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Grievance and appeals Remote Jobs

9 fresh jobs found

Service Integration Analyst II - Grievance and Appeals Experience Required
Dayton WFH, United States

Business Integration Healthcare payer Grievance and appeals Lean Six Sigma Accreditation Resolution Technical Specifications Certification Six Sigma +26

USD 61K+

Medical Director - Southeast Region
Remote US, United States

Health claims Clinical patient care Health claims review Computer-Based Review Post-acute services Outpatient services Grievance and appeals processes CMS policies Post-acute care +90

Exec Senior Full Time

USD 223K+

Medical Director - Florida
Remote US, United States

Clinical patient care Health claims Managed Care Knowledge Post-acute services Home health services Family practice Inpatient rehabilitation Hospitalist National Guidelines +73

Exec Senior Full Time

USD 223K+

Medical Director--Claims Management
Remote US, United States

Inpatient care Clinical patient care Computer-Based Review Outpatient services Home health services Grievance and appeals processes Clinical reference materials CMS policies Post-acute care +87

Exec Senior Full Time

USD 223K+

Clinical Systems Application Architect III
Dayton WFH, United States

Aerial 275 Jiva Zeomega Medecision Medhok Care management packages Healthedge Sdoh +75

Senior Full Time

USD 110K+

Medical Director - Medicaid N. Central
Remote US, United States

Health claims review Computer-Based Review Post-acute services Grievance and appeals processes Post-acute care Humana policies Family practice Clinical group practice management Medical interpretation +92

Exec Senior Full Time

USD 223K+

Pharmacist, Clinical Grievance and Appeals
United States

Navitus Health Solutions, LLC

Evidence-based documentation Drug Utilization Review Formulary Development Pharmacy Practice Pharmacy Claims Formulary management Data evaluation Quality review Grievance and appeals +20

USD 98K+

Medical Director - Care Plus
Remote US, United States

Grievance processes Health claims review Outpatient services Grievance and appeals processes Post-acute care Clinical group practice management Commercial health insurance Hospitalist Inpatient rehabilitation +90

Exec Senior Full Time

USD 223K+

Medical Director - Mid West Region
Remote US, United States

Computer-Based Review Outpatient services Grievance and appeals processes Post-acute care Humana policies Hospitalist Medical interpretation National Guidelines Family practice +83

Exec Mid Full Time

USD 223K+

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