Appeals M.D. - PM&R Required - Remote

. Growing together. The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication.../Department of Managed Healthcare, and CMS regulatory responses Communicate with UnitedHealthcare medical directors regarding...

Lugar: Minneapolis, MN | 19/12/2025 22:12:13 PM | Salario: S/. No Especificado | Empresa: Change Healthcare

MEDICAL CODING SPECIALIST

insurance Florida Doctors Group is seeking an experienced Medical Coding Specialist with a strong background in managed care... to join our team. This role requires a detail-oriented professional who understands medical coding guidelines, managed care workflows...

Lugar: Coral Gables, FL | 19/12/2025 22:12:47 PM | Salario: S/. $20 - 25 per hour | Empresa: FLORIDA DOCTORS GROUP CORP

Medical Director, Gastroenterology - Pharmacy - Remote

organization responsible for the initial clinical review of service requests for UnitedHealth Care (UHC). The Medical Director... Medical Director is a key member of the Optum Enterprise Clinical Services Team. On the Focused Pharmacy Review team...

Lugar: Nashville, TN | 19/12/2025 22:12:38 PM | Salario: S/. No Especificado | Empresa: CPS Solutions

Sales Consultant - Illinois

demographic and other information about existing and future residents, and review and analyze data. 6. Ensures that the property... – Makes good and timely decisions that keeps the organization moving forward. 6. Interpersonal Savvy – Relates openly...

Lugar: Illinois | 19/12/2025 22:12:36 PM | Salario: S/. $21 - 24 per hour | Empresa: Greystar

Senior Director of Payor Contracting

arrangements which are fee-for-service, managed care, value-based, and gain/risk sharing. The Senior Director is accountable... to measure, track and monitor utilization and financial performance of managed care contracts 10% Negotiates single case...

Lugar: Denver, CO | 19/12/2025 22:12:16 PM | Salario: S/. No Especificado | Empresa: Denver Health

Program Manager

project drawings for client review and approval, using the latest AutoCAD and BIM360 for design efforts. Document and track... with utility specifications. Submit and coordinate energization safety plans, ensuring safety is prioritized and managed...

Lugar: San Antonio, TX | 19/12/2025 22:12:38 PM | Salario: S/. No Especificado | Empresa: Actalent

Lead Case Manager

to ensure appropriate process changes are implemented. Supports the Medical Staff Quality Review process by identification... and family centered care in the acute care hospital setting. Responsible for collaboration with medical staff, patients, family...

Lugar: Rapid City, SD | 19/12/2025 21:12:47 PM | Salario: S/. No Especificado | Empresa: Monument Health

Appeals M.D. - PM&R Required - Remote

. Growing together. The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication.../Department of Managed Healthcare, and CMS regulatory responses Communicate with UnitedHealthcare medical directors regarding...

Lugar: Minneapolis, MN | 19/12/2025 21:12:35 PM | Salario: S/. No Especificado | Empresa: Change Healthcare