Remote Medical Director, General Surgery Claims
Sacbar
Optum, part of UnitedHealth Group, is a global organization delivering care enhanced by technology to help millions live healthier lives. The Medical Director leads the Focus Claims Review team, directing medical services, coding review, and policy development to ensure quality and compliance across programs.
This role offers remote work from anywhere in the U.S., collaboration with physicians and staff, and opportunities to influence clinical criteria, provider discussions, and regulatory
#J-18808-Ljbffr$248.5k - $373k
...0 - $373,000Job 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... ...certification in General Surgery through the American Board...Remote workClaimsMinimum wageWork experience placementLocal area$248.5k - $373k
...3,000.00Job Area: Medical & Clinical OperationsCompany... ...part of the Focus Claims Review team at Optum, the Medical Director provides... ...flexibility to work remotely * from anywhere... ...certification in Neurological Surgery through the... ...this specialty generally ranges from $248,5...Remote workClaimsMinimum wageWork experience placementWork at officeLocal area$248.5k - $373k
...72193 **Job category:** Medical & Clinical Operations Optum... ...** As part of the Focus Claims Review team at Optum, the Medical Director provides leadership,... ...through Friday. This can be remote work from home anywhere... ...in Plastic Surgery + 5+ years of clinical experience...Remote workClaimsMinimum wageFull timeWork experience placementLocal areaWork from homeMonday to Friday$248.5k - $373k
...73,000.00/yearJob Area: Medical & Clinical OperationsCompany... ....As part of the Focus Claims Review team at Optum, the Medical Director provides leadership,... ...the flexibility to work remotely * from anywhere within the... ...certification in Orthopedic Surgery through the American...Remote workClaimsMinimum wageFull timeWork experience placementLocal areaMonday to FridayFlexible hours$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$270k - $330k
...of California or otherwise can sit remotely. The Vice President, Medical Director serves as the clinical leader for... ...supporting workers' compensation claims operations in conjunction with the... ...Rehabilitation, Emergency Medicine, Orthopedic Surgery, Neurology, Trauma Surgery, or...Remote workClaimsWork experience placementWork at office$200.4k - $343.5k
...343,500/yearJob Area: Medical & Clinical OperationsCompany... ....The National Medical Director of Surgical Clinical... ...of care across general surgery, minimally invasive, and... ...the flexibility to work remotely * from anywhere within... ...clinical, quality and claims data to identify...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- ...spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals,... ...Ensure timely and accurate submission of claims, payment posting, denial/appeal... ...healthcare billing systems. Certification in medical coding (e.g., CPC, CCS) is a plus. Join...Remote workClaimsFull timeWork visaFlexible hours
$150k - $188k
...including hospitals, health systems, medical groups, academic medical... ..., cancer centers, ambulatory surgery centers, investors, and payers... ...analyzing healthcare data, including claims, pricing, enrollment, cost,... ...engagement. We will consider remote hires, but prefer an in‑office...Remote workClaimsPermanent employmentFull timeContract workWork at office2 days per week- ...dynamic and highly qualified Board-Certified General Cardiologist to lead our Cardiology... ...with programmatic growth. As Medical Director of Cardiology, you will play a pivotal... ...requests for payment or personal details claiming to come from reputable organizations. Please...ClaimsCasual work
$248.5k - $373k
...$373,000.00Job Area: Medical & Clinical OperationsCompany... ...together.The Medical Director Oncology will provide... ...flexibility to work remotely * from anywhere within... ....g., quality metrics, claims and health record data... ...for this specialty generally ranges from $248,500.0...Remote workClaimsMinimum wageWork experience placementLocal area$212k - $287k
...job title for this position is Medical Sr. Consultant*Position... ...underwriting decisions, evaluate claims, and shape forward-looking risk... .../week). The position is fully remote, with travel to our St. Paul,... ...interpretationKeep current with general medical literature, develop subjects...Remote workClaimsFull timeHome officeFlexible hours$280.84k - $393.18k
...President of Health Services, the Senior Medical Director Policy & Outcomes (Sr. Medical Director... ...experience, provider relations, and claims.Serve as a liaison with providers, county... ...a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga...Remote workClaimsTemporary workLocal area$110 - $130 per hour
...Title: Medical Director Location: Remote Duration: 6 Months with possible extension/Conversion FTE We’re hiring a board-certified physician... ...reviews, and review complex/controversial services and claims appeals. Support physician committee functions and implement...Remote workClaims$140k - $170k
...Hospital is seeking an experienced Veterinary Medical Director (DVM/VMD) to lead our growing small animal hospital... ...week (negotiable) Services: Small animal general practice Companion animal medicine and surgery Occasional pocket pets/exotics Preventive...Full timeLocal areaRelocationRelocation packageMonday to FridayNight shift- DescriptionMedical Director of Plastic SurgeryMass General Brigham Medical Group, Pioneer Valley, Cooley DickinsonCooley Dickinson Hospital, a member of Massachusetts... ...plastic surgeon to join and lead our Plastic Surgery team. The ideal candidate will have a minimum of 2-...
