Talent.com
MD Appeals Medical Director
MD Appeals Medical DirectorVirtualVocations • Racine, Wisconsin, United States
MD Appeals Medical Director

MD Appeals Medical Director

VirtualVocations • Racine, Wisconsin, United States
job_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

A company is looking for an Appeals M.D. - Member Appeals to perform clinical reviews and adjudications of appeals and grievances cases.

Key Responsibilities

Conduct individual case reviews for appeals and grievances related to various health plan products

Respond to regulatory inquiries from the Department of Insurance, Department of Managed Healthcare, and CMS

Collaborate with medical directors and staff on access, network, and quality issues while participating in team meetings

Required Qualifications

MD or DO with an active, unrestricted license

Board Certified in an ABMS or AOBMS specialty (excluding Pediatrics)

5+ years of clinical practice experience

serp_jobs.job_alerts.create_a_job

Medical Director • Racine, Wisconsin, United States

Job_description.internal_linking.related_jobs
Medical Director Physician - Competitive Salary (Milwaukee)

Medical Director Physician - Competitive Salary (Milwaukee)

DocCafe • Milwaukee, WI, US
serp_jobs.job_card.part_time
DocCafe has an immediate opening for the following position : Physician - Medical Director in Milwaukee, Wisconsin.DocCafe is the premier physician and advanced practice job board to help you advanc...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Director Physician - Competitive Salary

Medical Director Physician - Competitive Salary

DocCafe • Milwaukee, Wisconsin, US
serp_jobs.job_card.full_time
DocCafe has an immediate opening for the following position : Physician - Medical Director in Milwaukee, Wisconsin.DocCafe is the premier physician and advanced practice job board to help you advanc...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Director (Physician) - Milwaukee County Jail

Medical Director (Physician) - Milwaukee County Jail

Wellpath • Franklin, Wisconsin, United States
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
As a Medical Director, you will be responsible for providing medical oversight and guidance in accordance with the security regulations of the company and the regulations of the institution to whic...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30
Medical Director Job Near Milwaukee, WI

Medical Director Job Near Milwaukee, WI

Atlantic MEDsearch • Milwaukee, WI, us
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Well-established managed care clinic seeks an experienced physician to serve as Medical Director.Group will consider either an FP or IM trained physician. Practice is committed to helping seniors le...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30
Physician / Medical Director / Wisconsin / Permanent / Medical Director Opening, Milwaukee, Wisconsin Job

Physician / Medical Director / Wisconsin / Permanent / Medical Director Opening, Milwaukee, Wisconsin Job

Confidential • Milwaukee, WI, United States
serp_jobs.job_card.full_time
Medical Director OpportunityMilwaukee, WI more information on this Medical Director opening and others like it through Metropolis, a Provider Engagement Platform that connects you with organization...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
Medical Director Physician - $280,000 - $350,000 / yearly (Milwaukee)

Medical Director Physician - $280,000 - $350,000 / yearly (Milwaukee)

DocCafe • Milwaukee, WI, US
serp_jobs.job_card.part_time
DocCafe has an immediate opening for the following position : Physician - Medical Director in Milwaukee, Wisconsin.Make $280,000 - $350,000 / yearly. DocCafe is the premier physician and advanced pract...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Director (Physician) (Hiring Immediately)

Medical Director (Physician) (Hiring Immediately)

VitalCore Health Strategies • Kenosha, WI, US
serp_jobs.job_card.part_time
Join the VitalCore Team in Wisconsin! Were people who are fueled by passion, not by profit.VitalCore Health Strategies (VCHS), an industry leader in Correctional Healthcare has an opening for a.Med...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Medical Director (Physician)

Medical Director (Physician)

VitalCore Health Strategies • Kenosha, WI, United States
serp_jobs.job_card.full_time
Join the VitalCore Team in Wisconsin! We’re people who are fueled by passion, not by profit.Increase your chances of an interview by reading the following overview of this role before making an app...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Director Physician - Competitive Salary (Kenosha)

Medical Director Physician - Competitive Salary (Kenosha)

