ENT Appeals Medical Director — Quality & Regulatory Leader
$248.5k - $373kUHC
UHC is looking for an experienced healthcare professional to perform case reviews related to appeals and grievances. The role requires an MD or DO with significant clinical practice and quality management experience. The candidate will engage in communication with medical directors and be involved in various health plan processes. A comprehensive benefits package and competitive compensation ranging from $248,500 to $373,000 is offered. #J-18808-Ljbffr UHC
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the ENT Appeals Medical Director — Quality & Regulatory Leader in New York, NY vacancy
$248.5k - $373k
...individual case review for appeals and grievances for... ...determinations for medical services related to benefit... ...Healthcare, and CMS regulatory responses Communicate... ...medical directors regarding appeals decision... ...availability, network, and quality issues Actively participate...SuggestedRemote jobMinimum wageWork experience placementLocal area- A healthcare organization in Kentucky is seeking a Medical Director to provide leadership and manage operations at the healthcare center. The... ..., and communication skills. This role is pivotal in ensuring quality care and compliance with regulations, with a focus on...Suggested
- 340B Health is seeking an Associate Medical Director for Staten Island University Hospital. This role focuses on leadership and the maintenance of clinical quality standards at the Prince’s Bay campus. The ideal candidate will have a medical degree, board certification,...Suggested
- ...an experienced Managing Veterinarian to lead our team in Williamsburg, Brooklyn. This role is perfect for those who excel in high-quality medicine and mentoring others. You'll work with a supportive leadership team while enjoying competitive compensation and various benefits...Suggested
$95k - $130k
Integra LifeSciences is looking for a Medical Writing Manager to prepare complex clinical... ...cross-functional stakeholders to meet regulatory objectives. With a strong background in... ...medical device industry, you will ensure high-quality documentation and compliance with global...Suggested- Optum is seeking a Medical Director to support the clinical review and adjudication of appeals for health plans across the United States. This flexible remote position requires an MD or DO with at least 5 years of clinical experience and board certification. The role involves...Remote jobFlexible hours
$195.2k - $341.6k
Job Summary The Medical Director is responsible for supporting... ...review for clinical appeals cases Participate in... ...of fraud, abuse, and quality of care concerns... ...with market/product leaders to help define market... ...participation Support of regulatory and accreditation...Remote jobWork at officeWeekend workAfternoon shift- ...leading healthcare organization is looking for a Cardiology Field Medical Director. In this role, you will be pivotal in utilization management,... ...specialty reviews and providing clinical rationale for appeals. Required qualifications include an MD/DO degree, an active license...
$70k - $101k
Nestlé SA is seeking a Quality Assurance Manager for their new factory in Williamsburg Township, Kentucky. You will manage daily QA operations ensuring compliance with mandatory safety and quality standards, and drive continuous improvements in laboratory and factory processes...- Fortifi Group is seeking an experienced candidate to develop and maintain quality and regulatory systems in compliance with medical device regulations. This role involves collaborating with teams and managing supplier controls, along with supporting various quality assurance...
- A leading staffing platform is seeking a Principal Quality Manager who will lead quality assurance initiatives for utility asset data and GIS systems. This remote role involves ensuring compliance with quality standards, supporting data and asset programs, and enhancing...Remote jobFlexible hours
$220k - $265k
Samaritan Daytop Village is seeking a Medical Director to oversee and direct medical provider coverage across the health system. The role involves ensuring high-quality and cost-effective care. The ideal candidate will have a medical license in New York, board certification...- A leading healthcare organization is seeking a Neurologist Medical Director to ensure compliance with clinical guidelines for Medicare beneficiaries. The role involves conducting case reviews, offering clinical guidance, and improving care delivery. Candidates must be...Remote jobFull time
$175k - $200k
...Managing Veterinarian for Riverside Animal Hospital, emphasizing high-quality patient care and team collaboration. The ideal candidate will... ...salary range of $175,000-$200,000, along with benefits like medical insurance, generous PTO, and leadership development. Join us...- A leading academic medical center in New York is seeking a collaborative psychiatrist to join as Medical Director of the Intensive Outpatient Program. The role involves leading a multidisciplinary team, overseeing patient care, and supervising residents. Successful candidates...
