Jobs near Westminster: 7,784
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Relevance Score ranked on: MEDICAL DIRECTOR
Appeals and Grievances Medical Director - Radiology Specialty Required - Remote
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, Radiology, Director, Appeals, Medical
88.9
5.1mi
Updated: January 15
Appeals and Grievances Medical Director - Radiology Specialty Required - Remote
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, Radiology, Director, Appeals, Medical
88.9
5.1mi
Updated: January 15
Clinical Ops Associate Medical Director
COSTA MESA, 3080 BRISTOL ST, STE 200
Ensures timely completion of clinical case reviews for their board-certified specialty. Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested. Makes medical necessity determinations for grievance and appea...
Search Terms: Medical Director, Director, Medical, Clinical, Associate
88.4
6.9mi
Updated: January 15
Medical Director, Line of Business
Long Beach
The Medical Director, Line of Business is dedicated to supporting the clinical operations, performance, and growth of the California Public Employees’ Retirement System (Cal. PERS) business. Cal. PERS is the nation’s largest public pension system and the second largest public purchaser of health bene...
Search Terms: Medical Director, Business, Director, Medical, Insurance
86.5
11mi
Updated: January 14
Clinical Ops Medical Director
COSTA MESA, 3080 BRISTOL ST, STE 200
Ensures timely completion of clinical case reviews for their board certified specialty. Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested. Makes medical necessity determinations for grievance and appea...
Search Terms: Medical Director, Clinical, Director, Medical, Healthcare
85.8
6.9mi
Updated: January 09
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
84.6
5.1mi
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
84.3
5.1mi
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
84.3
5.1mi
Updated: December 13
Director of Managed Care Relationships
Westminster
Self-directed to build and maintain managed care payer relationships in support of the Managed Care strategy for each market to ensure (i) appropriate contact and communication at all necessary levels within the payor organization (e.g., contracting, medical management, discharge planning, etc.), (ii...
Search Terms: Relationship, Director, Medical Director, Relations, Operations
80
0mi
Updated: January 10
Family Planning Physician - Independent Contractor
Orange
Adhere to agency's policies, procedures and protocols. This may include successfully completing agency, regional and/or state certification requirements. Perform physical and gynecological examinations for female patients including review of medical history, screening for abnormalities, and performan...
Search Terms: Contractor, Medical Director, Physician, Planning, Contract
79
8.9mi
Updated: December 07
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