Remote Medical Director, Orthopedic Surgery Claims
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- Remote job
Optum is seeking a Medical Director to provide leadership for the Focus Claims Review program. You will oversee medical services, participate in provider discussions, and guide policy development to ensure high-quality claim reviews. The role offers remote work from anywhere in the U.S. with a strong emphasis on compliance, collaboration with physicians, and driving health outcomes through evidence-based decisions. #J-18808-Ljbffr Socket.dev
$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,... ...flexibility to work remotely * from anywhere within... ...Osteopathic Association (AOA) in Orthopedic Surgery, with fellowship...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- UnitedHealth Group seeks a Medical Director to lead the Focus Claims Review program, guiding case reviews, provider... ...license, board certification in Orthopedic Surgery, 5+ years of orthopedic... ...and proficiency with MS Office; remote work options available across the...Remote jobClaims
$248.5k - $373k
...3,000.00/yearJob Area: Medical & Clinical OperationsCompany... ....As part of the Focus Claims Review team at Optum, the Medical Director provides leadership,... ...flexibility to work remotely * from anywhere within... ...board certification in Orthopedic Surgery through the American Board...Remote workClaimsMinimum wageFull timeWork experience placementLocal areaMonday to FridayFlexible hours- ...part of UnitedHealth Group, seeks a Medical Director to lead the Focus Claims Review team and oversee medical... ...The role requires board-certified orthopedic spine expertise, medical licensure,... ...and extensive clinical experience. Remote work from anywhere in the U.S. is available...Remote jobClaims
- Optum is seeking a Medical Director to lead the Focus Claims Review program, ensuring quality and coordination of... ...with an active license, ABMS/AOA orthopedic board certification, and 5+ years of... ...experience, with strong MS Office skills. Remote work within the U.S. #J-18808-...Remote jobClaims
$248.5k - $373k
...0.00 - $373,000.00Job Area: Medical & Clinical OperationsCompany... ...member of a team of medical directors, for the overall quality, effectiveness... ...the flexibility to work remotely * from anywhere within the U... ...Board Certification in Orthopedic Surgery or Neurosurgery through the...Remote workMinimum wageWork experience placementLocal areaWeekend work- 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
$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided... ...the flexibility to work remotely * from anywhere within the U... ...prior authorizations for spine surgery Document clinical review... ...Board Certification in Orthopedic Surgery or Neurosurgery through...Remote jobMinimum wageWork experience placementLocal areaWeekend work- 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
- Concentra, Inc. seeks an experienced Board Certified Orthopedic Surgeon for our medical reviewstream division. This telecommute role allows you to customize... ...appeals, with responsibility for reviewing health claims and ensuring compliance with Concentra policies and #J-1...Remote jobClaimsContract workFor contractorsMonday to Friday
$248.5k - $373k
...- $373,000.00Job 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 Neurological Surgery through the American...Remote workClaimsMinimum wageWork experience placementWork at officeLocal area- ...Surgeon (Orthopedics/Neurosurgical Spine) Schedule: Part-time Locations... ..., and case progression. Medical Reporting: Prepare clear,... ...medicolegal use. Attorney & Claims Communication: Answer... ...ability to deliver high-quality remote patient care effectively Active...Remote workClaimsPart time
$79.72k - $128.12k
...by the hospital on its claim, matches both the... ...in the beneficiary’s medical record. Responsible for... ...conjunction with the Associate Director and Director of DRG... ...-venture outpatient surgery centers throughout the... ...Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung...Remote workClaimsFull timeTraineeshipWork experience placementLocal area$386.5k
...0 - $579,500/yearJob Area: Medical & Clinical OperationsCompany... ....The National Medical Director of Orthopedic and Musculoskeletal Programs... ...enjoy the flexibility to work remotely * from anywhere within the... ...accurateEvaluate clinical, quality and claims data to identify...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$270k - $330k
...California or otherwise can sit remotely. The Vice President, Medical Director serves as the clinical leader for... ...workers' compensation claims operations in conjunction with the... ...Rehabilitation, Emergency Medicine, Orthopedic Surgery, Neurology, Trauma Surgery, or related...Remote workClaimsWork experience placementWork at office- Optum is seeking a Medical Director to lead claims review, provide clinical oversight, and ensure quality... ...policies for medical programs and services. Remote work offered across the U.S. with... ...team. MD/DO with vascular surgery certification and 5+ years of post-residency...Remote jobClaims
- Optum, part of UnitedHealth Group, seeks a Medical Director to lead the claims review program and oversee medical services quality and coordination.... ...providers, guiding clinical criteria and policy development. Remote work is available nationwide within the U.S. The...Remote jobClaims
- ...Office-Based Orthopedic Coder Company MedHQ, LLC, is... ...MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical... ...completeness to support correct claim submission and reduce... .... Knowledge of medical terminology, anatomy,... ...time off This is a remote position. Applicants...Remote workClaimsFull timeTemporary workWork at officeWork visaFlexible hours
- ...accomplished Board Certified Orthopedic Surgeon? Are you passionate about... ...physicians for our medical reviewstream division. This telecommute... ...background, reviews health claims providing medical... ...Concentra Physician Review Medical Director to discuss quality of care and...Remote workClaimsTemporary workFor contractorsLocal areaMonday to FridayFlexible hours
$174.07k - $374.92k
...care resources. **This is a remote based (work at home) based... ...exciting opportunity for a Medical Director (Spine) that can be remote based... ...(SME) with a background in Orthopedic Spine OR Neurosurgery,... ...predetermination reviews ad reviews of claim determinations, providing...Remote workClaimsHourly payFull timeTemporary workLocal areaWork from home$100k - $300k
New: Part-Time Medical Director Opportunity in Michigan Position Available... ...in Mich., and may be partly remote. It is a Michigan-based... ...of medical and disability claims and preauthorization requests... ...and newer technologies, surgeries and medications •...Remote workClaimsHourly payTemporary workPart timeFor contractorsImmediate start$240k - $250k
...Medical Director Utilization Management We are looking for physicians who have expertise in... ...backgrounds and perspectives. This is a remote-first role that may require travel to... ...authorization data with post-service claims validation, we're creating a transparent...Remote workClaimsFlexible hours- ...those operations into orthopedics. We are building the team... ...-specific and global surgery modifiers (25, 59, XE,... ...within NCCI edits so claims go out clean. Own... ...credential, 1 to 2 years of medical coding experience,... ..., and vision ~ Remote, full-time position...Remote jobClaimsFull timePrivate practiceWork at office
$61k - $101k
...Supervisor must be proficient in medical coding and have experience... ...appropriate action to resolve the claim based on payer guidelines.... ...position is full time and is 100% remote. Duties and... ...questions on inpatient/outpatient surgery, clinic, emergency room, Ancillary...Remote workClaimsFull timeTemporary workFlexible 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
- ...Manager Reports to: Director of Facility operations Location: Remote MedHQ, LLC, is a fast... ...MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical... ...accurate submission of claims, payment posting, denial... ...systems. Certification in medical coding (e.g., CPC, CCS)...Remote workClaimsFull timeWork visaFlexible hours
- ...Senior Clinical Program Director role at Jobright.ai 1... ...: Motif Neurotech is a medical device startup focused... ...studies that support product claims, regulatory submissions... ...Clinical Performance - Remote Houston, TX $269,500.00... ...Director of Nursing - Surgery Center Medical Director...Remote workClaimsFull time
- ...Doctor of Medicine | Surgery - Orthopedic Location: California Employer: ARR Healthcare... ...ASAP About the Position Enterprise Medical Recruiting is assisting a Hospital north... ...added cases EMR - Tenzing Claims-made professional liability insurance...ClaimsWeekly payFull timeWork at officeImmediate startWeekend workWeekday work
- Orthopedics physician job in Washington : Global Medical Staffing - This experience is the perfect opportunity to go far and... ...skills preferred Hand surgery, tendon repair, and peripheral nerve... ...travel and housing Paid AAA-rated claims made malpractice Licensing assistance...ClaimsWork visa
- ...Medical Director OpportunityTop Healthcare Company is hiring a North Carolina Licensed Physician... ...North Carolina Physician License. 100% Remote role! Contract for one year to start!... ...or update various moderate to complex claims payments and payment errors for any business...Remote workClaimsContract work
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