Remote ENT Medical Director Health Plan Leader
$174.07k - $374.92kHispanic Alliance for Career Enhancement
The Hispanic Alliance for Career Enhancement is offering a remote position with Aetna, a leader in health insurance, focused on expanding medical management programs. The role requires an MD or DO, with extensive experience in health care delivery and utilization management. Key responsibilities include supporting medical staff, leading utilization reviews, and providing clinical expertise. The estimated salary ranges from $174,070 to $374,920, with additional benefits offered. #J-18808-Ljbffr
- 340B Health is seeking a Medical Director in Pennsylvania to lead clinical strategy for our Medicaid line of... ...clinical practice and 3 years in a health-plan leadership role, with expertise in... .... The position offers onsite/hybrid/remote work with travel within the state....Remote workHealth Insurance
$174.07k - $374.92k
...Medical Director (ENT) We're building a world of health around every individual shaping a more connected, convenient and... ...health care resources. This is a remote based (work at home) based... ...Previous UM experience with a Health Plan / Payor. Education MD or DO...Remote workHealth InsuranceHourly payFull timeTemporary workLocal areaWork from home$240k - $285k
...A leading healthcare organization is seeking a Health Plan Medical Director Physician for remote work based in Baltimore, MD. The ideal candidate will have over 5 years of clinical experience and leadership, along with health plan experience. Responsibilities include managing...Remote workHealth Insurance- ...research organization in the United States is seeking a Medical Director specializing in Neurology. In this pivotal role, you... ...salary and a robust benefits package, including health insurance, retirement planning, and various wellness support options. #J-18808-Ljbffr...Remote workHealth Insurance
$174.07k - $374.92k
...Alliance for Career Enhancement seeks a Medical Director to oversee medical policy and support... ...management programs in Arizona. This fully remote role requires an active medical license... ...at least two years of experience in health care delivery. Responsibilities include...Remote workHealth Insurance- ...Mockingbird Towers 4th FLR PCHP - Parkland Community Health Plan Remote PRIMARY PURPOSE Oversees medical coordination required for effective utilization... ...by the State of Texas for Managed Care Medical Directors. Board certification in the relevant specialty...Remote workHealth InsuranceContract workWork at officeLocal area
$174.07k - $374.92k
...Itlearn360 is seeking a Medical Director for a remote role based in Phoenix, AZ. The successful candidate will lead a team to enhance health outcomes through collaboration and data-driven decision... ...benefits including a robust medical plan, 401(k), and wellness programs. #J-18...Remote workHealth Insurance- ...Stryker Corporation is seeking a qualified Medical Director to perform case reviews for appeals and grievances within various health plans. The role involves communication with... ...expertise in quality management. This is a remote position available within the U.S. with a...Remote workHealth Insurance
$248.5k - $373k
...Crains Cleveland seeks a qualified MD or DO for a remote position focused on managing health plan appeals and grievances. The role requires extensive... ...experience and the ability to communicate effectively with medical directors. You will also provide clinical strategy and...Remote workHealth Insurance$174.07k - $374.92k
...Description Summary Aetna, a CVS Health Company, a Fortune 6 company,... ...use of health care resources. Remote Work This role is remote; work... ...Expand Aetna's medical management programs to address... ...management experience with a Health Plan or Payor. Education MD or DO required...Remote workHealth InsuranceHourly payFull timeTemporary workLocal areaWork from home$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities... ...enjoy the flexibility to work remotely from anywhere within the U.S.... ...grievances for various health plan and insurance products, which...Remote workHealth InsuranceMinimum wageWork experience placementLocal areaWork from home$124k - $211k
...A leading pharmacy benefit manager is seeking a Director of Health Plan Underwriting to lead their underwriting team. This remote role involves developing pricing strategies, overseeing workflow, and ensuring compliance with procedures. Candidates should bring substantial...Remote workHealth Insurance$124k - $211k
...leading pharmacy benefits management organization is seeking a Director of Health Plan Underwriting to lead the underwriting team in providing... ...strategy execution, and client engagement. The position is remote with a salary range of $124k–$211k based on experience. J-1...Remote workHealth Insurance$124k - $211k
...A leading pharmacy benefit manager is seeking a Director of Health Plan Underwriting to lead the underwriting team in providing analyses and... ...related fields and exceptional communication skills. This is a remote position, and potential pay ranges from $124,000 to $211,00...Remote workHealth Insurance$124k - $211k
...Director Health Plan Underwriting - REMOTEAt Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with...Remote workHealth InsuranceContract workWork experience placementLocal areaWork visa$129.5k - $215.04k
