Remote Medical Director: Denials & Payer Liaison
HCA Healthcare
- Remote job
HCA Healthcare is seeking a Medical Director for the Work from Home team. In this role, you will serve as a clinical resource, facilitating peer-to-peer reviews and physician education regarding admission status determination. Key responsibilities include acting as a liaison with payers, conducting data analysis, and mentoring physicians. The ideal candidate will have at least 5 years of clinical experience, be licensed in the U.S., and have board certification in Internal or Family Medicine. #J-18808-Ljbffr HCA Healthcare
$225k
...A healthcare solutions provider is seeking a Medical Director for Inpatient Denials Management. This remote role involves evaluating hospitalizations nationwide and performing clinical reviews to ensure appropriate admission status. Candidates should hold an MD or DO...Remote work- ...Description System Physician Advisor Medical Director Responsibilities and Job... ...clinicians are not contributing to payer medical necessity/status denials or governmental non-compliance.... ...contracted providers involved in remote utilization review and physician advisory...Remote workContract workFor contractorsMonday to FridayWeekend work3 days per week
$264k - $290k
...clients. Reporting to the Executive Director of Field Medical Affairs, the Payor and Health Systems Liaison will own and shape the scientific payer/access strategy for the US region. They... .../Females/Veterans/Disabled) #LI-Remote #J-18808-Ljbffr Taylor Strategy PartnersRemote work- Medical Value and Health Information Technology (MVHIT) Manager - Health IT Liaison-West US Join Amgen to apply for the Medical Value and Health... ...on Health Systems, Pharma, Payers. Experience with EHR... ...Flexible work models, including remote and hybrid work arrangements...Remote workFlexible hours
- ...network reach that medical businesses need to... ...an exceptional remote workforce across the... ...Engineering, the Medical Director will lead a team... ...interpretation of payer medical policy... ..., claims appeals/denials, either with an insurer... ...serve as clinical liaison to the medical...Remote workHourly payWork at officeLocal area
- Medical Value and Health Information Technology (MVHIT) Manager - Health IT Liaison - East US Join to apply for the Medical Value and Health... ...health systems, pharma, and payers. Experience applying health... ...Flexible work models, including remote and hybrid work arrangements...Remote workFlexible hours
- ...focuses on overseeing daily operations related to authorization and denial management. The ideal candidate will manage processes, develop... ..., and ensure efficient workflow. This role is eligible for remote work and is a great next step for those with relevant experience...Remote job
- ...Role Overview: The Manager, Behavioral Health Clinical Liaison, is responsible for supporting the development, implementation, and monitoring... ...across the health plan. Work Arrangement: This role is remote, and the associate must be located in Ohio (OH) Associates...Remote workContract work
- ...0-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions... ...submissions and reduce claim denials. Collaborate across... ...compliant coding practices. Medical Terminology & Anatomy: Strong... ...organizational and divisional remote work policy and guidelines. Operates...Remote workLocumWork at office
- Marketing - Product Specialist (M/W) is seeking a Clinical Science Liaison Manager to reinforce our Medical department. This full-time position is based in Germany and offers home office flexibility. The successful candidate will deliver clinical expertise about Flen Health...Remote jobFull timeHome office
- ...implementation, and ongoing management of payer contracts to ensure accurate billing and... ...optimize revenue integrity and minimize denials. Key Responsibilities Contract Interpretation... ...proper payment.Partner with Billing and Medical Records teams to clarify requirements and...Remote jobOngoing contractContract work
- Barrington James is seeking a Clinical Science Liaison Manager to join its Medical Affairs team in Germany. This remote role involves engaging with healthcare professionals and key opinion leaders to support innovative therapies in wound care. The ideal candidate will...Remote job
$65 - $75 per hour
A staffing and consulting firm is seeking a seasoned Healthcare Payer Project / Program Manager to manage large-scale projects in a remote or on-site capacity. Candidates should have substantial project management experience in the healthcare sector, specifically with...Remote jobContract work- ...with insurance companies and/or third party payers to ensure payments by primary and... ...Third-Party reimbursement issues Work all denials and corrected claims , collaborating with... ...years’ experience working specifically in medical insurance collections, billing and/or accounts...Work at officeTrial period
