Remote Appeals Medical Director, Radiology
UnitedHealthcare
- Remote job
UnitedHealth Group in the United States is seeking an Appeals Medical Director in Radiology for a remote role. You will oversee clinical review and adjudication of appeals and grievances across plans, contributing to quality care and regulatory compliance.The role requires MD or DO, board certification, 5+ years of clinical practice, and strong communication and data analysis skills. You will work with medical directors and network staff to improve access, quality and policy adherence.J-18808-Ljbffr UnitedHealthcare
$248.5k - $373k
...$248,500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany: UnitedHealth... ...'ll enjoy the flexibility to work remotely * from anywhere within the U.S. as... ...week.Primary Responsibilities:The Appeals and Grievances Medical Director is responsible for ongoing clinical...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$180 per hour
...REMOTE MEDICAL DIRECTOR – UTILIZATION MANAGEMENT & APPEALS $180/hour | W-2 Contract | Monday–Friday | 100% Remote | Potential Extension The Jacobson Group is seeking a Medical Director to support a health plan's Utilization Management and Appeals programs. This...Remote workContract workWork at officeMonday to Friday$236.5k
Position Purpose:Assist the Chief Medical Director to direct and coordinate the medical management... ...clinical teams, network providers, appeals team, medical and pharmacy consultants... ..., and a flexible approach to work with remote, hybrid, field or office work schedules...Remote workFull timePart timeWork at officeFlexible hoursWeekend work- CVS Health is seeking a Medical Director to support Medicaid appeals across the Southeast region. This remote-based role focuses on member and provider appeals related to medical necessity and involves chairing Medicaid appeals committee meetings. Requires an MD/DO with...Remote job
- 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 job
- The Appeals and Grievances Medical Director at UnitedHealthcare oversees ongoing clinical review and adjudication of appeals and grievances for multiple... ...accurate benefit interpretations.This role offers full remote work across the United States, with limited in-office...Remote jobWork at office
- UnitedHealth Group in Cypress, CA, is seeking an Appeals Medical Director for Radiation Oncology. This remote role involves ongoing clinical review and adjudication of appeals and grievances across multiple health plans, with the ability to work from anywhere in the U....Remote jobWork at office
- UnitedHealth Group is seeking a Medical Director to lead appeals and grievances review for UnitedHealthcare. This role involves adjudicating cases across PPO, ASO, HMO, MAPD, and PDP products, applying clinical criteria and regulatory requirements. We value MD/DO board...Remote job
$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... ...approach to work with remote, hybrid, field or office work...Remote jobFull timePart timeWork at officeFlexible hoursWeekend work- ...Job Description Job Description MEDICAL DIRECTOR - REMOTE ARC Group has an immediate opportunity... ...teams (e.g., medical review staff, appeals teams) and external stakeholders.... ...and Rehabilitation (PM&R), Oncology, Radiology, Ophthalmology or Infectious Diseases...Remote workPermanent employmentFor contractorsWork experience placementLocal areaImmediate start
$248.5k - $373k
...500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany:... ...enjoy the flexibility to work remotely * from anywhere within the U.... ...each memberWork with medical director teams focusing on inpatient... ...clinical coverage review, member appeals clinical review, medical...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area- UnitedHealth Group is seeking an Appeals Medical Director (Pulmonology - Remote) to oversee ongoing clinical review and adjudication of appeals and grievances across multiple health plans. You will apply clinical criteria, coordinate with medical directors, and help shape...Remote job
- ...and highly organized Manager of Clinical Appeals to lead our clinical appeals operations across... ...a strong background in clinical review, medical necessity denials, payer appeal processes... ...commercial plans. Experience managing remote and/or offshore teams (Philippines...Remote work
$33.71 - $60.67 per hour
...the liaison for all statewide appeals, fair hearings, review... ...Key Details: This is a fully remote, work-from-home position open... ...recognized criteria to determine medical necessity of services requested... ...Coordinate with Medical Director(s) to clarify medical determinations...Remote workHourly payFull timePart timeWork at officeWork from homeMonday to FridayFlexible hours- Teamware Solutions Inc. is seeking a Medical Director to review escalated medical cases, determine medical necessity, and ensure compliance... ...with clinical guidelines and health care regulations. This 100% remote leadership role involves collaboration with multidisciplinary...Remote job
- HCSC is seeking a physician for a remote role focused on medical policy reviews and program support. You will interact with provider communities to perform reviews for assigned areas while maintaining required licensure and board certifications. The position emphasizes...Remote job
