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
...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$240k - $260k
...Associate Medical Director, Orthopedic Surgery United States Opportunity Overview: We are looking for... ...support Pay & Perks: Fully remote opportunity with about 5% travel... ...authorization data with post-service claims validation, we're creating a transparent...Remote workClaimsFlexible hours$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided by technology to... ...deliver clinical coverage and medical claims reviews. Our role is to empower providers... ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take...Remote jobClaimsMinimum wageFull timeWork experience placementLocal area$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$248.5k - $373k
...Medical Director Optum is a global organization that delivers... ...As part of the Focus Claims Review team at Optum,... ...per week. This can be remote work from home... ...certification in Plastic Surgery ~5+ years of clinical... ...Compensation for this specialty generally ranges from $248,500 -...Remote jobClaimsMinimum wagePart timeWork experience placementLocal areaWork from home$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
- ...their best work. Visionary Medical Education (VME) is our... ...education. About the Role The Director, Clinical Education is the... ...reviewed literature, survey data, claims data, publication trends, and... ...of Cataract and Refractive Surgery (ASCRS), the Association for...Remote workClaims
$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
- ...Medical Bill Coordinator Remote By joining Sedgwick, you'll be part of something... ...operative reports to determine if surgery services were... ...intended to describe the general nature and level of work being... ...world's leading risk and claims administration partner, which...Remote jobClaimsContract workWork at officeLocal area
$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$174.07k - $374.92k
...company, has an outstanding opportunity for a Medical Director. Ready to take your career to the next... ...with a Fortune 6 company? This is a remote Work at Home position and can be located... ...support of the appeal process, clinical claim review process, and predetermination of...Remote workClaimsHourly payFull timeTemporary workLocal areaWork from home$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-...
$120.3k - $192.4k
...is one of the largest global medical technology companies in the world... ...collateral, clinical claims support, customer education, sales... ...flexibility and work-life balance. Remote or field-based positions will... ...program musculoskeletal surgery cancer treatment and bariatric...Remote workClaimsHourly payDaily paidTemporary workWork at officeFlexible hoursShift work$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- ...Insurance Services, the Office of the Medical Director (OMD) is responsible for L&I's statewide... ...clinical advice on individual complex claims to developing, interpreting, and applying... ..., rehabilitation medicine, orthopedic surgery, internal medicine. Minimum of five...Remote workClaimsPermanent employmentWork at officeFlexible hours
$173k - $250k
...circumstances. Job Summary: The Medical Director will report to the Senior... ...in You: * Full-time remote work * Competitive... ...management goals * Reviews claims involving complex, controversial... ...Supervision Received: * General direction is received weekly...Remote workClaimsFull timeWork at officeFlexible hours$216.42k - $324.63k
...and drive innovation with #YouToThePowerOfAI. The Senior Medical Director is a senior clinical leader who will represent Lyric in strategic... .... Provide expertise on health plan payment policies, claims editing methodologies, and their downstream impact on provider...Remote workClaimsFull time$105 - $168 per hour
...The primary responsibility of the Medical Director is to provide physician-level clinical... ...Peer-to-peer review of individual claims Analyze appeal outcomes and make improvements... ...This job description documents the general nature and level of work but is not intended...Remote workClaimsPart timeWork at office$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$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- ...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
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