Medical Claims Review Medical Director - Eden Prairie

The Medical Director will be responsible for the overall quality, effectiveness and coordination of medical review services. · ...

+Job summaryThe Medical Director provides physician support to Enterprise Clinical Services operations. · +Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations · Document clinical r ...

The work you do with our team will directly improve health outcomes by connecting people with the care pharmacy benefits data and resources they need to feel their best.Come make an impact on the communities we serve as you help us advance health optimization on a global scale. · ...

We have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. · Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render c ...

The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leade ...

The Medical Director provides physician support to Enterprise Clinical Services operations, · empowering providers and members with the tools and information needed to improve health outcomes, · reduce variation in care, · deliver seamless experience, · and manage healthcare cost ...

The Medical Director provides physician support to Enterprise Clinical Services operations, collaborating with leadership and staff to establish and maintain clinical processes related to benefit coverage determinations.He or she ensures that appropriate quality medical care is p ...

The Medical Director provides physician support to Enterprise Clinical Services operations and collaborates with leadership to establish clinical processes related to benefit coverage determinations. · ...

We are seeking a Medical Claims Review Medical Director to join our team. The ideal candidate will have a proven track record of experience in clinical practice and a strong understanding of Evidence Based Medicine (EBM). The role involves conducting coverage reviews based on ind ...

Job summaryThe Medical Director provides physician support to Enterprise Clinical Services operations. · Conduct coverage reviews based on individual member plan benefits. · Document clinical review findings in accordance with policies. · ...

The Medical Director provides physician support to Enterprise Clinical Services operations. · M.D. or D.O. · Active unrestricted medical license and ability to obtain additional state medical licenses as needed · ...

+ We are seeking a Medical Director to provide physician support to Enterprise Clinical Services operations. · +Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinationsDocument clinical ...

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The Medical Director provides physician support to Enterprise Clinical Services operations and collaborates with leadership and staff to establish clinical and operational processes related to benefit coverage determinations.The role involves application of clinical knowledge in ...

The Medical Director provides physician support to Enterprise Clinical Services operations and collaborates with leadership and staff to establish, implement, support and maintain clinical and operational processes related to benefit coverage determinations. · ...

The Medical Director provides physician support to Enterprise Clinical Services operations at Optum. The role involves collaborating with leadership and staff to establish processes related to clinical reviews. · Conduct coverage reviews based on individual member plan benefits. ...

Job summary We have an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. · ...

We are seeking a Medical Director to provide physician support to Enterprise Clinical Services operations. The ideal candidate will have experience in clinical practice and utilization review.The Medical Director will collaborate with Enterprise Clinical Services leadership and s ...

The Medical Director provides physician support to Enterprise Clinical Services operations and collaborates with leadership and staff to establish and maintain clinical and operational processes related to benefit coverage determinations. The role involves conducting coverage rev ...

The Medical Director provides physician support to Enterprise Clinical Services operations. · Conduct coverage reviews based on individual member plan benefits · ...