Remote Senior Medical Director - Grievances & Appeals
Humana
Humana Inc. seeks a Corporate Medical Director to oversee clinical interpretations and decisions on medical services appropriateness within a supportive environment. You will evaluate diverse health claims, make independent medical decisions, and collaborate with various teams to enhance consumer experiences. The ideal candidate will hold an MD or DO degree and possess strong leadership and analysis skills. This role offers a remote working opportunity, promoting a balanced work-life environment and a structured workweek of 40 hours. #J-18808-Ljbffr
$246.1k - $344.2k
...Humana Inc. is seeking a Corporate Medical Director to oversee clinical interpretations and make independent medical decisions. This remote role involves collaboration with cross-functional teams to address grievances and improve consumer experiences. The ideal candidate...Remote workSenior$246.1k - $344.2k
...Humana Inc. is seeking a Corporate Medical Director to provide clinical interpretations and decisions on healthcare services in line with regulations. This role demands substantial experience and a medical degree. You will work primarily from home while collaborating...Remote workSeniorWork from home- ...Humana Inc is seeking a Corporate Medical Director to provide clinical interpretations and decisions regarding healthcare services across the USA. This remote role demands independent judgment and collaboration with cross-functional teams to ensure quality and compliance...Remote workSenior
- ...Humana Inc is seeking a Medical Director Grievances & Appeals to provide clinical interpretations and make independent medical decisions. This role requires... ...compliance with regulations. This is a full-time remote position and offers competitive benefits. #J-18808-Ljbffr...Remote workSeniorFull time
- ...Humana Inc is seeking a Corporate Medical Director to provide clinical interpretations and make medical decisions about service appropriateness... ...for improving consumer experiences is essential. This remote position allows you to contribute to healthcare quality improvement...Remote workSenior
$246.1k - $344.2k
...Humana Inc., located in Providence, is seeking a Corporate Medical Director responsible for clinical decisions regarding health claims. This remote position requires strong judgment on complex issues with responsibilities that include collaborating with legal and compliance...Remote workSenior- ...Humana Inc. is looking for a Corporate Medical Director who will provide clinical oversight for the appropriateness of medical services. This... ...improvement initiatives are met. This position allows for remote work across the USA and requires an MD or DO degree and significant...Remote workSenior
$246.1k - $344.2k
...Humana Inc. is seeking a Corporate Medical Director to provide clinical interpretation of health claims and make independent medical decisions. This remote position offers a salary ranging from $246,100 - $344,200 annually and includes participation in a bonus incentive...Remote workSenior$269.5k - $425.5k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director in Boston, MA. This role involves reviewing clinical appeals and grievances... ...certification and significant clinical experience. Remote work is possible. Competitive salary range is $269,500...Remote work$238k - $357.5k
...Crains Cleveland is seeking a remote Appeals and Grievances Medical Director responsible for the clinical review and adjudication of appeals and grievances cases. The role requires an MD or DO with an active, unrestricted license and significant clinical experience. Responsibilities...Remote work$248.5k - $373k
...A healthcare organization is seeking a Medical Director for Appeals and Grievances to oversee ongoing clinical reviews and adjudications. This role requires... ...liaising with medical directors. The position offers remote work flexibility and a comprehensive benefits package....Remote work$248.5k - $373k
...UnitedHealth Group is seeking an Appeals and Grievances Medical Director, responsible for reviewing and adjudicating cases. This position allows you to work remotely while positively impacting millions of lives. Key requirements include an MD or DO with a board certification...Remote work$248.5k - $373k
...Caring. Connecting. Growing together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and... ...associated companies. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough...Remote workMinimum wageFull timeWork experience placementLocal areaWork from home$248.5k - $373k
...UnitedHealth Group is looking for an Appeals and Grievances Medical Director responsible for reviewing and adjudicating medical appeal cases. Candidates... ...significant clinical experience. The role allows for remote work within the U.S. and entails collaboration with various...Remote work$248.5k - $373k
...Appeals And Grievances Medical Director At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing... ...Work at home! You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough...Remote workMinimum wageWork experience placementLocal areaWork from home$248.5k - $373k