- ...Care Manager Clinical Denials The Care Manager Clinical Denials... ...denials related to inpatient medical necessity and/or level of care... ...follow-up. The CM-CD serves as liaison between Case Management and physicians... ..., Knowledge of third-party payer practices including...Remote workWork experience placementWork at officeFlexible hours
- ...Clinical Supervisor, UM Denial Compliance Location: Los Angeles... ...Position Type: Hybrid (85% remote, 15% onsite in Burbank, CA) Company... ...standards for associated medical groups. Key... ...physician reviewers, medical directors, and other departments. Ensure...Remote workPermanent employmentTemporary work
- ...weekends onsite 0900-1400 and after hours remote on-call Clinical Rehab Liaison Career Opportunity Appreciated... ...planners, case managers and payer representatives. Join us in a career... ...will have access to: Affordable medical, dental, and vision plans for both...Remote workFull timePart timeFlexible hoursWeekend work
- Intermountain Health is looking for a Payer Contracting Manager to manage and negotiate payer contracts. This role includes responsibility... ...track record in healthcare contracting. The position offers remote work options and competitive pay. Eligible applicants may receive...Remote jobContract work
$256.8k - $335.4k
...a week in our Princeton, NJ HQ. This is note a remote opportunity. Summary of Job: The Senior Medical Director, Global Medical Affairs – Oncology is responsible... ...KOLs), healthcare systems, advocacy organizations, payer organizations, and other external stakeholders...Remote workSummer workWork at officeLocal area2 days per week- ...Clinical Evaluation Liaison Job Category: Office Requisition... ...1, 2026 Part-Time Remote Clarksville, IN 47129,... ...personnel, external payers, external case managers... ...Admissions Manager or Regional Director of Business Development... ...with nursing staff, medical staff, other...Remote workPart timeWork experience placementWork at office
- ...Hospital Clinical Liaison Needed - Join Avante Skilled... .... This is a full-time remote (On-Site Hospital Based... ...Comprehensive Insurance Coverage (Medical, Dental, Vision and... ...to the Corporate Director of Business Development... ...services & Payer requirements • Excellent...Remote workFull timeLocal areaFlexible hoursWeekend work
- A strategy and performance consulting firm is seeking an Engagement Manager specialized in the healthcare Payer domain. This remote role requires leading client engagements and mentoring junior staff while ensuring high-quality deliverables. The ideal candidate should possess...Remote jobFlexible hours
- ...Denials Insurance Specialist Insight Global is seeking a Denials... ...team. This person will provide a liaison between the providers of... ...they will monitor and identifies payer denial trends and problem accounts... ...insurances. This is a 100% remote role, that needs proven work from...Remote workWork from home
- ...research. The ideal candidate will possess strong communication and analytical skills, alongside the ability to manage relationships with payers and health decision-makers. The role includes a competitive salary and a range of comprehensive benefits. #J-18808-Ljbffr Ferring...
$174.07k - $374.92k
...Medical Director We're building a world of health around every individual — shaping a more connected, convenient and compassionate health... ...prior authorization reviews with peer to peer coverage of denials. • Appeals – The medical director will perform appeals in their...Remote workHourly payFull timeTemporary workLocal areaWork from homeMonday to FridayWeekend work$17 - $20 per hour
...CLIENT LIAISON REPRESENTATIVE Please note: Applicants must be... ...international applicants. Remote | Reports to Chief Clinical Officer... ...with clients and payer representatives Escalate concerns... ...experience Behavioral health or medical office experience preferred...Remote workFull timeWork at officeDay shift$181k - $200k
...The Patient Access Liaison (PAL) is a regional, field-based position... ...their families. This is a remote position covering the Great... ...and Catalyst’s FDA approved medication for their disease Provide... ...reimbursement Managed Care or public payer reimbursement Nursing...Remote workWork at officeWeekend workAfternoon shift- ...Job Description Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and efficiency of oncology care with a focus on...Remote workWork from home
$175k - $210k
...This is a remote position responsible for the Pacific Northwest territory and can be located... ...with cancer centers of excellence and medical centers with therapeutic, SPECT, and PET... ...appropriate. Deliver clinical presentations to payer audiences and hospitals optimally...Remote workWork at officeLocal areaNight shiftWeekend work$155.25k - $359.38k
...currently seeking a Speciality Client Partner - Healthcare Payer/Provider (Remote - Eastern/Central Region US to join our team in the Eastern... ...the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health...Remote workTemporary workWork at officeFlexible hours
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