Remote Medical Director — Appeals & Grievances
$248.5k - $373kStryker Orthopaedics
- Remote job
UnitedHealthcare is hiring an Appeals and Grievances Medical Director responsible for clinical review and adjudication of cases. This role allows remote work within the U.S., providing flexibility as you tackle significant healthcare challenges. The position requires an MD or DO with a strong background in quality management and clinical practice. A comprehensive benefits package and competitive salary ranging from $248,500 to $373,000 are offered based on experience. #J-18808-Ljbffr Stryker Corporation
$248.5k - $373k
...Work at home! You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication...Remote workMinimum wageWork experience placementLocal areaWork from home- Texas Health Institute is seeking an Appeals and Grievances Medical Director who will be responsible for the clinical review and adjudication of appeals cases. This role offers the flexibility to work remotely from anywhere within the U.S. It involves communicating with...Remote job
$248.5k - $373k
Texas Health Institute is seeking an Appeals and Grievances Medical Director to oversee the clinical review and adjudication of appeals and grievances... ...extensive clinical experience. This role allows flexible remote work from anywhere in the United States, with a...Remote jobFlexible hours- UnitedHealthcare is seeking an Appeals and Grievances Medical Director to review and adjudicate appeal cases. You will conduct reviews related to medical... ...ensure adherence to clinical policies while working remotely within the U.S. The ideal candidate will hold an MD or...Remote job
$248.5k - $373k
UnitedHealthcare is hiring an Appeals and Grievances Medical Director to conduct clinical reviews for appeals and grievances across various health plans. This position allows remote work from anywhere in the U.S. The role demands an MD or DO with a valid license and over...Remote job$248.5k - $373k
UnitedHealthcare is seeking an Appeals and Grievances Medical Director to support the clinical review and adjudication of cases while offering flexible, remote work within the United States. The candidate must have an MD or DO, with at least 5 years of clinical experience...Remote jobFlexible hours- UnitedHealth Group seeks a Medical Director for Appeals and Grievances to review and adjudicate cases across multiple health plans. Remote work is available nationwide, with collaboration across medical directors and networks to address access and quality issues. The role...Remote job
$248.5k - $373k
Texas Health Institute is seeking a Medical Director for UnitedHealthcare. This role involves clinical review and adjudication of appeals and grievances for various health plans while working remotely. The ideal candidate will have an MD or DO, board certification, and...Remote job$238k - $357.5k
UnitedHealthcare is seeking an Appeals and Grievances Medical Director responsible for clinical review of appeals for various health plans. This role offers flexibility to work remotely from anywhere within the U.S. The qualified candidate will have an MD or DO with an...Remote job$248.5k - $373k
Texas Health Institute is looking for an Appeals and Grievances Medical Director to oversee clinical reviews for appeals and grievances cases. This remote position requires an MD or DO with an active license and offers a competitive salary between $248,500 and $373,000...Remote job$238k - $357.5k
UnitedHealthcare is seeking an Appeals and Grievances Medical Director to oversee clinical review and adjudication of appeals and grievances. This position allows you to work remotely from anywhere in the U.S. and involves significant responsibilities regarding health...Remote job$248.5k - $373k
...healthcare experience and creating healthier communities. The Appeals and Grievances Medical Director supports ongoing clinical review and adjudication of... ...-associated companies. The role offers flexible, remote work from anywhere within the United States. Primary Responsibilities...Remote workFlexible hours$30 - $35 per hour
...Mid-Senior Level professional for a contract role to manage grievances and appeals. Candidates should have 6+ years in customer service with strong... ...pay range of $30.00/hr - $35.00/hr based on qualifications. Remote work is available for candidates within 100 miles of...Remote jobContract workFor contractors$102.18k
...Supervisor, Appeals and Grievances Clinical Operations RN Job Category: Clinical Department: CSC... ...hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in... ...Tuition Reimbursement Retirement Plans Medical, Dental and Vision Wellness Program Volunteer...Remote workFull timeShift workWeekend work$248.5k - $373k
UnitedHealthcare seeks a remote Appeals and Grievances Medical Director to oversee clinical review for appeals and grievances cases. This role includes responsibility for various health plan and insurance products. The ideal candidate will have an MD or DO with active...Remote job$248.5k - $373k
