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
- ...Description Description: The Director, Clinical Denials provides specialized... ...appeal performance across medical necessity, level-of-care, length... ...service denials for all payer types and service lines.... ...Environment • Primarily office or remote-based environment with...Remote workWork at office
$238.8k - $323k
...Position Summary The US Medical Director, Health System & Payer Engagement is a strategic in-house Medical Affairs role responsible for leading end-to-end scientific resource and engagement enablement across Health System and Payer MOSL teams. In close partnership...Remote workFull timeTemporary workLocal areaFlexible hours$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- ...medicines to meet serious unmet medical needs in oncology and... ...Assoc. Dir., Health Outcomes Liaison (HOL) is responsible for the... ...members of healthcare insurers, payers, pharmacy benefit managers (PBM... ...including the National Account Director and Regional Access Director...Remote workWork experience placementLocal area
- ...'s care model includes medical care, counseling, comprehensive... ...regularly with the RCM Director to address eligibility... ...-TIME LOCATION Remote work from home... ...referrals, rejections, and denials. Strong ability to... ...with email, internet, and payer portals. EOE...Remote workFull timeWork from homeFlexible hours
- ...and appeal of claims related to clinical denials from Medicare, Medicaid, and other payers. The ideal candidate will have a valid... ...with utilization review. This remote position offers a variety of benefits, including medical, dental, vision, and a competitive PTO...Remote job
$190.8k - $300.3k
Job Description Role Summary: The Regional Medical Scientific Director (RMSD) is a credentialed (PhD, PharmD, OD, DO, or MD) therapeutic and disease... ...per week Monday-Thursday, with Friday designated as a remote working day, unless business‑critical tasks require an on‑...Remote workFor contractorsWork at officeMonday to FridayNight shift3 days per week$190.8k - $300.3k
Job Description Regional Medical Scientific Director (Medical Science Liaison) - Vaccines - AL,MS,AR,LA,TN The Regional Medical Scientific Director is a credentialed... ...Requirements: 50% Flexible Work Arrangements: Remote Shift: Not Indicated Valid Driving License: Yes...Remote workFor contractorsWork at officeRelocationVisa sponsorshipFlexible hoursShift workNight shift$190.8k - $300.3k
Job Description Role Summary The Regional Medical Scientific Director (RMSD) is a credentialed (i.e., PhD, PharmD, OD, DO, or MD) therapeutic and... ...No Travel Requirements 50% Flexible Work Arrangements Remote Shift Not Indicated Valid Driving License Yes Hazardous...Remote workFor contractorsWork at officeLocal areaRelocationVisa sponsorshipFlexible hoursShift workNight shift3 days per week- ...GLAUKOS - REIMBURSEMENT LIAISON (CORNEA) "We'll Go... ...products in line with payer requirements to the highest... ...policy changes, claim denials, underpayments, etc.)... ...injectables and/or medical devices, Category III CPT... ...Patient Assistance Programs. #GKOSUS #LI-Remote...Remote workWork at officeNight shift
$46.1k - $53.8k
...Finance Liaison At Healthy Alliance, our purpose is... ...including but not limited to medical, dental and vision,... ...through on-site and remote communication to ensure... ...billable claims for pends/denials requiring follow-up and... ...knowledge to interpret payer rules, billing...Remote workTemporary workWork experience placementWork at officeLocal areaFlexible hours- 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
$200k - $220k
...MSL Manager, you will lead a regional team of field-based Medical Science Liaisons (MSLs) focused on scientific engagement for Signatera, our... ...judgment PHYSICAL DEMANDS & WORK ENVIRONMENT This is a remote position, and often work requires frequent sitting, standing...Remote workWork at officeImmediate startWorldwideLong distanceWeekend workAfternoon shift$90.38k - $194.67k
...Services - Commercial Clinical Liaison serves as the clinical subject... ...and Travel This is a fully remote position open to candidates residing... ...within a care management payer organization. 5+ years in care... ...their families. Benefits include medical, dental, and vision coverage,...Remote workHourly payFull timeTemporary workWork at officeLocal areaFlexible hours- 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
- ...System Physician Advisor Medical Director Responsibilities and Job Description... ...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
$331.41k - $373.44k
...Care Management, Medical Staff, and executive... .... This fully remote position supports... ...reducing preventable denials, optimizing length... ...with Medicare and payer requirements... ...performance Serve as a liaison across medical... ...of Role: Medical Director Email: selina.irby...Remote workFull timeH1bLive in- ...0-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions... ...submissions and reduce claim denials. Collaborate across... ...coding practices. Medical Terminology & Anatomy: Strong... ...organizational and divisional remote work policy and guidelines....Remote workLocumWork at office
- ...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 jobHourly payWork at officeLocal area
- ...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
- ...Clinical Denial Recovery Unit Physician Reports to the Chief Utilization... ...input for post-discharge medical necessity denials at all HFHS... ...as a clinical expert in payer negotiations and escalations,... ...Reconciliation Group (AARGs) and Medical Director Meetings (MDMs), and during...Local area
- 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
- 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 workFlexible hours
- ...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
$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- ...Client Executive - Healthcare Payer NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with... ...as management of a diverse applications portfolio, leveraging a remote onsite/offshore model, and the ability to interface with...Remote workLocal area
- ...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
- ...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 work
- ...Client Executive - Healthcare Payer (Phoenix, AZ) Hybrid Phoenix, AZ, US NTT DATA Services NTT DATA strives to hire exceptional... ...as management of a diverse applications portfolio, leveraging a remote onsite/offshore model, and the ability to interface with...Remote workWork at officeLocal areaFlexible hours
- Intermountain Health is seeking a Payer Contracting Manager responsible for managing relationships and negotiations with payers. This... ...effective relationships. The position can be performed remotely with necessary travel, and candidates from various locations may...Remote jobContract work
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