Remote Medicaid Medical Director — Utilization

Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses...

A healthcare organization in Montana seeks a Medical Director to manage clinical services and conduct utilization management. The role requires an MD or DO degree, at least 5 years of clinical experience, and strong communication skills. The position is remote but may involve some travel for training and meetings. The compensation ranges from $223,800 to...

Medicaid Member Support Call Center CsrThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is...

Join our caring community and help us prioritize health! The Medicaid (PPS) Provider Hospital Reimbursement Analyst, also known as a Senior Business Intelligence Engineer, is a vital member of the Pricer Business and System Support team. This role encompasses managing complex Medicaid provider reimbursement methodologies while supporting both ongoing...

A healthcare services organization is seeking a Medical Director to provide medical interpretations and determinations based on guidelines and collaborate with team members. The ideal candidate will hold an MD or DO degree and have significant clinical experience. This position requires excellent communication skills and a commitment to healthcare quality...

A healthcare company is seeking a Medical Director to utilize their medical expertise to determine care authorizations within a regulatory framework. The role involves reviewing clinical records and making decisions to ensure services meet established guidelines. Candidates should have an MD or DO degree and at least 5 years of clinical experience,...

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 at the Inpatient level. All work occurs within a context of regulatory...

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...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is...