Jobs near Long Beach: 12,906
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Relevance Score ranked on: MEDICAL DIRECTOR
Appeals and Grievances Medical Director - PM&R Physician - Virtual
Cypress
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include: Perform individual case review for appeals and grievances for various health plan an...
Search Terms: Medical Director, Director, Appeals, Medical, Physician
88.5
4mi
Updated: December 20
Appeals and Grievances Medical Director - Cardiology Specialty Required - Virtual
Cypress
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical c...
Search Terms: Medical Director, Director, Appeals, Cardio, Medical
86.5
4mi
Updated: December 13
Appeals and Grievances Medical Director - Cardiology Specialty Required - Virtual
Cypress
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical c...
Search Terms: Medical Director, Director, Appeals, Cardio, Medical
86.5
4mi
Updated: December 13
Physician Medical Director
Gardena
Spends 100% of time in a center providing direct patient care, leading by example, and creating an exceptional patient experience. - Ensures day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure. - Monitors key clinical...
Search Terms: Medical Director, Medical, Director, Physician, Support Staff
86.4
12mi
Updated: December 20
Medical Director- Utilization Management for Carelon Health
CERRITOS
Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients’ office visits wi...
Search Terms: Medical Director, Director, Health, Management, Medical
86.1
4.6mi
Updated: December 12
Physician Medical Director
Compton
THE DETAILS - Spends 100% of time in a center providing direct patient care, leading by example, and creating an exceptional patient experience. - Ensures day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure. - Monitor...
Search Terms: Medical Director, Medical, Director, Physician, Support Staff
86
9.2mi
Updated: December 18
Physician Medical Director
City Of Industry
THE DETAILS - Spends 100% of time in a center providing direct patient care, leading by example, and creating an exceptional patient experience. - Ensures day-to-day execution of medical model collaborating with therapists and specialists to drive optimal clinical outcomes and case closure. - Monitor...
Search Terms: Medical Director, Medical, Director, Physician, Support Staff
85.8
16mi
Updated: December 20
Associate Medical Director, Clinical Operations
CERRITOS, 12900 PARK PLAZA DR
Perform physician-level case review, following initial nurse review, of high-tech diagnostic imaging, upper endoscopy, other surgical procedures, surgical site of care and sleep testing. Imaging modalities include CT, CTA, MRI, MRA, PET, Ultrasounds, Nuclear Medicine imaging and Cardiology diagnostic...
Search Terms: Medical Director, Operations, Clinical, Medical, Director
85.4
4.6mi
Updated: December 04
Executive Medical Director - GP/UC
Los Angeles
Search Terms: Medical Director, Director, Executive, Medical, Healthcare
85.3
13mi
Updated: December 18
Associate Medical Director, Clinical Operations (Surgery)
CERRITOS, 12900 PARK PLAZA DR
Determine medical necessity of requests using applicable clinical criteria, which may include AIM Appropriateness Guidelines, client-specific health plan medical policy, well established evidenced based guidelines, state mandated policies, and CMS Coverage Determinations, as applicable. Perform physi...
Search Terms: Medical Director, Clinical, Operations, Medical, Director
85.3
4.6mi
Updated: December 03
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