Senior Remote Appeals Medical Director
UnitedHealth Group
- Remote job
UnitedHealth Group's UnitedHealthcare division seeks an Appeals and Grievances Medical Director to lead clinical reviews and adjudicate cases across multiple health plans. This remote position offers high impact work, cross-functional collaboration, and ongoing professional development. You will evaluate complex appeals, ensure compliance with policies, and provide expert input to improve care access and outcomes. The role includes flexible remote work options and competitive benefits. #J-18808-Ljbffr UnitedHealth Group
$280.84k - $393.18k
...Vice President of Health Services, the Senior Medical Director Policy & Outcomes (Sr. Medical... ...including quality management, grievance and appeals, delegation oversight, and population... ...a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga...Remote workSeniorTemporary workLocal area$248.5k - $373k
...$248,500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...'ll enjoy the flexibility to work remotely * from anywhere within the U.S. as... ...week.Primary Responsibilities:The Appeals and Grievances Medical Director is responsible for ongoing clinical...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- ...UnitedHealthcare is seeking an Appeals and Grievances Medical Director to lead clinical review and adjudication across multiple plans. The role emphasizes... ...with medical directors and network management. Remote work within the U.S. is supported, with a focus on improving...Remote work
$236.5k
Position Purpose:Assist the Chief Medical Director to direct and coordinate the medical management... ...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$180 per hour
...REMOTE MEDICAL DIRECTOR – UTILIZATION MANAGEMENT & APPEALS $180/hour | W-2 Contract | Monday–Friday | 100% Remote | Potential Extension The Jacobson Group is seeking a Medical Director to support a health plan's Utilization Management and Appeals programs. This...Remote workContract workWork at officeMonday to Friday- 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
- UnitedHealthcare, a UnitedHealth Group company, is seeking a Medical Director to lead appeals and grievances clinical review for multiple health plans.... ...experience in clinical practice and quality management. Remote work options within the U.S. are available. #J-18808-...Remote job
- UnitedHealth Group is seeking a Medical Director to lead appeals and grievances review for UnitedHealthcare. This role involves adjudicating cases across PPO, ASO, HMO, MAPD, and PDP products, applying clinical criteria and regulatory requirements. We value MD/DO board...Remote job
$186.3k
Job Posting Title- Senior Medical Director, Hematology/OncologyLocation: Home-based in the U.S. or CanadaJob OverviewThe Senior Medical Director... ...medical concepts into clear, actionable insights#LI-Remote#LI-NITINMAHAJANIQVIA is a leading global provider of clinical...Remote workSeniorFull timePart timeImmediate startWork from homeWorldwideShift work- UnitedHealth Group is seeking a Senior Pharmacy PA/Appeals Technician to support prior authorization... ...compliant case processing while working remotely from Maine or Vermont. Initial... ...requests for formulary and non-formulary medications, gathering necessary information, and...Remote jobSenior
$236.5k
...clinical professional on our Medical Management/Health Services team... ...: Assist the Chief Medical Director to direct and coordinate the... ...clinical teams, network providers, appeals team, medical and pharmacy... ...approach to work with remote, hybrid, field or office work...Remote jobFull timePart timeWork at officeFlexible hoursWeekend work$257.6k - $404.8k
...empowered to take charge of your future at Takeda. Join us as a Senior Medical Director, Clinical Science Neuroscience, in our Cambridge, MA office... ...as “hybrid” in accordance with Takeda’s Hybrid and Remote Work policy.Empowering Our People to Shine Learn more at takedajobs...Remote workSeniorMinimum wageWork at officeLocal areaNight shift- ...Senior Director, Medical Safety & Pharmacovigilance Remote with Travel A clinical-stage biotechnology company focused on developing innovative therapies for serious autoimmune and inflammatory diseases is seeking a Senior Director of Medical Safety & Pharmacovigilance...Remote workSeniorFull time
$284.63k
...together.Find out more:Our approach to R&DPosition SummaryAs SERM Senior Medical Director, Oncology, you will lead clinical safety and... ...office a minimum of two days per week, with flexibility for remote work for the remainder.How we work and what we valueWe put...Remote workSeniorFull timeWork at officeLocal area2 days per week- ...candidates for well-validated targets.Reporting to the Head of Medical Affairs, the Senior Director, Medical Affairs will partner with key colleagues to... ..., which would be a hybrid role, or it can also be fully remote. Our office-based employees are required to work in the...Remote workSeniorWork experience placementWork at officeLocal areaImmediate start3 days per week