...together . 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$238k - $357.5k
...UnitedHealthcare seeks a Medical Director specializing in Appeals and Grievances. This remote role involves clinical review of cases across various health plans. Responsibilities include reviewing appeals, communicating with medical directors, and participating in team...Remote work$248.5k - $373k
UnitedHealth Group is looking for an Appeals and Grievances Medical Director to oversee clinical reviews and adjudications. This role offers the flexibility to work remotely from anywhere in the U.S. Key responsibilities include reviewing appeals cases, communicating with...Remote work$248.5k - $373k
...UnitedHealth Group is looking for an Appeals and Grievances Medical Director to oversee clinical reviews and adjudications of appeals. This role offers the flexibility to work remotely from anywhere in the U.S. and involves significant interaction with medical directors...Remote work$248.5k - $373k
...UHC is seeking a Medical Director for the clinical review of appeals and grievances cases, allowing remote work from anywhere in the U.S. This role involves overseeing case reviews, communicating with medical directors, and providing input for organizational committees...Remote work$248.5k - $373k
...Stryker Corporation is hiring a Medical Director responsible for ongoing clinical review of appeals and grievances for UnitedHealthcare. This role allows for remote work flexibility across the U.S. The ideal candidate must be an MD or DO with board certification and 5...Remote work$238k - $357.5k
...Texas Health Institute is seeking a Medical Director for Appeals and Grievances, responsible for clinical review and adjudication of cases. This role is remote within the U.S. and involves working with various health plan products. The ideal candidate will have an MD or...Remote work$248.5k - $373k
...UnitedHealth Group is seeking an Appeals and Grievances Medical Director in Atlanta, Georgia. This remote position involves reviewing appeals and grievances across various health plans, ensuring quality and compliance. Candidates should possess an MD or DO and be Board...Remote work$246.1k - $344.2k
...community The Corporate Medical Director relies on medical background... ...medical decisions on complex appeal cases, exercising professional... ...-to address and resolve grievances and appeals. Participate... ...HIPAA information This is a remote position anywhere in the USA...Remote workBi-weekly payFull timeTemporary workApprenticeshipInterim roleWork at officeWork from homeHome officeMonday to Friday$248.5k - $373k
...Texas Health Institute is looking for a Medical Director dedicated to reviewing and adjudicating appeals and grievances for UnitedHealthcare. This position offers remote work flexibility and requires communication with medical directors across the organization. Qualified...Remote work- Humana Inc. is seeking a remote Corporate Medical Director to provide clinical interpretation and decision-making on healthcare services. This... ...collaborating with cross-functional teams to resolve grievances and appeals while maintaining compliance with healthcare...Remote job
- Humana Inc is seeking a Corporate Medical Director in Phoenix, Arizona. The role... ...medical decisions on complex appeal cases, and collaborating with teams on grievances. The ideal candidate will have... ...years of clinical experience. This remote position offers competitive...Remote job
- Humana Inc. is seeking a Corporate Medical Director to provide clinical interpretation... ...collaborating with teams to address grievances, making independent decisions on appeal cases, and maintaining knowledge of regulations. This remote position allows flexibility while ensuring...Remote job
$246.1k - $344.2k
Humana Inc. is looking for a Corporate Medical Director to provide clinical interpretation and medical decision-making... ...collaboration with various teams to address grievances and appeals. With responsibilities in a remote setting, the role offers a competitive salary...Remote job- Blue Shield of CA is seeking a Medicare Appeals RN Senior in Los Angeles, CA. This role involves reviewing member appeals and grievances, ensuring compliance with Medicare/National... ...for hybrid virtual work, balancing remote responsibilities with in-office requirements...Remote workSeniorWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Senior Medical Director - Grievances & Appeals. Be the first to apply!
- medical director utilization management Montgomery, AL
- clinical director Montgomery, AL
- medical director neurology Montgomery, AL
- clinical data manager remote Montgomery, AL
- director of health and wellness Montgomery, AL
- medicare medical director Montgomery, AL
- healthcare supervisor Montgomery, AL
- health insurance manager Montgomery, AL
- senior medical director medical affairs Montgomery, AL
- director clinical pharmacology Montgomery, AL