Stryker Corporation is seeking an Appeals and Grievances Medical Director responsible for clinical review of appeals and grievances cases. The position requires a strong clinical background, with 5+ years experience and board certification in relevant specialties. Benefits...Remote job$248.5k - $373k
...Crains Cleveland is looking for an Appeals and Grievances Medical Director responsible for clinical review and adjudication of cases. This role offers flexibility to work remotely from anywhere in the U.S. The ideal candidate must have an MD or DO with unrestricted...Remote work$248.5k - $373k
...Stryker Corporation is seeking an Appeals and Grievances Medical Director responsible for the clinical review of appeals and grievances cases for UnitedHealthcare... .... This role offers the flexibility to work remotely from anywhere within the U.S. The ideal candidate must...Remote work$248.5k - $373k
...Texas Health Institute is seeking an Appeals and Grievances Medical Director responsible for ongoing clinical review of cases related to UnitedHealthcare. You will have the flexibility to work remotely from anywhere in the U.S. Key responsibilities include case reviews...Remote work$238k - $357.5k
UnitedHealth Group seeks an Appeals and Grievances Medical Director who will conduct clinical reviews and manage appeals for various health plans. The role offers flexibility to work remotely throughout the U.S. Applicants must have an MD or DO, strong clinical and management...Remote job- Sagility is seeking an Appeals and Grievance Coordinator who will manage and resolve member and provider complaints while adhering to regulatory requirements. This role involves conducting investigations, documenting actions, and ensuring compliance. As a key contact for...Remote jobWork from home
$98.2k - $130.8k
...department clinical staff handling of grievances and appeals for all product lines, and ensuring compliance... ...plan for you and your loved ones: Medical, Dental, Vision, Life, Disability... ...Relations, Utilization Management, Medical Directors, and/or, Care Management, to achieve...Temporary workWork experience placementFlexible hoursWeekend work- ...Elevance Health is seeking a Grievance/Appeals Analyst I to review and process non-complex grievances and appeals in the Enterprise Grievance... ...of determinations. We offer competitive rewards, including medical benefits, 401(k), and paid time off. #J-18808-Ljbffr...Remote work
- ...Elevance Health is looking for a dedicated individual to handle customer grievances and appeals within the health insurance sector, ensuring efficient service and communication. The role offers a virtual work environment with a standard shift from 9:00 am to 6:00 pm EST...Remote workShift work
- ...L.A. Care Health Plan is seeking an Appeals and Grievances Specialist II in Los Angeles, CA. The role involves investigating member and provider... ...include at least 2 years in Managed Care, knowledge of medical terminology, and excellent communication skills. This full-...Remote workFull time
- Blue Cross Blue Shield of Arizona is seeking a skilled professional for a clinical role addressing provider appeals and grievances. This position demands expertise in managed care while ensuring compliance with privacy regulations. The ideal candidate will possess a relevant...Remote job
- A healthcare service provider is seeking an Appeals and Grievances Clinical Specialist to manage member complaints and clinical case resolutions. This is a 100% remote role requiring an RN, LPN, or Dental Hygienist license. Responsibilities include developing cases, researching...Remote job
- Geisinger is seeking a dedicated professional to support the administration of the Appeals and Grievance process. The role involves acting as a liaison between members and the Plan regarding denied claims, services, and other concerns. Responsibilities include managing...Remote job
- A staffing solutions company is seeking a Grievance & Appeals Coordinator for a fully remote position in Detroit, MI. This role involves processing appeals, grievances, and inquiries while maintaining accurate documentation and effective communication. The ideal candidate...Remote jobContract work
- Mass General Brigham Health Plan Holding Company, Inc. is seeking a Duals Supervisor for Appeals and Grievances to lead a team responsible for overseeing the appeals process. The ideal candidate will have significant experience in healthcare appeals and grievances, regulatory...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Medical Director — Appeals & Grievances. Be the first to apply!
- healthcare consulting manager Cypress, CA
- healthcare supervisor Cypress, CA
- medicare medical director Cypress, CA
- health economics manager Cypress, CA
- director of health information management Cypress, CA
- occupational health manager Cypress, CA
- health insurance manager Cypress, CA
- medical director oncology Cypress, CA
- clinical nutrition manager Cypress, CA
- medical coding manager Cypress, CA

