Medical Director-Medicaid Appeals and Optimization

Job Title: Medical Director-Medicaid Appeals and OptimizationWe are seeking a highly skilled Medical Director to lead our Medicaid Appeals and Optimization team. As a key member of our organization, you will be responsible for ensuring that our members receive the most cost-effective and appropriate medical care.Key Responsibilities:Lead Medicaid appeal...

Job SummaryWe are seeking a highly skilled and experienced Manager II Grievance/Appeals to join our team at Elevance Health. As a key member of our Claims Support department, you will be responsible for managing the grievance and appeals process, ensuring compliance with regulatory requirements, and providing exceptional service to our clients and...

Director of Admissions Job DescriptionAt Select Medical, we are seeking a highly skilled and experienced Director of Admissions to join our team. As a key member of our leadership team, you will be responsible for overseeing the Admissions function and ensuring excellent customer service, accurate reimbursement information, and maximized admissions.Key...

Job DescriptionAt Elevance Health, we are seeking a highly skilled Manager II Grievance/Appeals to join our team. This role will be responsible for managing the grievances and appeals departmental units, ensuring compliance with regulatory requirements, and providing exceptional service to our clients and providers.Key Responsibilities:Maintain and...

Job SummaryWe are seeking a highly organized and detail-oriented Grievance and Appeals Coordinator to join our team at MedPOINT Management.The successful candidate will be responsible for handling appeals and grievances, researching cases, and resolving issues in a timely and efficient manner.Key ResponsibilitiesHandle appeals and grievances by inputting...

Job SummaryThe Appeals and Grievances Supervisor is responsible for leading a team that handles appeals and grievances in a healthcare setting. This role involves supervising and supporting team members, monitoring research and resolution of appeals and grievances, and ensuring thorough investigations are completed according to company policies and...

Job Title: Appeals and Grievances SupervisorThe Appeals and Grievances Supervisor is a critical role within the Customer Solution Center, responsible for leading and directing the team that handles appeals and grievances. This position involves monitoring research, negotiation, and resolution of appeals and grievances, ensuring thorough investigations are...

Job Title: Appeals and Grievances SupervisorThe Appeals and Grievances Supervisor plays a critical role in ensuring the efficient and effective resolution of appeals and grievances within the healthcare industry. This position requires a strong leader who can supervise and support a team of professionals in handling complex cases, analyzing data, and...

Job Title: Customer Solutions Center Appeals and Grievances Training Specialist IIAt CCG Business Solutions, LLC, we are seeking a highly skilled and experienced Training Specialist II to join our team. As a key member of our Customer Solutions Center Appeals and Grievances team, you will be responsible for providing ongoing training on the core processing...

Job SummaryWe are seeking a highly skilled Appeals and Grievances Specialist I to join our team at Insight Global. As a key member of our Customer Solution Center, you will play a critical role in receiving, investigating, and resolving member and provider complaints and appeals.Key ResponsibilitiesInvestigate and resolve less complex appeals and grievances...

Job SummaryWe are seeking a highly skilled and experienced Medicaid Waiver Manager to join our team at South Central LA Regional Center. The successful candidate will be responsible for overseeing the Medicaid Waiver program, ensuring compliance with state and federal regulations, and providing leadership to our team of Medicaid Waiver Specialists.Key...

Job Title: Information Technology SpecialistWe are seeking a highly skilled Information Technology Specialist to join our team at the Office of Tax Appeals. As a key member of our IT department, you will be responsible for analyzing and improving our Salesforce work flows to meet the business needs of our customers.Key Responsibilities:Analyze and optimize...

Job SummaryWe are seeking a highly skilled and experienced Medical Director to join our team at Concentra. As a Medical Director, you will play a crucial role in providing exceptional clinical care delivery within our centers, ensuring optimal clinical outcomes for our workforce patient population.Key ResponsibilitiesClinical Leadership: Provide clinical...

About the RoleWe are seeking a highly skilled and experienced Medical Director to join our team at Southern California Permanente Medical Group.As a Medical Director, you will be responsible for leading our medical team and providing strategic direction to ensure the delivery of high-quality patient care.Key ResponsibilitiesDevelop and implement clinical...

Job Title: Director and Medical Management SMEAt COPE Health Solutions, we are seeking a highly skilled and experienced Director and Medical Management Subject Matter Expert to join our team. As a key member of our organization, you will play a critical role in managing and supporting consulting engagements and business development opportunities in the...

Job Overviewdestinationone Consulting is a leading recruitment agency specializing in diverse sectors, including Healthcare, Health Tech, Government, Municipalities, Non-Profits, Legal, Public Accounting, and more. We are proactively building a database for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with...

Director Property TaxMoss Adams LLP is seeking a seasoned professional to lead our Property Tax team. As a Director, you will be responsible for delivering property tax consulting services to our clients, leveraging your expertise in tax planning, taxability, assessment appeals, and audit representation.Key Responsibilities:Lead the real property tax team to...

Job SummaryThe Medical Director, Community Health, serves as a key medical leader in the organization, driving program development and oversight of Community Health initiatives. This role ensures that programs align with operational systems and tools, while also conducting utilization reviews of cases.Key ResponsibilitiesProvide and oversee the delivery and...

Job Title: Senior Director, Office of Medical AffairsShockwave Medical, Inc. is a pioneering company in the development and commercialization of Intravascular Lithotripsy (IVL) to treat complex calcified cardiovascular disease. Our mission is to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease through...

Job Title: Corporate Accounts DirectorJob Summary:PENTAX Medical is seeking a highly experienced Corporate Accounts Director to lead our national sales efforts and drive business growth in the medical device industry. As a key member of our sales team, you will be responsible for developing and executing strategies to expand our market share and increase...