$248.5k - $373k
...$373,000.00Job Area: Medical & Clinical OperationsCompany... ...together.The Medical Director for the Oncogenetic... ...flexibility to work remotely * from anywhere within... ...clinical review, medical claim review and provider... ...PolicyCompensation for this specialty generally ranges from $248,500.0...Remote workClaimsMinimum wageWork experience placementLocal area- ...4 days per week in Brighton, MA office; 1 day remote from home FLSA Status: Exempt Position Summary The Medical Director oversees all medical and clinical operations at... ...contracting, pharmacy, and service operations (claims). The Medical Director also collaborates with stakeholders...Remote workClaimsContract workWork at officeLocal area
$79.8k - $126k
...industry's first Unified Claims Processing... ...consolidating pharmacy and medical benefit administration... ...report to the Lead Medical Director. This position... ...transactions and more generally related to Judi Health... ...location of the job. Remote, US Salary Range $79,8...Remote workClaimsWork at officeLocal areaFlexible hoursShift work- ...Overview The Contractor Medical Director (CMD) is responsible for researching and reviewing clinical... ...to address the issues. Conduct claim reviews when appropriate and provide technical... ...PartB, DME, or Home Health and Hospice. Remote Work Requirements Wired (ethernet cable)...Remote workClaimsContract workFor contractorsLive inLocal areaImmediate start2 days per week
$225.7k - $428.9k
...We’re Hiring: Full time Medical Director for our Health Plan in South Carolina You could be the... ...utilization and health care quality. Reviews claims involving complex, controversial, or... ..., and a flexible approach to work with remote, hybrid, field or office work schedules...Remote workClaimsFull timePart timeWork at officeFlexible hoursWeekend work$220k - $330k
...developing innovative medical technologies that improve... ...Affairs, Program Director, you will partner with... ...do. This position is remote to enhance our competitive... ...to describe the general nature and level of work... ...a suspicious message claiming to be from Medtronic,...Remote workClaimsFull timeH1bWork at officeLocal areaImmediate startWorldwideFlexible hours$120 - $145 per hour
...Medical Director Immediate need for a talented Medical Director. This is a 06 months contract... ...and is located in PA, NJ, and DE (Remote). Please review the job description below... ...plans for which Independence serves as claims administrator, and on the terms and conditions...Remote workClaimsContract workTemporary workImmediate start$7,000 per month
...Certified Urologist to serve as Senior Medical Director of our well established, hospital employed... ...Malpractice Insurance Coverage: in a claims made insurance, in an amount of $2,000,... ...Office Assistants, 6 Clinical Staff, 1 Surgery Scheduler, and 1 UDS Technician *...ClaimsFull timeContract workTraineeshipWork at officeRelocation packageFlexible hours- In support of the CMO, the Associate Medical Director is responsible for the administration of... ...medical guidelines and parameters for claims reviewAssist in the training of NHP staff... ...EmployerQualificationsLICENSES & CERTIFICATIONSMedicine/Surgery MD/DOJob SummaryRequisition Number:...ClaimsFull timeContract workWork at officeLocal areaWork from homeHome officeWeekend work
- Department: Jackson South Community Hospital - General SurgeonAddress: 9333 SW 152 Street Miami... ...South Community Hospital:Jackson South Medical Center offers a full spectrum of... ...the journey, from routine care to complex surgeries and follow up care. We offer cutting edge...Full timeWork at office
$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... ...Certification in Orthopedic Surgery or Neurosurgery... ...PolicyCompensation for this specialty generally ranges from $248,500.0...Remote workMinimum wageWork experience placementLocal areaWeekend work$199k - $343.28k
...recognize their merit.Job Function: Medical Affairs GroupJob Sub Function... ...is recruiting for a Medical Director Orthopaedics, Spine to be... ...is for this role is hybrid remote (3 days on location work / 2... ...spine; and robotics and digital surgery. Your unique talents will...Remote workFull time$120k - $135k
...Chemistry is looking for an Associate Director, Medical Strategy tojoin our growing team!Our Associate... ..., Chicago, Carmel, or San Francisco—or remotely within the US, depending on team and... ...payments to any unverified sources claiming to be connected to Real Chemistry. We are...Remote workClaimsWork at officeLocal area2 days per week- ...Moxie is seeking licensed Medical Directors in California to oversee and supervise aesthetic treatments within our remote-first practice network. Responsibilities include approving... ...for those with a background in Plastic Surgery or Dermatology. This role offers competitive...Remote work
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