...Responsible for determining appropriateness and medical necessity of member dental care services... ...senior leadership to establish strategic plans and objectives. Contributes to... ...and unrestricted in state of practice. • Health care management/leadership experience preferred...Remote workHealth InsuranceWork experience placementWork at office- ...Director Of Strategic Sourcing For The Health Plan Location Address: 9521 San Mateo NE Albuquerque... ...of the health plan. Remote: Open to applicants in... ...and health plan business leaders. Support transformation... ...salaries Full medical, dental and vision insurance...Remote workHealth InsuranceContract workTemporary workWork at officeWorldwideRelocationFlexible hours
$149.88k - $224.82k
E2E Alignment Healthcare USA, LLC is seeking a Remote Director of Health Plan Economics to lead health plan analytics. This role involves developing risk-stratification frameworks and predictive models, translating data into actionable insights, and managing a high-performing...Remote jobHealth Insurance$248.5k - $373k
...for an experienced physician (MD/DO) to handle appeals and grievances for various health plans. In this remote role, you will engage in case reviews and collaborate with medical directors while providing strategic input in team settings. The ideal candidate will have...Remote workHealth Insurance$180.8k - $226k
...A leading design firm in the United States is seeking a Director Health Planning to lead their international planning team. The ideal candidate will have over 15 years of healthcare planning experience and strong leadership skills. This role involves mentoring, aligning...Remote workHealth Insurance$102.16k - $199.22k
...oversight, follow-up, and resolution. • Enforces the compliance plan, code of conduct and anti-fraud plan. • In conjunction with... ...proficiency. Preferred Qualifications • Previous experience in a health plan or government programs setting (Medicaid, Medicare,...Remote workHealth InsuranceWork experience placementWork at office- ...UnitedHealthcare is seeking a qualified medical professional for a remote position focused on appeals and grievances for health plans. Responsibilities include reviewing cases, communicating decisions, and participating in team processes. The ideal candidate will have...Remote workHealth Insurance
$250k - $300k
...Strategic Medical Director, MSK United States Opportunity Overview: The Strategic Medical... ...and needs of Cohere's clients (i.e., health plans, health systems, & ACOs). You will... ...relationships Pay & Perks: Fully remote opportunity with about 25% travel...Remote workHealth InsuranceFlexible hours- ...licensed physician to assist the Chief Medical Director in directing medical management and quality... ...a minimum of 5 years in a behavioral health managed care setting, with board certification... ...package offered. #J-18808-Ljbffr Capital District Physicians Health Plan IncRemote jobHealth Insurance
$184.11k - $396.55k
...We're building a world of health around every individual - shaping... ...a time. *** This is a fully remote, full-time position requiring... ...and direction of the Executive Medical Director for Duals, the Lead Senior... ...leadership meetings at health plan, local, state, regional, and...Remote workHealth InsuranceHourly payFull timeTemporary workLocal areaMonday to Friday$149.88k - $224.82k
Remote Director of Health Plan Economics The Remote Director of Health Plan Economics drives the health plan... ..., and product teams. Evaluate medical cost trends with clear decomposition... ...actionable recommendations for senior leaders. Experience establishing governance,...Remote jobHealth InsuranceContract work$1,020 per month
...Job Description THE HEALTH INITIATIVE SENIOR DIRECTOR, HEALTH PLANS The Context It is... ...healthcare dollars spent on medical care alone. The amount of... ..., by engaging plan leaders to implement this approach... ...exempt role and is fully remote within the US. THI expects...Remote workHealth InsuranceFull timeTemporary workInterim roleWork at officeFlexible hoursShift workWeekend workAfternoon shift$170k - $180k
...affordable, improve the health of patients, and... ...Guidehealth leverages remotely-embedded Healthguides... ...Description The Sr. Director, Health Plan Relationships is the... ...to senior client leaders (in sync with operations... ...-care optimization, medical necessity integrity,...Remote workHealth InsuranceBi-weekly payFull timeContract workTemporary workFor contractorsLocal areaWork from homeFlexible hours$240k - $285k
...Health Plan Medical Director Physician - MedStar Family Choice, Maryland - Remote Opportunity MedStar Family Choice, our Medicaid Managed Care organization, is seeking a physician with primary care and health plan experience to serve as the Health Plan Medical Director...Remote workHealth Insurance$121.7k - $202.9k
...Operations Director As the Express Scripts Inc. (ESI) Health Plans Division (HPD) Operation Director... ...working relationships with leaders from both internal and... ...mentoring on-site and remote team members Work collaboratively... ...benefits including medical, vision, dental, and...Remote workHealth InsuranceWork experience placementLocal areaWork from homeShift workNight shift
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