Appeals Medical Director - Cypress, CA

The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. · Perform individual case review for appeals and grievances for various health plan and insurance pro ...

The work you do here impacts the lives of millions of people for the better. · Perform individual case review for appeals and grievances for various health plan and insurance products. · Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, an ...

The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies.You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some toug ...

The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. · Perform individual case review for appeals and grievances for various health plan and insurance produ ...

The Appeals Medical Director will perform ongoing clinical review and adjudication of appeals cases for UnitedHealthcare associated companies. · MD or DO with an active license. · ...

+Job summary · Caring. Connecting. Growing together · Work at home. · The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies.+MD or DO with an active, unrest ...

The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. · You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some t ...

The Medical Director will serve as the clinical expert responsible for advancing CareMore Health's risk adjustment strategy.This physician expert will guide providers in accurate and complete documentation of patient complexity and chronic conditions, · ensuring compliance with C ...

The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. The job requires a MD or DO with an active license and Board Certified in an ABMS or AOBMS specialty. ...

The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. · Perform individual case review for appeals and grievances for various health plan and insurance pro ...

The Medical Director will serve as the clinical expert responsible for advancing CareMore Health's risk adjustment strategy. · Provide physician leadership in CareMore's risk adjustment strategy. · Partner with enterprise leaders to set goals and monitor performance outcomes tied ...

The Medical Director will serve as the clinical expert responsible for advancing CareMore Health's risk adjustment strategy. · The role will focus on healthcare provider education, data-driven interventions, and cross-functional collaboration to maximize risk score accuracy, · re ...

The Medical Director will serve as the clinical expert responsible for advancing CareMore Health's risk adjustment strategy. · Provide physician leadership in CareMore's risk adjustment strategy. · ,Partner with enterprise leaders to set goals and monitor performance outcomes tie ...

Job summary · As a physician-founded organization ensuring access to quality healthcare inspires us We hire people who genuinely care about patients solving healthcare challenges and making a positive impact every day Join us and help change the future of healthcare for the bette ...

The Medical Director is responsible for actively participating in the review process of pre-service requests for services and following guidelines in the approval of those services or making recommendations for other determinations to the provider/vendor (denial/modification/redi ...

The Medical Management team ensures that Blue Shield is on the cutting edge of utilization management reimagined to accelerate the development and sustainability of a value-based health care system in California. · Complete assigned clinical reviews (preservice requests, pharmacy ...

h2>Job Summary</b> · <p>The Medical Director of Hospice provides overall medical oversight of patient care in accordance with hospice regulations and organizational standards.</p><p>This role ensures the highest quality of care is delivered to patients and families, collaborates ...

As Medical Director at MemorialCare Saddleback Medical Center or Long Beach Medical Center, you will lead both sites with autonomy and support from our best-in-class corporate healthcare team. · Communicate and champion Vituity's purpose, mission, vision, values, culture of brill ...

The Medical Director for the Dermatology Office provides clinical leadership medical oversight and ensures the delivery of safe high-quality evidence-based dermatologic care. · Provide medical supervision and oversight of dermatology providers MDs PAs NPs MAs aestheticians as app ...

Vituity's ownership model provides autonomy, local control, and a national system of support so you can focus your attention where you want it to be – on your patients. · ...