DocCafe • Kenosha, WI, US
serp_jobs.job_card.part_time
DocCafe has an immediate opening for the following position : Physician - Medical Director in Kenosha, Wisconsin.DocCafe is the premier physician and advanced practice job board to help you advance ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Doctor

Medical Doctor

Kelly Science, Engineering, Technology & Telecom • Milwaukee, WI, US
serp_jobs.job_card.full_time
Physicians needed to conduct Veteran Disability Evaluations (DBQs).Kelly Government Solutions is a strategic supplier and business partner to the federal government and its key suppliers.Kelly Gove...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_1_hour • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Specialty Care Medical Director

Specialty Care Medical Director

Progressive Community Health Centers, Inc. • Milwaukee, WI, USA
serp_jobs.job_card.full_time
serp_jobs.filters_job_card.quick_apply
Come Join Our Team! We Are Hiring!.We are currently hiring an experienced.Specialty Care Medical Director.Why Progressive Community Health Centers?. Founded in 1999, Progressive Community Health Cen...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days
Advocacy Relations Director, Cardiovascular

Advocacy Relations Director, Cardiovascular

Amgen SA • Deerfield, IL, United States
serp_jobs.job_card.full_time
Join Amgen’s Mission of Serving Patients.At Amgen, if you feel like you’re part of something bigger, it’s because you are. Our shared mission—to serve patients living with serious illnesses—drives a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
BCBA Clinical Director

BCBA Clinical Director

Action Behavior Centers • Gurnee, IL, US
serp_jobs.job_card.full_time
Join Action Behavior Centers as a BCBA Clinical Director.And we commit to a response within 24 hours.Ability to earn more through additional performance-based bonuses. Get rewarded regularly for del...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Occupational Medicine

Occupational Medicine

KPG Provider Services • New Berlin, Wisconsin, US
serp_jobs.job_card.full_time +1
Occupational Medicine physician employment in Wisconsin : Inpatient Facility : Looking for an experienced Medical Director Occupational Medicine in the New Berlin, Wisconsin area.Below you will fi...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Associate Director, Medical Program Management

Associate Director, Medical Program Management

AbbVie • Lake Forest, IL, US
serp_jobs.job_card.full_time
Medical Program Management Role.AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow....serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
Alternate Medical Director

Alternate Medical Director

Samuel Contract Staffing • Milwaukee, Wisconsin, United States
serp_jobs.job_card.part_time
serp_jobs.filters_job_card.quick_apply
Would you like to supplement your income? If so, we’re looking an MD / DO of any background to join us part-time at our plasma donation center in Milwaukee, WI!. Contracted Limited Part-time : 4 hours ...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_days
Medical Director Physician - Competitive Salary (Racine)

Medical Director Physician - Competitive Salary (Racine)

DocCafe • Racine, WI, US
serp_jobs.job_card.part_time
DocCafe has an immediate opening for the following position : Physician - Medical Director in Racine, Wisconsin.DocCafe is the premier physician and advanced practice job board to help you advance y...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
Medical Director

Medical Director

Crossbridge Hospice, LLC • Milwaukee, WI, United States
serp_jobs.job_card.full_time
At Crossbridge Hospice, we believe a job is a good fit when the role aligns with your personal values, reflects your interests, utilizes your strengths, and provides opportunities for development a...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Medical Doctor (Milwaukee)

Medical Doctor (Milwaukee)

Kelly Science, Engineering, Technology & Telecom • Milwaukee, WI, US
serp_jobs.job_card.full_time +1
Physicians needed to conduct Veteran Disability Evaluations (DBQs).Kelly Government Solutions is a strategic supplier and business partner to the federal government and its key suppliers.Kelly Gove...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
Franchise Director, AbbVie Patient Services - Rheumatology

Franchise Director, AbbVie Patient Services - Rheumatology

AbbVie • Lake Forest, IL, US
serp_jobs.job_card.full_time
Patient Services Strategy Franchise Director, Immunology-Rheumatology.AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and addre...serp_jobs.internal_linking.show_more
serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted