Remote Physician Assistant - Appeals & Utilization Lead
Wapa
- Remote job
UnitedHealthcare is seeking a Physician Assistant to join our Appeals and Grievances team. In collaboration with Medical Directors, you will review and adjudicate appeals for multiple health plans, working remotely from anywhere in the U.S. You will participate in team meetings, provide clinical input, and ensure compliance with policies. Requires PA license in residence, NCCPA certification, 5+ years of clinical PA practice, and MS Office proficiency. Monday–Friday hours. #J-18808-Ljbffr Wapa
- UnitedHealthcare is seeking a Physician Assistant to join the Appeals & Grievances team. You will adjudicate appeals across multiple plans, collaborating... ...the appeals staff to support coverage decisions. This remote U.S. role requires NCCPA certification, a PA license, 5...Remote jobMonday to Friday
$102.18k
...Lead Customer Solution Center Appeals and Grievances RN Job Category: Clinical Department... ...G) RN is responsible for assisting with the development of a... ...in a managed care, utilization management and/or case management... ..., holidays, a hybrid remote schedule, and occasional...Remote workFull timeShift workWeekend work- ...is seeking a licensed Practical Nurse (LPN/LVN) experienced in managed care UM to perform pre-service and post-service utilization reviews and appeals for DMEPOS, working with our Medical Director in a NCQA-compliant UM program. You will review benefit and medical necessity...Remote job
- Westwood Professional Services in Lansdale, PA, is seeking a Remote Sensing Project Lead - Electric Utility Aerial Mapping to oversee the full lifecycle of utility mapping projects from proposal through data delivery. You will serve as the primary client contact, coordinate...Remote job
- Mercor is seeking a Denials Management & Appeals Manager to lead operations focused on managing claim denials and appeals processes. This role... ...develop effective appeal strategies. This position is fully remote and offers competitive compensation. #J-18808-Ljbffr...Remote job
- EVCS is hiring a Manager, Utility Relations & Energy Optimization for a remote, nationwide role. You will be the single point of contact with utility companies across the EVCS network, owning interconnection, rate optimization, billing audits, and tariff advocacy. You...Remote job
- A leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily... ...assurance measures and resolving provider appeals. The ideal candidate will also ensure compliance... ...on improving service delivery. This remote position requires strong experience in...Remote jobDaily paid
- ...a Technical Implementation Consultant to lead the technical workstreams for enterprise... ...validation to bring customers live. This remote role with up to 25% travel partners with... ...deployments and repeatable success patterns across utilities and energy customers. #J-18808-Ljbffr...Remote work
- Praxis, Inc. is seeking a Benefits & Appeals Platform Specialist for the GUST 23 project with Ohio Department of Job and Family Services... ...to ensure the system meets state-specific requirements and assisting in testing and go-live support. Ideal candidates will have hands...Remote job
- Itron is looking for a Technical Implementation Consultant to lead the technical deployment of its SaaS platform for utility customers. This role is pivotal in ensuring secure and scalable implementations, involving responsibilities such as technical discovery, configuration...Remote job
- A leading solar energy firm is seeking an ambitious Commissioning Manager to oversee commissioning efforts for Utility Scale Solar and Battery Energy Storage projects. The ideal candidate will lead coordination between remote and on-site teams, manage commissioning documentation...Remote work
- ...at least 5 years of relevant experience in renewable energy and utility interface. Strong communication and negotiation skills are... ...essential. The role offers travel opportunities and the possibility of remote arrangements for exceptional candidates, along with a...Remote work
$90k - $120k
BerryDunn is seeking a Utility Billing/Customer Information System Implementation Project Manager to join our Local Government Practice Group. In this role, you will guide client and vendor teams in implementing utility billing systems across departments with up to 50%...Remote jobLocal area- ...Senior Software Implementation Configuration Lead to drive the implementation and configuration of enterprise SaaS solutions for utilities. You will partner with clients and cross-... ...and guiding projects through testing and production releases. #J-18808-Ljbffr Remote JobsRemote work
- ...Lead Utility Notification Technician Job Type – Full Time Pre‑Qualifications Applicants must pass a pre‑employment drug test. All candidates... ...in variable weather conditions, challenging terrain, and remote locations while prioritizing safety Willingness and availability...Remote workFull time
