Remote Medical Director, Medicare Grievances

Provider Appeals & Grievances SpecialistThis is a remote position open to any qualified applicant that lives in the United States. We are seeking a dedicated Provider Appeals & Grievance Specialist with 1 to 2 years of experience to join our team. The ideal candidate will have strong technical skills in MS Excel, knowledge/navigation skills for Microsoft...

A healthcare services organization in Minnesota is seeking a Medical Director to provide medical interpretations and determinations regarding services in line with Medicare guidelines. The position entails occasional weekend work and emphasizes collaboration in a team-based environment. Ideal candidates will possess an MD or DO degree, extensive clinical...

A healthcare organization in Minnesota seeks a Medical Director to oversee clinical determinations regarding patient services, ensuring compliance with regulations and clinical guidelines. The ideal candidate will possess a medical degree, extensive clinical experience, and excellent communication skills. This role includes both remote work and occasional...

A healthcare services company in Minnesota seeks a Medical Director. The role requires an MD or DO degree and over 5 years of clinical experience. Responsibilities include making medical determinations, reviewing clinical cases, and collaborating with healthcare professionals. Candidates should possess strong communication skills and a thorough understanding...

A leading health care organization seeks a Vice President for Government Programs focusing on Medicare and Managed Medicaid. Responsible for strategic planning, oversight of financial performance, and leading teams to ensure advancement in the Medicare market segment. Candidates should have substantial experience in pharmacy benefit management, including...

A major healthcare provider is seeking a Medical Director to conduct medical necessity reviews and ensure regulatory compliance. The ideal candidate will hold an MD or DO degree and have over 5 years of clinical experience, particularly in inpatient settings. The position offers a compensation range of $223,800 - $313,100 annually, along with competitive...

A leading health organization in Saint Paul is seeking a Medical Director, Primary Care to oversee clinical evaluations and ensure service compliance with health guidelines. This role requires a medical degree, extensive patient care experience, and board certification. The ideal candidate will enjoy a structured environment, providing significant input on...

Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs within a context of regulatory compliance, and work is...

A healthcare organization in Minnesota seeks a Medical Director to review medical necessity for inpatient services and lead clinical decision-making. The role requires an MD or DO degree, over 5 years of clinical experience, and excellent communication skills. Join a collaborative team to support innovative healthcare solutions while ensuring compliance with...

Regional Medical Scientific Senior Director Team LeadThe Regional Medical Scientific Senior Director Team Lead (RMSD TL) is a credentialed therapeutic and disease expert who owns leadership, management, and full accountability for a regional, field-based team of Regional Medical Scientific Directors (RMSD) and their prioritized deliverables. The RMSD TL...