appeals and grievances medical director virtual jobs

  • 12331 appeals and grievances medical director virtual jobs
Appeals and Grievances Medical Director - Virtual NEW
Dallas, TX, US
Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases..
Posted 5 days ago
Appeals Representative - Wausau, WI
Wausau, WI, US
Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most i..
Posted 1 week ago
Medical Director NEW
Tampa, FL, US
In the performance of their respective tasks and duties all employees are expected to adhere to all IASIS and Health Choice policies and procedures, ..
Posted 1 day ago
Appeals and Grievances Specialist
Charlestown, MA, US
The Appeals and Grievance Specialist is responsible for managing the resolution process of medical and pharmacy member appeals and/or member generate..
Posted 4 weeks ago
Appeals Representative Associate - Wausau, WI
Wausau, WI, US
Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most int..
Posted 1 week ago
Medical Director (Healthplan) NEW
Syracuse, NY, US
Conducts retrospective reviews of claims and appeals, and resolves grievances related to medical quality of care. ... Preferred Experience 10+ years (..
Posted 1 day ago
Appeals Representative Associate - Norristown, PA
Norristown, PA, US
Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most i..
Posted 1 week ago
Medical Director Utilization Management
Oakland, CA, US
The Medical Director (MD) is responsible for providing physician review of utilization, claims management, and quality assurance related to inpatient ..
Posted 1 month ago
Clinical Grievances RN - Telecommute - MO
Saint Louis, MO, US
For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across t..
Posted 3 weeks ago
Associate Medical Director NEW
Pittsburgh, PA, US
Perform initial determinations, appeals, grievances, peer to peer, pharmacy and other reviews, as assigned . ... Perform initial determinations, appea..
Posted 21 hours ago
MEDICAL DIRECTOR I/MANAGED CARE SERVICES (job:96694)
Los Angeles, CA, US
Reviews clinical cases, clinical grievances, and appeals as needed. ... DESIRABLE Experience in managed care functions such as: utilization management..
Posted 3 months ago
Pulmonary Medicine Physician General & Critical Care Pulmonologist - Physicians Only Apply - Perm
Las Vegas, NV, US
Appeals and Grievances --- Work From Home The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of a..
Posted 2 weeks ago
Clinical Appeals Reviewer - Cypress, CA
Cypress, CA, US
Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most int..
Posted 6 days ago
Senior Claims Appeals Representative - Oldsmar, FL NEW
Oldsmar, FL, US
Grow your career with an industry leader! We have training classes starting soon. Apply now! Are you the person yo ur friends and family go to when t..
Posted 20 hours ago
Telephonic Clinical Appeals Reviewer - Multiple Locations
San Francisco, CA, US
Position Description: Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company -..
Posted 2 weeks ago
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