- ...Candidates should have a DVM and over 3 years of veterinary experience. Benefits include a competitive salary range of $175,000-$200,000, medical insurance, generous PTO, and career growth support. Join us to make a significant impact in veterinary care. #J-18808-Ljbffr...
- An established health system in New York is on the lookout for a Stroke Medical Director. This pivotal role requires a seasoned professional with over 5 years of experience, strong interpersonal and communication skills, and the ability to engage effectively with clinical...
- ...health care through psychedelic-assisted psychotherapy. You will also engage collaboratively with our care team to enhance service quality. We offer a competitive hourly rate, flexible working hours, and mentorship for KAP prescribers. Join a dynamic team dedicated to improving...Hourly payFlexible hours
- BioSpace is seeking an Area Business Manager - Allergy/ENT for the Manhattan, NY area. The role focuses on engaging healthcare professionals in the Allergy/Immunology market, establishing strong relationships and achieving sales goals. The ideal candidate will have a Bachelor...Remote job
$190.8k - $300.3k
Merck & Co. is looking for a Global Medical Excellence Director to oversee initiatives in General & Specialty Medicine. This role requires strategic leadership and operational excellence to enhance Medical Affairs operations. The candidate must have an advanced healthcare...Remote job- Wellpath / Correct Care Solutions is seeking a Site Medical Director in Kentucky to provide clinical leadership at assigned facilities. This role ensures compliance with medical standards while delivering direct care and supervising healthcare staff. The ideal candidate...
$220k - $265k
Samaritan Daytop Health is seeking a Medical Director to oversee all medical provider coverage, ensuring quality and timely patient care system-wide. Candidates must be licensed and board certified in Internal or Family Medicine, with at least five years of leadership experience...- Wellpath / Correct Care Solutions is seeking a Site Medical Director in Pennsylvania to provide clinical leadership at our facility. This role includes delivering direct care, supervising healthcare staff, and coordinating with internal and external providers. Ideal candidates...Full time
- A health communication firm is seeking a Senior Medical Director II to lead the scientific services team for assigned accounts. This position requires expertise in developing medical education materials and managing junior staff, with a focus on collaboration and communication...Remote jobWork at office
- A prominent healthcare facility in New York is seeking a Medical Director for the Advanced Primary Stroke Program. This full-time role requires expertise in General Neurology and Stroke care leadership. Responsibilities include coordinating the stroke care team, maintaining...Full time
- A healthcare organization in Kentucky is seeking a Medical Director to oversee operations, provide leadership to staff, and ensure compliance with healthcare regulations. The ideal candidate will have a Doctorate degree and extensive experience in a medical setting. Responsibilities...
$250k - $375k
A prominent healthcare organization in New York is seeking a Medical Laboratory Director to oversee laboratory operations and participate in teaching and research. Candidates must have an M.D. or M.D./Ph.D. and be board certified in clinical pathology or anatomic pathology...- Myana is seeking a Medical Director for the Advanced Primary Stroke Program at Icahn School of Medicine at Mount Sinai's affiliation with... ...provide leadership for stroke program accreditation, and ensure regulatory compliance. A strong work ethic, excellent communication,...Full time
- Bond Vet in Hoboken, NJ, is seeking a Medical Director to lead medical operations, ensuring high-quality veterinary care. The role involves mentoring staff and collaborating with the Clinic Manager to ensure clinic success. Candidates should have a Veterinary Medical Degree...Flexible hours
- ...and clinical programs across rural campuses. The role requires extensive experience in medical education and leadership in rural health. The successful candidate will deliver quality oversight of medical operations and foster community partnerships to enhance healthcare...Flexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to ENT Appeals Medical Director — Quality & Regulatory Leader. Be the first to apply!
Related searches
- mental health clinical supervisor New York, NY
- medical director remote New York, NY
- clinical data manager remote New York, NY
- healthcare consulting manager New York, NY
- clinical services director New York, NY
- assistant clinical manager New York, NY
- healthcare supervisor New York, NY
- associate director clinical research New York, NY
- healthcare product manager New York, NY
- psychiatry medical director New York, NY