appeals and grievances medical director virtual jobs

  • 154 appeals and grievances medical director virtual jobs
Appeals and Grievances Medical Director - Virtual
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 3 weeks ago
Appeals and Grievances Medical Director - Western US - Virtual NEW
Los Angeles, CA, US
You're looking for something bigger for your career. How about inventing the future of health care? UnitedHealthcare is offering an innovative new st..
Posted 2 days ago
Grievance & Appeals Coordinator II NEW
Tempe, AZ, US
Position Purpose: Analyze and resolve verbal and written claims and authorization grievance/appeals from providers and members. Resolve all State inq..
Posted 2 days ago
RN APPEALS AND GRIEVANCES SPECIALIST
Woodland Hills, CA, US
Job Description Kelly Healthcare Resources has an immediate need for an Appeals and Grievances RN Clinical Specialist . The following locations are a..
Posted 2 weeks ago
Appeals Representative - Cypress, CA NEW
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 2 days ago
Appeals and Grievance Clerical Assistant NEW
New York, NY, US
The Clerical Assistant in Appeals and Grievances is responsible for receiving and distributing faxes and for creating events in Medical Management sof..
Posted 17 hours ago
Clinical Grievances RN - Telecommute in the State of Hawaii
Hilo, HI, 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
Appeals Representative - Cypress, CA NEW
Cypress, CA, US
Positions in this function are responsible for providing expertise or general support to teams in reviewing, researching, investigating, negotiating a..
Posted 1 day ago
Appeals Supervisor - Baton Rouge, LA
Baton Rouge, LA, 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 2 weeks ago
Healthcare Claims Appeals Specialist - 3 month contract NEW
Oakland, CA, US
Conduct investigation and preparation of claim grievance or appeal for internal medical review. ... Review claim grievance for either approve/deny bas..
Posted 3 days 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 1 month ago
TRICARE Medical Director Behavorial Health Supplemental NEW
Dhs, VA, US
The Medical Director works actively to implement and administer medical policies, disease and medical care management programs, integrate physician se..
Posted 5 days ago
Grievances & Appeals Analyst
Southborough, MA, US
Position Summary The Grievances and Appeals Analyst is accountable for processing grievances and appeals in the highest quality possible and fo..
Posted 6 days ago
Manager, Grievances & Appeals
Southborough, MA, US
Position Summary The Grievances and Appeals Manager is accountable for processing and reporting all Grievances and Appeals processes to the highest..
Posted 6 days ago
Registered Nurse - Appeals and Grievances NEW
Beaverton, OR, US
Required qualifications for this position include: Currently licensed as a Registered Nurse (RN) in the State of Oregon 5 years of clinical nursing e..
Posted 22 hours ago
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