- Centene Corp. (California, MO)
- Remote Medical Director , Appeals page is loaded## Remote Medical Director , Appealslocations: Remote-TXtime type: Full timeposted on: Posted Todayjob ... benefits including a fresh perspective on workplace flexibility.**Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical … more
- Health Care Service Corporation (Richardson, TX)
- A leading healthcare organization is seeking a Medical Director for Appeals in Richardson, TX. This remote role involves performing medical appeal ... reviews and engaging with the provider community. Candidates must have a medical degree, a valid license, and five years of clinical experience. Strong analytical… more
- CVS Health Corporation (Hartford, CT)
- A major health solutions company is seeking a Medical Director to oversee Medicare Appeals , providing support and education to nursing staff. The ideal ... $374,920 annually, along with comprehensive benefits. Responsibilities include managing appeals processes and collaboration with Medicare Quality and Compliance,… more
- CVS Health Corporation (Hartford, CT)
- …(work at home) based anywhere in the US.\*\* **Responsibilities of this Medical Director role are related to Medicare Appeals :** \* Direct daily work on part ... \* Board Certified in ABMS or AOA Recognized Specialty**Preferred Qualifications** \* Medical Management - Medicare Complaints, Grievance & Appeals experience.… more
- Humana Inc (Salt Lake City, UT)
- A leading healthcare company is seeking an experienced Medical Director to review Medicare drug appeals and collaborate with clinical teams. The ideal ... experience, preferably with Medicare populations. The role includes conducting appeals reviews, engaging in team collaborations, and ensuring compliance with… more
- Humana Inc (Augusta, ME)
- A leading health services organization is seeking a Medical Director to oversee Medicare drug appeals within a broad clinical context. This position involves ... reviewing complex appeals , collaborating with various stakeholders, and ensuring compliance with healthcare policies. Candidates should possess an MD or DO degree,… more
- Humana Inc (Atlanta, GA)
- A leading healthcare company in Atlanta seeks a Medical Director to oversee Medicare drug appeals and collaborate with clinicians. The role involves a ... degree with extensive clinical experience. Responsibilities include analyzing drug coverage appeals , engaging in peer discussions, and participating in hearings. The… more
- Humana Inc (Dover, DE)
- A leading health insurance company is seeking a Medical Director to oversee Medicare drug appeals and collaborate with healthcare teams. The ideal candidate ... 5 years of clinical patient care experience. Responsibilities include reviewing appeals , ensuring regulatory compliance, and utilizing clinical resources to optimize… more
- Humana Inc (Albany, NY)
- A leading healthcare company is hiring a Medical Director to oversee Medicare drug appeals and ensure optimal care for members. The ideal candidate will have ... clinical experience, ideally with Medicare populations. Responsibilities include reviewing appeals , collaborating with various teams, and ensuring compliance with… more
- Humana Inc (Honolulu, HI)
- A leading healthcare company is seeking a Medical Director to review Medicare drug appeals and ensure optimal value based care. The candidate will ... include an MD or DO degree, significant clinical experience, and a valid medical license. The position offers a competitive salary range of $223,800 - $313,100,… more
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