Medical Claims Review Medical Director - Eden Prairie, MN

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. · Review and sign off on proposed pharmacist denials for preservice outpatient medication requests after revie ...

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. · Document clinical review findings in accordance with policies. · ...

+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 ...

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 Clinical Coverage Review Medical Director collaborates with Optum Rx and CCR leadership to establish clinical processes for outpatient pharmacy reviews. You will review proposed pharmacist denials for preservice medication requests. · ...

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 are seeking a Medical Director to join our team at Optum. The ideal candidate will have experience in clinical practice and be certified in Family Medicine, Internal Medicine or Emergency Medicine. · Conduct coverage reviews based on individual member plan benefits and nationa ...

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 ...

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 ...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. · ...

We are looking for a Medical Director to provide physician support to Enterprise Clinical Services operations. The Medical Director will collaborate with Enterprise Clinical Services leadership and staff to establish, implement, support and maintain clinical and operational proce ...

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. · 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 ...

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. · Conduct coverage reviews based on individual member plan benefits · ...

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

+ Job summary: 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 quality improvement and cost effectivene ...

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, quality improvement, · and cost effectiveness of servi ...