$114k - $161k
A leading consulting firm in Washington, DC is seeking a Principal Consultant specializing in Utility Return on Equity and Cost of Capital. This role offers a hybrid work schedule with three days in the office and two remote days weekly. The position comes with a competitive...Remote workWork at office$66k - $94k
...About The Role We are seeking a Compliance Field Lead to support our growing renewables and utilities practice. This role is ideal for a field-oriented... ...hybrid work setup, blending time in the office with remote work as business needs evolve. We enjoy coming together...Remote workFull timeContract workTemporary workFor contractorsSecond jobWork at officeLocal area$128k - $191k
Concentric Energy Advisors is seeking a Principal Consultant - Utility Cost of Service and Rate Design Specialist to deliver cost of service... ...based in Marlborough, MA or Washington, DC, with options for remote work, and offers a competitive salary ranging from $128,000 to...Remote job- ...Design Group is seeking a Process Engineer to lead projects in pharmaceutical and biotech... ...on wastewater treatment systems, grey utilities, and process water systems. Ideal candidates... ...of relevant experience. The role offers remote work with travel expected approximately 3...Remote work
- ...looking for a full-time California Licensed Clinical Appeals Nurse to work in a fully remote environment. In this role, you will review and process... ...California nursing license and experience in clinical nursing, utilization management, or appeals within a managed care setting....Remote workFull time
- Blue Cross Blue Shield of Arizona needs a clinical expert for managing member and provider appeals. This remote position requires strong accuracy, knowledge of compliance timelines, and a focus on customer service. Applicants should possess a healthcare-related degree...Remote job
- Northern Star Pogo Mine in Delta Junction, Alaska, is seeking a motivated Physician Assistant to provide essential medical services to employees and contractors on site. This permanent position offers a 22-day on and 20-day off work schedule, along with an excellent remuneration...Remote jobPermanent employmentFor contractors
- ...Job Title: Clinical Appeals Specialist Duration: 6 months Location: Fully Remote(DMV Area) Type:W2 only Job... ...The Clinical Appeals Specialist utilizes clinical skills and knowledge... ...Organizes the appeal case for physician review by compiling clinical,...Remote workWork at office
$34 - $35 per hour
Utilization Management - Clinical Nurse - Work from Home! Utilization... ...Attraction and Branding Specialist Lead @ BroadPath | Employee... ...conversations and communicating appeal processes Distributed denial... ...Review Nurse- Prior Authorization Remote Registered Nurse (Remote...Remote workFull timeWork at officeWork from homeNight shift$75.3k - $135.4k
...Centene Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will supervise day-to-day activities, collaborate on complex member care issues, and maintain compliance with healthcare...Remote work- ...Clinical Appeals Nurse - Full Time Remote - Jefferson Health Reviews payor denials and audits for potential... ...denied claims. Works closely with Physician advisor team to facilitate appeals... ...of clinical or case management/utilization review experience Knowledge,...Remote workFull time
- ...with cross-functional teams. This role focuses on the Electric Utilities sector and requires a strong background in software product development... .... Candidates must be based in Southlake or Dallas, Texas, as remote work is not an option. Responsibilities include developing user...Remote work
$139.3k - $148.01k
...Physician Assistant | Other Location: Oregon Employer: ARR Healthcare... ...time that can be completed remotely What You'll Be... ...coordinated care discussions Utilizing your clinical training and... ...and schools create an appealing balance for anyone seeking...Remote workWeekly payFull timeWork at officeRelocation package- ...Management department. The role may supervise multiple functions including human resources and limited sales management, and is fully remote. The position requires RN licensure, nursing education, and several years of clinical and supervisory experience. Strong...Remote job
$80k
...Physician Assistant | Other Location: Massachusetts Employer: ARR Healthcare Pay:... ...flexibly scheduled; many providers use one remote day ) ~ Flexible scheduling... ...strong sense of community, making it appealing to many residents. The area is home to...Remote workWeekly payFull timeTemporary workLocal areaImmediate startFlexible hoursShift workAfternoon shift
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