Remote Medical Director Appeals & Grievances
$248.5k - $373kUnitedHealth Group
UnitedHealth Group is looking for an Appeals and Grievances Medical Director responsible for reviewing and adjudicating medical appeal cases. Candidates must possess an MD or DO with board certification, alongside significant clinical experience. The role allows for remote work within the U.S. and entails collaboration with various healthcare professionals to ensure quality care. The position offers a competitive compensation range from $248,500 to $373,000, alongside benefits including a comprehensive package and performance incentives. #J-18808-Ljbffr
Vacancy posted 16 hours ago
Similar jobs that could be interesting for youBased on the Remote Medical Director Appeals & Grievances in Cypress, CA vacancy
$248.5k - $373k
...together . Work at home! You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication...Remote workMinimum wageWork experience placementLocal areaWork from homeUnitedHealth Group
Houston, TX5 days ago$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing... ...Work at home! You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough...Remote workMinimum wageWork experience placementLocal areaWork from homeUnitedHealth Group
United States3 days ago$248.5k - $373k
...Connecting. Growing together . Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and... ...associated companies. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...Remote workMinimum wageFull timeWork experience placementLocal areaWork from homeUnitedHealth Group
Atlanta, GA15 hours ago$248.5k - $373k
...UnitedHealth Group is seeking an Appeals and Grievances Medical Director, responsible for reviewing and adjudicating cases. This position allows you to work remotely while positively impacting millions of lives. Key requirements include an MD or DO with a board certification...Remote workUnitedHealth Group
Los Angeles, CA1 day ago$248.5k - $373k
...A healthcare organization is seeking a Medical Director for Appeals and Grievances to oversee ongoing clinical reviews and adjudications. This role requires... ...liaising with medical directors. The position offers remote work flexibility and a comprehensive benefits package....Remote workUnitedHealth Group
Cypress, CA4 days ago$248.5k - $373k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director to oversee clinical reviews and adjudications. This role offers the flexibility to work remotely from anywhere in the U.S. Key responsibilities include reviewing appeals cases, communicating with...Remote workUnitedHealth Group
Houston, TX5 days ago$248.5k - $373k
...Stryker Corporation is hiring a Medical Director responsible for ongoing clinical review of appeals and grievances for UnitedHealthcare. This role allows for remote work flexibility across the U.S. The ideal candidate must be an MD or DO with board certification and 5...Remote workStryker
Cypress, CA5 days ago$246.1k - $344.2k
...community The Corporate Medical Director relies on medical background... ...medical decisions on complex appeal cases, exercising professional... ...-to address and resolve grievances and appeals. Participate... ...HIPAA information This is a remote position anywhere in the USA...Remote workBi-weekly payFull timeTemporary workApprenticeshipInterim roleWork at officeWork from homeHome officeMonday to FridayHumana
Augusta, ME2 days ago$238k - $357.5k
...Crains Cleveland is seeking a remote Appeals and Grievances Medical Director responsible for the clinical review and adjudication of appeals and grievances cases. The role requires an MD or DO with an active, unrestricted license and significant clinical experience. Responsibilities...Remote workCrains Cleveland
Cypress, CA5 days ago$238k - $357.5k
...UnitedHealthcare seeks a Medical Director specializing in Appeals and Grievances. This remote role involves clinical review of cases across various health plans. Responsibilities include reviewing appeals, communicating with medical directors, and participating in team...Remote workStryker
Cypress, CA5 days ago$248.5k - $373k
...Texas Health Institute is looking for a Medical Director dedicated to reviewing and adjudicating appeals and grievances for UnitedHealthcare. This position offers remote work flexibility and requires communication with medical directors across the organization. Qualified...Remote workTexas Health Institute
Cypress, CA5 days ago- ...Crains Cleveland is looking for a Medical Director to oversee clinical reviews and adjudicate medical appeals for UnitedHealthcare. The role offers flexibility in remote working conditions, enabling you to work from anywhere in the U.S. Qualified candidates must be MD...Remote work
Crains Cleveland
Cypress, CA1 day ago $248.5k - $373k
...Wisconsin Psychiatric Association Inc is searching for a Medical Director to oversee clinical reviews and adjudications for appeals at UnitedHealthcare. This remote position allows flexibility while requiring substantial clinical and quality management expertise. Candidates...Remote workWisconsin Psychiatric Association
Cypress, CA1 day ago$30 - $35 per hour
...Mid-Senior Level professional for a contract role to manage grievances and appeals. Candidates should have 6+ years in customer service with strong... ...pay range of $30.00/hr - $35.00/hr based on qualifications. Remote work is available for candidates within 100 miles of...Remote workContract workFor contractorsartechllc.com