$191.5k - $355.6k
...Job SummaryThis position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts... ...internal medicine specialties preferred but nt required This is a remote work from home role #LI-MG1Are you being referred to one of our...Remote workFull timeWork at officeWork from home- UnitedHealth Group seeks a physician leader to review appeals and guide clinical policy across health plans. The role requires an MD/DO... ...communication and project management skills are essential. Remote work is available nationwide in the U.S.; some in-office requirements...Remote jobWork at office
- CVS Health is seeking a remote role focused on the fair, compliant resolution of patient complaints, appeals and grievances. You will drive process excellence, safeguard regulatory compliance, and improve the patient experience. Join a dynamic team with 2-5 years of healthcare...Remote jobSeniorHourly payFull time
- Wounded Warrior Project (WWP) in Los Angeles, CA seeks a Senior National Service Officer-Appeals (SNSO-Appeals) to advocate for veterans before the VA.... ...-driven team and a flexible hybrid schedule that balances office and remote #J-18808-Ljbffr Wounded Warrior ProjectRemote workSeniorWork at officeFlexible hours
- UnitedHealth Group, via Optum, seeks a Senior Pharmacy PA/Appeals Technician in Wyoming to handle prior authorizations and clinical reviews while delivering high-quality member support. The role supports telecommuting within Wyoming with flexible shifts and on-call rotation...Remote jobSeniorFlexible hours
- A leading healthcare company in Emeryville is seeking a Senior Director, Medical Affairs, to drive medical strategy in ophthalmology. The role... ...strong communication skills. The position offers competitive compensation and may be remote or hybrid. #J-18808-Ljbffr BioSpaceRemote workSenior
- Kyverna Therapeutics seeks a Sr. Medical Director, Clinical Development to serve as the senior physician for CAR T-cell therapy clinical trials in autoimmune indications, providing medical oversight across study design, execution, and data interpretation. You will partner...Remote jobSenior
- Scorpion Therapeutics is seeking a Senior Medical Affairs leader specializing in Pulmonary Hypertension to drive global medical/scientific strategy within the Value & Implementation organization, with a U.S. focus and support for global regions. The role leads V&I plan...Remote jobSenior
- Daymark Health is seeking a Medical Director to lead supportive and palliative care in Michigan. You will manage the local care team, provide... ...resources teams to deliver integrated care, participate in remote on-call coverage, and advocate for high-quality, data-driven...Remote workSeniorLocal area
- Role: Senior Medical Affairs leader specializing in Pulmonary Hypertension, accountable for executing global medical/scientific strategies... ...stakeholder interaction, and external partnership development. WorkSetup: Remote with 50% travel. #J-18808-Ljbffr Scorpion TherapeuticsRemote workSenior
$340k - $368k
...opportunity below and apply. The Opportunity Amylyx is seeking a Senior Medical Director, Clinical Development to provide strategic and scientific... ...Work Location and Conditions At Amylyx, we proudly support remote work opportunities within the United States. However, due...Remote workSeniorLocal area$284.63k
...locations at least two days per week. Remote work is available on other days.Business... ...will lead clinical development medical activities for vascular programmes across... ...seeking experienced a Clinical Development Senior Medical Director to join the Cardiovascular Medicine...Remote workSeniorFull timeLocal areaRelocation2 days per week$265k - $320k
...Job Description Job Description Position: Medical Director / Senior Medical Director Department: Clinical Development Location: Remote with up to 20% domestic travel Reports To: Executive Director, Clinical Development Position Summary Angitia...Remote workSeniorOverseas- ...for patients living with serious eye diseases. The Role The Senior Medical Director will provide strategic and clinical leadership across late-... ...in a fast-paced biotech environment. Location This is a remote position within the United States. Seniority level Executive...Remote workSeniorFull time
- ...Medical Director/Senior Medical Director, Clinical DevelopmentAt Agios, we are fueled by connections to transform rare diseases. We foster an... ...employee's individual preference. This role can be either remote in the US or hybrid in our Cambridge Headquarters. Hybrid schedules...Remote workSeniorTemporary workLocal areaWork from homeFlexible hours3 days per week
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