Remote Medical Director, General Surgery & Claims Review
Rhode Island Bar Assn.
- Remote job
Optum, a global health services company, seeks a Medical Director to lead the Focus Claims Review team. You will oversee medical claim review quality, coordinate with physicians and other providers, and set policies and clinical criteria for medical programs and services. You’ll work remotely from anywhere in the U.S. Responsibilities include surgical and professional claim reviews, provider discussions, regulatory compliance, and mentoring staff. #J-18808-Ljbffr Rhode Island Bar Assn.
$248.5k - $373k
...$373,000/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... ...Osteopathic Association (AOA) in General Surgery5+ years of...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$248.5k - $373k
...global health care organization, seeks a Medical Director for the Focus Claims Review team. You will lead medical claim... ...license and ABMS/AOA board certification in General Surgery, with 5+ years of clinical experience. This is a remote role within the United States, with a...Remote jobClaims- ...health outcomes through care, technology, and data. The Medical Director will provide leadership for the claims review program, including provider discussions, appeals and in coding development. You’ll work remotely from anywhere in the U.S. with a flexible schedule, a...Remote jobClaimsFlexible hours
- UnitedHealth Group's Optum unit seeks a Medical Director to lead the Focus Claims Review program, overseeing medical... ...coordination across reviews. You can work remotely from anywhere in the U.S. The... ...DO license and ABMS/AOA vascular surgery board certification, plus at least...Remote jobClaims
$191.5k - $355.6k
...position is responsible for assigned aspects of medical policies and programs. Performs medical reviews and interacts with the provider communities... ...American Osteopathic Association (AOA) in General SurgeryThis is a remote work from home position#LI-MG1Are you being referred...Remote workFull timeWork at officeWork from home$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
...248,500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...together.As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization... ...ll enjoy the flexibility to work remotely * from anywhere within the U.S....Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- UnitedHealth Group is seeking a Medical Director to lead the Focus Claims Review program. This role oversees medical services coordination, provider discussions... ..., Optum, and other providers. The position offers remote work from anywhere in the U.S. #J-18808-Ljbffr...Remote jobClaims
- Optum is seeking a Medical Director to provide leadership for the Focus Claims Review program. You will oversee medical services, participate in provider discussions... ...ensure high-quality claim reviews. The role offers remote work from anywhere in the U.S. with a strong...Remote jobClaims
- Optum, part of UnitedHealth Group, seeks a Medical Director to lead the claims review program and oversee medical services quality and coordination. The... ...providers, guiding clinical criteria and policy development. Remote work is available nationwide within the U.S. The...Remote jobClaims
- UnitedHealth Group's Optum division seeks a Medical Director to lead the Focus Claims Review program, overseeing clinical... ...board certification in Orthopedic Surgery, with 5+ years of post-residency... ...in MS Office. You can work remotely from anywhere in the U.S. with a flexible...Remote jobClaimsFlexible hours
- ...health services company seeking a Medical Director to lead the Focus Claims Review program. You will oversee claim reviews... ...standards. The role offers remote work from anywhere in the U.S. with... ...board certification in Orthopedic Surgery, and extensive clinical experience...Remote jobClaimsMonday to Friday
- UnitedHealth Group is seeking a Medical Director to lead the Focus Claims Review program, ensuring quality and coordination... ..., and policy guidance, with remote work flexibility across the U.S. The... ...certification in neurological surgery, and 5+ years of brain/spine experience...Remote jobClaims
$248.5k - $373k
...00 - $373,000/yearJob Area: Medical & Clinical OperationsCompany... ...clinical coverage and medical claims reviews. Our role is to empower... ...health care costs.The Medical Director provides physician support to... ...skills*All employees working remotely will be required to adhere...Remote workClaimsMinimum wageFull timeWork experience placementLocal area$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve... ...information. Travel: While this is a remote position, occasional travel to Humana's offices...Remote workClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work- ...seeks a physician to oversee assigned aspects of medical policies and programs. The role involves performing medical reviews and engaging with provider communities for... ...and 5 years of clinical experience. This is a remote work-from-home position with potential incentives...Remote jobWork from home