Portland, OR7 days ago- ...Humana Inc is seeking a Medical Director Grievances & Appeals to provide clinical interpretations and make independent medical decisions. This role requires... ...compliance with regulations. This is a full-time remote position and offers competitive benefits. #J-18808-Ljbffr...Remote workFull time
Humana
United States1 day ago - ...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 work
UnitedHealthcare
Cypress, CA4 days ago $257.05k - $340.59k
...Medical Director, Appeals, Grievances & Disputes We appreciate your interest in our organization and assure you that we are sincerely interested in your qualifications. A clear understanding of your background and work history will help us potentially place you in a...Shift workKHS
Bakersfield, CA11 hours ago- ...To support the clinical review process, the remote State Licensed Appeals Medical Director in Urology Specialty will manage appeals and grievances cases, perform individual case reviews, and communicate with medical directors regarding appeals decisions. Key responsibilities...Remote work
Virtual Vocations Inc
United States16 hours ago - ...Working remotely from anywhere in the U.S., the full-time Licensed Appeals Medical Director will conduct clinical reviews and adjudications of appeals and grievances cases for various health plans, ensuring compliance with regulatory standards and collaborating with medical...Remote workFull time
Virtual Vocations Inc
United States16 hours ago - ...To support the ongoing clinical review and adjudication of appeals and grievances cases, the remote California Licensed Appeals Medical Director will manage individual case reviews for various health plan products, communicate with medical directors regarding appeals decisions...Remote work
Virtual Vocations Inc
United States16 hours ago $238k - $357.5k
UnitedHealth Group seeks an Appeals and Grievances Medical Director who will conduct clinical reviews and manage appeals for various health plans. The role offers flexibility to work remotely throughout the U.S. Applicants must have an MD or DO, strong clinical and management...Remote workUnitedHealth Group
Tampa, FL5 days ago$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... ...flexible approach to work with remote, hybrid, field or office work...Remote workFull timePart timeWork at officeFlexible hoursWeekend workCentene Corporation
United States2 days ago$247.84k
...Appeals Medical Director- Cardiology Appeals Medical Director – Cardiology Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes...Remote workFull timeWork experience placementLocal areaDay shiftElevance Health
United States8 hours ago- ...concurrent, and retrospective reviews. As a Medical Director, UM you ensure all patient care... ...Medical Affairs. Work Arrangement Remote role Monday through Friday from 8:30... ...three years of utilization management or appeals experience in a Medicaid, Medicare, and...Remote workLocal areaMonday to FridayFlexible hoursWeekend workAfternoon shift
AmeriHealth Caritas
Newtown Square, PA2 days ago - ...contact for Health Plan member grievances and internally identified... ...will be handling grievances and appeals for the front-line staff... ...records and responses. - Fully Remote - Hours: 8-5 pm PST - 3MC... ...Spanish. Familiarity with medical terminology and HIPPA compliance...Remote workWork at office
Insight Global
United States4 days ago - ...Insurance services, seeks an accomplished Medical Appeals coordinator Position: Medical... ...Pay rate: $23/hr on W2 Note: REMOTE role with possibility The schedule for... ...non-complex pre-service and post service grievances and appeals requests from customer...Remote workTemporary workLocal areaFlexible hours3 days per week1 day per week
Amerit Consulting
Sterling, VA16 hours ago - ...We are hiring an Appeals & Grievance Nurse Analyst at BCBST! In this role, you... ...will also review clinical and medical records, summarize findings for Medical Director review, and operate within turnaround... .... Note • This is a fully remote role with a 40-hour workweek;...Remote workShorter hoursWork at officeWork from homeRelocation package
BlueCross BlueShield of Tennessee
Chattanooga, TN3 days ago - ...Centene Corp. is looking for a Remote Medical Director to direct medical management and enhance quality improvement for our members. You will provide medical leadership and collaborate with clinical teams and providers on complex cases. The ideal candidate will hold...Remote workFlexible hours
Centene Corporation
United States3 hours ago - ...Pennsylvania (onsite/hybrid/remote with periodic in state travel) Reports to: Chief Medical Officer Department: Health... ...and timely. Oversee grievance and appeals clinical reviews and author... ...medical leadership role (Medical Director or Deputy) specific to Medicaid...Remote workFull timeContract workPart timeWork at officeWork from homeRelocationShift work
Geisinger Health System
United States1 day ago - ...Job Title: Medical Director – Utilization Management (Contract to Hire) Location: Fully Remote (U.S. Only) Work Authorization: U.S. Citizen required Overview Seeking... ...Complete initial determinations, appeals, and grievance reviews Conduct peer-to-peer calls when...Remote workContract workFlexible hours
AppCast
New York, NY9 days ago
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