$335k - $387k
...about this role: Devoted Medical, Devoted Health's virtual-first... ...to serve as the Medical Director, Care Ondemand. This is a highly... ...achieve success (e.g. mobile radiology, mobile phlebotomy) Coordinating... ...000 / year base salary #LI-Remote #LI-EM1 The pay range...Remote workFull timeContract workInternship- ...begins with strong clinical leadership. As Medical Director, you will serve as the senior clinical... ...Officer, Chief Medical Director - Radiology, board-certified radiologists, and specialty... ...onboarding, eligibility for one remote workday per week dedicated to focused clinical...Remote workFull timeInternshipRelocationRelocation package
- Frederick Health Medical Group (FHMG), a highly respected 160+ provider... ...Radiologist Medical Director to join a progressive, high-performing... ...practice with hybrid (onsite/remote) flexibility.Attractive shift... ...high-quality diagnostic radiology interpretations across a broad...Remote workFull timeTemporary workShift workAfternoon shift
- ...Healthcare and Health Insurance services, seeks an accomplished Medical Appeals Coordinator Position: Medical Appeals Coordinator Location:... ...3-6 months+ temp-to-hire!!! Pay rate: $24/hr on W2 Note: REMOTE role with possibility The schedule for the training period...Remote workTemporary workLocal areaFlexible hours3 days per week1 day per week
- ...Corporation is seeking an experienced appeals liaison to work remotely within the Eastern and Central time... ...clinical information to determine medical necessity and preparing compliant appeal... ...include coordinating with Medical Directors, maintaining logs, and ensuring NCQA...Remote job
- UnitedHealthcare is seeking a Remote Appeals Clinician to conduct comprehensive clinical reviews of Medicaid appeals (H6516/H2060). The role... ...You will evaluate records, provide independent judgments on medical necessity, and prepare detailed appeal findings with clear...Remote jobMonday to Friday
$275k - $315k
...Title: Medical Director of Utilization Management Summary: Step into a strategic leadership... ...for UM services, complex case reviews, appeals, and peer-to-peer discussions.... ...High-impact leadership role with a hybrid schedule (3 days remote / 2 days onsite)...Remote workFull timeWork at officeMonday to FridayShift work2 days per week- A diversified healthcare organization is seeking a clinical professional to lead medical management services. Responsibilities include overseeing utilization review, coordinating quality improvement initiatives, and collaborating with various clinical teams to ensure optimal...Remote jobFlexible hours
- ...Texas. You will conduct comprehensive clinical reviews of appeals, evaluate medical records, and provide independent clinical judgment on medical... ...thorough documentation and collaboration within a remote team, with weekday daytime hours. Ideal candidates have Medicaid...Remote jobWeekday work
$215k - $269k
...Medical Director - Physical Health Charllotte, NC (Primarily remote, no expectation to be in the office routinely, the selected candidate may be required to report... ...including initial reviews, concurrent reviews, appeals, and level of care determinations for inpatient...Remote workPermanent employmentFull timeWork at officeWeekend work$386.5k
...500 - $579,500/yearJob Area: Medical & Clinical OperationsCompany:... ...Utilization Management. The Medical Director, Clinical AI Innovation and... ...the flexibility to work remotely * from anywhere within the U.... ...teamsEnsure insights from production, appeals, audits, and quality reviews...Remote workMinimum wageFull timeWork experience placementLocal area- ...strategically minded Clinical Claims Appeals Manager who is a Registered... ..., utilization management, medical necessity review, or medical... ...health plan medical directors, external review organizations... ...work is performed in a desk or remote office environment. Training...Remote workFull timeCasual workWork at officeAfternoon shift
$248.5k - $373k
...500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany:... ...Review team at Optum, the Medical Director provides leadership,... ...telephonic discussions and provider appeals. In addition, the Medical... ...enjoy the flexibility to work remotely * from anywhere within the U....Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$248.5k - $373k
...00.00 - $373,000.00Job Area: Medical & Clinical OperationsCompany:... ...Review team at Optum, the Medical Director provides leadership,... ...telephonic discussions and provider appeals. In addition, the Medical... ...enjoy the flexibility to work remotely * from anywhere within the U....Remote workMinimum wageWork experience placementWork at officeLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Appeals Medical Director, Radiology. Be the first to apply!
- clinical data coordinator remote Cypress, CA
- part time project manager remote Cypress, CA
- remote travel jobs Cypress, CA
- fully remote Cypress, CA
- part time remote medical coder Cypress, CA
- companies hiring remote Cypress, CA
- part time remote tech Cypress, CA
- part time software developer remote Cypress, CA
- java developer remote part time Cypress, CA
- remote health insurance Cypress, CA





