Sentara Health Plans in Virginia Beach region seeks a Director of Appeals and Grievance to plan, develop, and direct the department across Commercial, Medicaid, and Medicare lines of business. This role leads program development, strategic planning, and
UnitedHealth Group is seeking a Medical Director to lead appeals and grievances reviews for multiple health plans, including regulatory responses and clinical criteria adjudication. The role requires MD/DO with license, board certification, and 5+ years of clinical
UnitedHealthcare is seeking a Medical Director for Appeals and Grievances to oversee clinical review and adjudication across multiple health plans. This remote role requires MD/DO licensure, board certification, and extensive clinical and quality management experience. You will
With a career at The Home Depot, you can be yourself and also be part of something bigger. Will cover the St Louis South market. Schedule is Monday - Friday 6am-3pm with up to 2 Saturdays
Salary: $122,000 - $135,000 annually Lead Integrated Care. Drive Outcomes. Make an Impact. At CenterLight Healthcare PACE, our mission is simple: help older adults live safely and independently in their communities while receiving the highest quality
Job DetailsJob Location: Beckley, WV 25801Position Type: Full-TimeEducation Level: High School Diploma/GEDSalary Range: $30.00 - $30.00 HourlyTravel Percentage: Up to 50% Job Shift: DaysJOB PURPOSE:The DCM Case Manager Supervisor manages a team of Case Managers providing
Job DetailsJob Location: MFS CIVIC OFFICE - Gresham, OR 97030Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $55,648.00 - $57,317.00 Salary/yearTravel Percentage: NegligibleJob Shift: DayJob Category: Nonprofit - Social ServicesPosition Title: Energy Assistance Program CoordinatorReports
Remote Appeals Pharmacist Fair Medication Access Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
UnitedHealthcare, a part of UnitedHealth Group, seeks a Physician Associate to perform clinical review and adjudication of appeals and grievances across various health plans. You will work with an integrated team including medical directors and other PAs
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
At UnitedHealthcare, were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health
UnitedHealthcare is hiring a Physician Assistant/Associate to join the appeals and grievances team. You will adjudicate cases with medical directors and collaborate closely with a multi-disciplinary staff to review benefits, medical necessity, and policy criteria across plans
UnitedHealth Group is seeking a Physician Assistant/Associate to oversee appeals and grievances with a multidisciplinary team. You will review cases across PPO/HMO/Medicare plans, applying clinical criteria and medical necessity standards to determine outcomes. Required is an active
UnitedHealthcare is shaping the health care experience and improving communities. We offer remote work within the U.S. and opportunities to impact care quality and access. The Physician Associate will conduct clinical review and adjudication of appeals
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
UnitedHealthcare is seeking a Medical Director to lead appeals and grievances reviews for multiple health plans. The role emphasizes clinical adjudication, regulatory responses, and collaboration with medical directors across networks. The candidate should have a medical license