves making independent medical decisions and collaborating with various teams to ensure quality improvement initiatives are met. This position allows for remote work across the USA and requires an MD or DO degree and significant clinical experience. A comprehensive benefits package includes medical, dental, and vision coverage, along with retirement savings and paid time off. #J-18808-Ljbffr
- ...Humana Inc is seeking a Medical Director Grievances & Appeals to provide clinical interpretations and make independent medical decisions. This role requires... ...compliance with regulations. This is a full-time remote position and offers competitive benefits. #J-18808-Ljbffr...Remote workSeniorFull time
$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 work$238k - $357.5k
...Crains Cleveland is seeking a remote Appeals and Grievances Medical Director responsible for the clinical review and adjudication of appeals and grievances cases. The role requires an MD or DO with an active, unrestricted license and significant clinical experience. Responsibilities...Remote work$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 work$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 work$248.5k - $373k
...Caring. Connecting. Growing together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and... ...associated companies. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...Remote workMinimum wageFull timeWork experience placementLocal areaWork from home$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 work$248.5k - $373k
...together . 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...Remote workMinimum wageWork experience placementLocal areaWork from home$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 workMinimum wageWork experience placementLocal areaWork from home$238k - $357.5k
...UnitedHealthcare seeks a Medical Director specializing in Appeals and Grievances. This remote role involves clinical review of cases across various health plans. Responsibilities include reviewing appeals, communicating with medical directors, and participating in team...Remote work$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 work$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 work$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 work$248.5k - $373k
...Stryker Corporation is hiring a Medical Director responsible for ongoing clinical review of appeals and grievances for UnitedHealthcare. This role allows for remote work flexibility across the U.S. The ideal candidate must be an MD or DO with board certification and 5...Remote work$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 work$238k - $357.5k
...Texas Health Institute is seeking a Medical Director for Appeals and Grievances, responsible for clinical review and adjudication of cases. This role is remote within the U.S. and involves working with various health plan products. The ideal candidate will have an MD or...Remote work$246.1k - $344.2k
...community The Corporate Medical Director relies on medical background... ...medical decisions on complex appeal cases, exercising professional... ...-to address and resolve grievances and appeals. Participate... ...HIPAA information This is a remote position anywhere in the USA...Remote workBi-weekly payFull timeTemporary workApprenticeshipInterim roleWork at officeWork from homeHome officeMonday to Friday$248.5k - $373k
...Texas Health Institute is looking for a Medical Director dedicated to reviewing and adjudicating appeals and grievances for UnitedHealthcare. This position offers remote work flexibility and requires communication with medical directors across the organization. Qualified...Remote work- 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
- 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- 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
- 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 work- ...Crains Cleveland is looking for a Medical Director to oversee clinical reviews and adjudicate medical appeals for UnitedHealthcare. The role offers flexibility in remote working conditions, enabling you to work from anywhere in the U.S. Qualified candidates must be MD...Remote work
$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 work- Humana Inc. is hiring a Corporate Medical Director to provide clinical interpretation for health claims and make medical determinations on complex service appeals. The role is remote, allowing flexibility while ensuring compliance with Medicare regulations and quality...Remote job
$30 - $35 per hour
...A healthcare contractor is seeking a Mid-Senior Level professional for a contract role to manage grievances and appeals. Candidates should have 6+ years in customer service... ...30.00/hr - $35.00/hr based on qualifications. Remote work is available for candidates within 100...Remote workContract workFor contractors- ...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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