a minimum of four days per week. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible... for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies...
a minimum of four days per week. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible... for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies...
a minimum of four days per week. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible... for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies...
a minimum of four days per week. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible... for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies...
a minimum of four days per week. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible... for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies...
a minimum of four days per week. Primary Responsibilities: The Appeals and Grievances Medical Director is responsible... for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies...
anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals: Direct daily work on part C..., Grievance & Appeals experience. Health Plan Experience Highly Preferred Education Medical License (MD) or (DO) Pay...
perspective on workplace flexibility. Position Purpose: Supervisory Medical Director at Centene plays a critical role.... This role further assists the Senior Medical Director or Chief Medical Officer in execution of strategic clinical initiatives...
quality medical director training to review Medicare UM and appeals, Clinical review quality oversight and management... functional stakeholders across the enterprise. Provide medical leadership for all utilization management (appeals), pharmacy...
summaries for hearings and actively participates in hearings in conjunction with the Medical Director. Assists management...It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges...
summaries for hearings and actively participates in hearings in conjunction with the Medical Director. Assists management...It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges...
. Growing together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review..., MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design...
. Growing together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review..., MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design...
. Growing together. The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication... PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related...
. Growing together. The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication... PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related...
collaborates with members of the Appeal and Grievance team, pharmacy team, and medical director teams to resolve all types... recommendations to the medical director team based on analysis of the clinical material. Interact closely with pharmacy staff...
and physician practices as well as the Senior Director of Government Appeals. The incumbent must maintain a high level... regarding medical necessity, inpatient, outpatient and observation. In the context of managing the appeals, the incumbent...
a Senior Medical Director to join our Medical Claims Review team. The Senior Medical Director (SMD) serves as the clinical... Senior Medical Director role requires significant prior payer experience and direct client relationship activity. In addition...
perspective on workplace flexibility. Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical... initiatives for capitated providers. Assists Chief Medical Director in planning and establishing goals and policies to improve...
perspective on workplace flexibility. Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical... initiatives for capitated providers. Assists Chief Medical Director in planning and establishing goals and policies to improve...