- ...United States is seeking a physician to oversee assigned medical policies and programs, perform medical reviews, and interact with provider communities. Qualified... ..., communication, and strategic thinking skills; remote work from home is available. HCSC supports professional...Remote jobWork from home
- Optum seeks a Medical Director to provide physician support for Enterprise Clinical Services, focusing... ...decisions. You will lead clinical reviews, collaborate with hospital networks,... ...practice, and strong communication skills; remote-friendly with comprehensive benefits....Remote jobClaims
- HCSC is seeking a physician to manage medical policies and programs remotely. The role involves performing medical reviews and engaging with provider communities to support policy development and program optimization. Candidates must hold an active MD or DO license in...Remote job
- Health Care Service Corporation (HCSC) is seeking a licensed physician to oversee assigned medical policies and programs. The role involves conducting medical reviews and engaging with provider communities to coordinate care and policy implementation. Qualified candidates...Remote job
- Optum in the United States is seeking a Medical Director to provide physician support to Enterprise Clinical Services, guiding clinical and... ...physicians. You will collaborate with a multidisciplinary team, review policies, and ensure cost-effective, high-quality care for...Remote jobClaims
- UnitedHealth Group seeks a Medical Director to provide physician support for Enterprise Clinical Services. The role focuses on clinical review, benefit coverage determinations, and cost-effective care across networks. The position supports post-service reviews and interacts...Remote jobClaims
- Optum is seeking a Medical Director to provide physician support for Enterprise Clinical Services... ...clinical expertise to post-service reviews, collaborating with network and non-network... ...medical decisions. You can work remotely from anywhere in the U.S. This leadership...Remote jobClaims
- UnitedHealth Group is seeking a Medical Director to provide physician support for Enterprise Clinical Services, focusing on clinical reviews, benefit coverage determinations and cost-effective care delivery. This role supports network and non-network providers and drives...Remote jobClaimsFlexible hours
- Dane Street, LLC is seeking a Physician Reviewer for orthopedic cases in Dallas, TX. This telework role allows flexibility in scheduling while ensuring timely responses to clients. Candidates must have a TX License and experience in deposition work. Reviewers will analyze...Remote jobClaims
- Concentra, Inc. is seeking a Board Certified Orthopedic Surgeon for a telecommute medical review role. This is a 1099 independent contractor position reviewing health claims, providing medical interpretation, and making decisions in line with Concentra Physician Review...Remote jobClaimsContract workFor contractorsMonday to Friday
- ...seeks an experienced Board Certified Orthopedic Surgeon for our medical reviewstream division. This telecommute, 1099 independent... ...hours and requires an NM license. Responsibilities include health claim reviews, medical interpretation, and determination of service...Remote jobClaimsFor contractorsMonday to FridayFlexible hours
- Concentra is seeking a Board Certified Orthopedic Surgeon to join our medical review stream as a telecommute independent contractor. You will evaluate health claims, provide medical interpretation, and determine service appropriateness in line with Concentra policies and...Remote jobClaimsFor contractorsMonday to FridayFlexible hours
$79.72k - $128.12k
...by the hospital on its claim, matches both the attending... ...in the beneficiary’s medical record. Responsible for performing quality reviews of medical records to... ...conjunction with the Associate Director and Director of DRG... ...-venture outpatient surgery centers throughout the...Remote workClaimsFull timeTraineeshipWork experience placementLocal area$270k - $330k
...California or otherwise can sit remotely. The Vice President, Medical Director serves as the clinical... ...workers' compensation claims operations in conjunction... ...and catastrophic claims.Review and assess treatment plans... ...Medicine, Orthopedic Surgery, Neurology, Trauma Surgery...Remote workClaimsWork experience placementWork at office
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