Corporate Medical Director

VirtualVocations
Littleton, Colorado, United States
Full-time

A company is looking for a Medicare Grievances and Appeals Corporate Medical Director to oversee health claims and preservice appeals.

Key ResponsibilitiesReview health claims and preservice appeals to provide medical interpretation and decisionsRepresent the organization at Administrative Law Judge hearingsExercise independent judgment on complex issues related to healthcare services complianceRequired QualificationsMD or DO degree with a current and unrestricted license in at least one jurisdictionBoard Certified in an approved ABMS Medical SpecialtyFive years of established clinical experienceKnowledge of the managed care industry, including Medicare and MedicaidWillingness to obtain licenses for various states as required

11 days ago
Related jobs
Promoted
VirtualVocations
Littleton, Colorado

A company is looking for a Medicare Grievances and Appeals Corporate Medical Director to oversee health claims and preservice appeals. ...

Promoted
BoulderCentre for Orthopedics
Wheat Ridge, Colorado

Embark on a rewarding leadership journey as the Director of Clinical Operations at our premier Orthopedic Surgery Center! In this influential role, you will lead a dedicated team, driving excellence in patient care and ensuring seamless clinical operations. Establish, maintain, analyze, and evaluate...

Promoted
University of Colorado Anschutz Medical Campus
Aurora, Colorado

Job Title: Pediatrics Program Manager. The Peds Program Manager in the Department of Orthopedics at the University of Colorado School of Medicine is responsible for planning, organizing, and managing the business activities for all pediatric faculty employed by the Department of Orthopedics. Account...

Promoted
Western Union
Denver, Colorado

Are you ready to lead a new initiative to establish advertising operations within a global financial services company? Are you interested in joining a globally diverse organization where our unique contributions are recognized and celebrated, allowing each of us to thrive? Then it's time to join Wes...

Promoted
Lewis Roca Rothgerber Christie
Denver, Colorado

As a Legal Administrative Assistant, you will provide legal and administrative support to attorneys, as well assist paralegals in our Litigation Practice. Legal Administrative Assistant - Litigation. Legal Administrative Assistant - Litigation. We are seeking a Legal Administrative Assistant to join...

Promoted
VirtualVocations
Littleton, Colorado

A company is looking for a Lead Generation Account Manager in Client Services. ...

Promoted
Portercare Adventist Health System
Denver, Colorado

AdventHealth Porter Hospital is seeking an Outpatient Behavioral Health Medical Director. Medical directorship compensation: $28,080. A large medication management practice in which the Medical Director sees patients and collaborates with 4-5 APPs. Directors time will be clinical, 10% is administrat...

Promoted
Shamrock Recruiting
Denver, Colorado

They are looking to add a strong, very hands-on Controller to their team. ...

Promoted
American Consumer Panels
Centennial, Colorado
Remote

...

Promoted
Vizient, Inc.
Centennial, Colorado

Project Management Professional (PMP) or other Project Management certification preferred. In this role, you will provide project management and support to the ENVI team. You will lead training sessions with user groups via web or onsite and serve as key point of contact for project participants and...