Remote Part-Time Medical Director: Medicare Appeals
Humana
Humana, Inc. is seeking a Medical Director for a part-time, seasonal role to review Medicare drug appeals (Part D and B). The position requires an MD or DO, a current medical license, and board certification in Internal Medicine, Family Medicine, Emergency Medicine, or PM&R. This remote role may involve some travel for training and meetings. Work involves collaborating with clinicians to ensure value-based care within Humana policies and regulatory guidelines. #J-18808-Ljbffr
Vacancy posted 22 hours ago
Similar jobs that could be interesting for youBased on the Remote Part-Time Medical Director: Medicare Appeals in Richmond, VA vacancy
- ...The Medical Director at Humana relies on broad clinical expertise to review Medicare drug appeals (Part D and B). The role is part-time, seasonal with flexible weekly hours and compensated hourly, working to support value-based care within Medicare and Humana policy....Part timeRemote workHourly paySeasonal workFlexible hours
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United States22 hours ago - ...Humana, Inc. is seeking a Medical Director for a part-time, seasonal role focused on reviewing Medicare drug appeals (Part D and B). The position involves licensed physicians with... ...policy and CMS guidelines. The role is remote with travel to Humana offices as needed. It...Part timeRemote workSeasonal work
Humana
United States22 hours ago - ...Humana, Inc. is seeking a Medical Director for a part-time seasonal role focused on reviewing Medicare drug appeals (Part D and B). You will leverage broad clinical expertise... ...essential to deliver value-based care. This remote position offers flexible weekly hours and is...Part timeRemote workHourly paySeasonal workFlexible hours
Humana
United States4 days ago - ...Humana, Inc. seeks a Medical Director for a part-time, seasonal, remote role to review Medicare drug appeals (Part D and B) and support value-based care within regulatory guidelines. The role collaborates with clinicians to optimize member outcomes and ensure compliance...Part timeRemote workSeasonal work
Humana
Honolulu, HI4 days ago - Humana, Inc. in the United States is seeking a part-time Medical Director to review Medicare drug appeals (Part D and B) and provide expert clinical oversight within policy and regulatory guidelines. You will collaborate with clinicians and staff to support value-based...Part timeRemote job
$236.5k
...Assist the Chief Medical Director to direct and coordinate... ...medical services, ensuring timely and quality decision... ...teams, network providers, appeals team, medical and... ...approach to work with remote, hybrid, field or office... ...full-time or part-time status. Total compensation...Part timeRemote workFull timeWork at officeFlexible hoursWeekend workCentene Corporation
Auburn, WA4 days ago$223.8k - $313.1k
...Become a part of our caring community Please note that this Medical Director position is a part-time, seasonal position, with variable/flexible... ...expertise to review Medicare drug appeals (Part D and B). The Medical... ...: While this is a remote position, occasional travel...Part timeRemote workBi-weekly payHourly payDaily paidFull timeApprenticeshipSeasonal workWork at officeLocal areaWork from homeHome officeFlexible hoursHumana
Helena, MT4 days ago- ...Medical Director (BH, UM) - Honolulu, HIThis is a remote position requiring active Hawaii licensure. Both full-time and part-time candidates will be considered.This position... ...business (Medicaid, Medicare, and Commercial) and... ...the integrity of the appeals process, both...Part timeRemote workFull timeContract workInternshipImmediate startFlexible hours
Msccn
Honolulu, HI2 days ago $223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director works... ...: While this is a remote position, occasional travel... ...base pay for full time (40 hours per week) employment...Remote workBi-weekly payFull timeTemporary workWork at officeLocal areaWork from homeHome officeHumana
Frankfort, KY3 days ago- ...Description Location: Fully Remote | Candidates must be available to work Eastern Time (EST) business hours. Hours: Part-time hours Description: The Medical Director, Appeals is responsible for... ...clinical decisions within a Medicare Advantage environment....Part timeRemote workLocal areaImmediate start
$301.6k - $312k
...Medical Director As the Medical Director you will provide clinical oversight and signed authorization of... ...closely with the departments that manage external appeal and independent review operations. This is a part-time remote position (All work must be performed within...Part timeRemote workHourly payContract workFor contractors$224k - $364k
...FL, United States (Remote) Job Description The Medical Director will work closely... ...Concurrent Review and Appeals. Key... ...resources to render timely decisions on medical... ...as commercial or Medicare medical policy... ...Benefits for intern, part-time and seasonal...Part timeRemote workTemporary workWork experience placementInternshipSeasonal workFlorida Blue Group
Florida3 days ago$248.5k - $373k
...- $373,000/yearJob Area: Medical & Clinical OperationsCompany... .... Work at home!The Appeals and Grievances Medical Director is responsible for ongoing... ...enjoy the flexibility to work remotely * from anywhere within the... ...00 annually based on full-time employment. We comply with...Remote workMinimum wageFull timeWork experience placementLocal areaWork from homeUnitedHealth Group
Cypress, CA10 hours ago$215.01k - $408.49k
...priority. Provides medical leadership for... ...Performs case reviews and appeals for all health... ...specialty familiar with Medicare patients.... ...reimbursement, paid time off plus holidays,... ...approach to work with remote, hybrid, field or office... ...full-time or part-time status. Total...Part timeRemote workHourly payFull timeReliefWork at officeFlexible hours- Elevance Health is seeking a Medical Director for Florida Medicare on a part-time basis. The role supports utilization management and medical necessity reviews for inpatient and outpatient care, with weekend on-call rotations as part of UM requirements. The position offers...Part timeRemote jobWeekend work
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Optum
United States1 day ago - ...Humana, Inc. is seeking a Corporate Medical Director to provide clinical interpretation and reviews of medical records for appeals decisions, applying established review policies... ...functional teams, focusing on improving consistency, turnaround times, and #J-18808-Ljbffr...Remote work
Humana
Boston, MA22 hours 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 - ...UnitedHealthcare, a part of UnitedHealth Group, is seeking a Medical Director for Appeals and Grievances. The role focuses on clinical review, adjudication, and regulatory... ...responses for various health plans. It offers remote work from anywhere in the U.S. and a...Remote work
UnitedHealth Group
Cypress, CA4 days ago - Cambia Health is seeking an Associate Medical Director BH or UM Medical Director to lead... ...management across lines of business in a remote, part-time capacity. Responsibilities include... ...case reviews, prior authorizations, and appeals, with a focus on delivering person-...Part timeRemote job
- ...UnitedHealth Group is seeking an Appeals Medical Director to work remotely within the United States. The role focuses on clinical review and adjudication of appeals and grievances across various health plans and products. You will oversee individual case reviews, regulatory...Remote work
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United States1 day ago $217.6k - $294.4k
..., Washington, Idaho or Utah. This is a part-time non-benefited position with a maximum of... ...Management (UM) team, our Associate Medical Director BH and UM Medical Directors provides leadership... ...management, prior authorizations and appeals. Provides peer-to-peer consultations...Part timeRemote workImmediate startWork from homeFlexible hoursCambia Health Solutions
Union Gap, WA1 day ago$125 per hour
...members enrolled in Commercial, Medicare and Medicaid products. Our... ...clinical consulting and medical review services in support of... ...consulting engagement, not a full-time or part-time employee position.... ...will generally be performed remotely and on an as-needed basis, based...Part timeRemote workHourly payFull timeFor contractorsLocal areaFlexible hours$100k - $300k
...Job DescriptionNew: Part-Time Medical Director Opportunity in Michigan!!\n\nPosition Available: Medical... ...services, disability case determinations and appeals. The incumbent medical director... ...is based in Mich., and may be partly remote.\n\nIt is a Michigan-based nonprofit voluntary...Part timeRemote workHourly payTemporary workFor contractorsImmediate startDOCTORS CHOICE PLACEMENT SERVICES, INC.
Lansing, MI3 days ago- We’re Hiring: Full time Medical Director Centene Corporation is... ...to Medicaid and Medicare members, as well as to... ..., network providers, appeals team, medical and pharmacy... ...to work with remote, hybrid, field or office... ...including full-time or part-time status. Centene...Part timeRemote workFull timeWork at officeFlexible hoursWeekend work
- Assistant Medical Director Orthopedics - On Call or Full-Time Join to apply for the Assistant Medical... ...Job Location Remote Tracking Code 134793... ...Medical Director” roles. Part-Time Tele-Infectious Disease... ...ophthalmology required （contractor） Appeals Medical Director - OB...Part timeRemote workFull timeContract workFor contractorsRelief
$174.07k - $374.92k
...everything we do. Join us and be part of something bigger –... ...and one community at a time. Position Summary... ...resources. **This is a remote based (work at home) based... ...of this Medical Director role are related to Medicare Appeals: * Direct daily work on...Remote workHourly payFull timeTemporary workLocal areaWork from homeWeekend work$120 - $135 per hour
...Management team as a Field Medical Director, Cardiovascular... ...This position is 100% Remote and can be completed... ...flexible schedule and both part-time and full-time options... ...and expedited appeals. Discusses determinations... ...program, including Medicare or Medicaid, and is...Part timeRemote jobFull timeWork at officeFlexible hours- ...Disability Associate Medical Director We are seeking an experienced, board-certified physician... ...Associate Medical Director in a part-time, independent contractor capacity. This... ...escalations. Work Arrangement Remote, independent contractor position....Part timeRemote workFor contractorsFlexible hours
$44.57k - $66.87k
...leader that integrates Medicare and private health... ...by including remote and hybrid opportunities... ...Grievance and Appeals Coordinator , you... ..., ensuring the timely intake, review, investigation... ...hours and no medical benefits package... ..., Medical Director, Plan Administrator...Part timeRemote workDaily paidWork experience placementWork at officeMonday to FridayFlexible hoursShift work
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