Medical Director for Appeals and Grievances

Job SummaryThe Medical Director for Appeals and Grievances will be responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies.Key ResponsibilitiesPerform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO,...

Job SummaryWe are seeking a highly skilled Medical Director of Appeals and Grievances to join our team at UnitedHealthcare. As a key member of our organization, you will be responsible for leading the clinical review and adjudication of appeals and grievances cases for our associated companies.Key ResponsibilitiesPerform individual case review for appeals...

Job Summary:As the Manager of Appeals and Grievances, you will oversee the Appeals and Grievances Department, ensuring that complaints and complex issues are investigated and resolved in accordance with regulatory guidance. You will provide direct supervision to staff, performing quality assurance reviews and delegating oversight to comply with CCA Standard...

Job Title: Manager, Appeals GrievancesJob Summary:The Manager, Appeals Grievances will oversee the Appeals Grievances Department and delegated entities, ensuring compliance with regulatory requirements and providing direct supervision to staff. This role requires strong analytical and problem-solving skills, excellent communication skills, and the ability to...

About the RoleWe are seeking a highly skilled and experienced professional to join our Appeals and Grievances team as a Manager, Appeals Grievances. This role will be responsible for overseeing the appeals and grievances process, ensuring compliance with regulatory requirements, and providing leadership and guidance to team members.Key ResponsibilitiesManage...

Job Title: Appeals ManagerCommonwealth Care Alliance is seeking an experienced Appeals Manager to join our team. As an Appeals Manager, you will be responsible for overseeing the appeals and grievances process within our organization.Key Responsibilities:Manage a team of staff to ensure a positive team environment and conduct performance reviews to provide...

Job Title: Appeals ManagerWe are seeking an experienced Appeals Manager to join our team at Commonwealth Care Alliance. As an Appeals Manager, you will be responsible for overseeing the appeals and grievances process, ensuring compliance with regulatory requirements, and providing leadership to a team of professionals.Key Responsibilities:Manage a team of...

POSITION SUMMARY:The Clinical Denials and Appeals Specialist at Boston Medical Center assesses, plans, coordinates, and evaluates initial and ongoing denials. This role requires a comprehensive understanding of clinical documentation and medical coding, as well as a working knowledge of patient financial billing regulations and requirements. The Specialist...

Job Title: Podiatrist - MedicalMedical Director Services PC is seeking experienced Podiatrists to provide medical podiatric services to patients with conditions affecting the foot, ankle, and related structures in skilled nursing facilities throughout Massachusetts.Job Summary:We are looking for a skilled Podiatrist to join our team to provide professional...

Job Title: Director of Planned GivingJob Summary:Boston Medical Center seeks a highly skilled and experienced Director of Planned Giving to lead and oversee its planned giving program. The successful candidate will be responsible for creating planned giving strategies for individual donors, managing a portfolio of planned giving donors and prospects, and...

Podiatrist Job OpportunityMedical Director Services PC is seeking an experienced Podiatrist to provide medical services to patients with conditions affecting the foot, ankle, and related structures in skilled nursing facilities throughout Massachusetts. Inquire about availability in other states as well.Job Summary:Provide professional and medical podiatric...

Medical Director for Surgical Pathology OpportunityBoston Medical Center is seeking a highly skilled and experienced Medical Director for Surgical Pathology to join our team. As a key member of our Department of Pathology & Laboratory Medicine, you will be responsible for leading our surgical pathology services and contributing to our mission of delivering...

Job Summary:Boston Medical Center seeks a highly skilled and experienced Director of Planned Giving to lead and oversee its planned giving program. The successful candidate will be responsible for creating planned giving strategies for individual donors at all levels, actively managing a portfolio of planned giving donors and prospects, and identifying,...

Job SummaryThe Deputy Director of Labor Relations will provide critical support to the Director and Office of Labor Relations (OLR) in achieving excellent working relationships between management and labor while meeting the goals and mission of Boston Public Schools.Key ResponsibilitiesSupport the Director in leading OLR and effectuating excellent...

Job Title:The Vilna Shul is seeking a highly skilled and experienced Director of Development to join our team. This is a unique opportunity to have a significant impact on the organization's growth and success.Job Summary:The Director of Development will be responsible for creating and implementing a comprehensive development strategy to raise $1M+ annually....

Medical Director for Surgical PathologyBoston Medical Center is seeking a highly skilled Medical Director for Surgical Pathology to join our team. As a key member of our Department of Pathology & Laboratory Medicine, you will be responsible for leading our surgical pathology service and providing administrative leadership, quality management, and education...

Job Title: Associate Medical DirectorWe are seeking a highly qualified and visionary Associate Medical Director to lead our outpatient clinical team and drive excellence in mental healthcare services.About the Role:Directs psychiatric services in the outpatient clinic by assuming clinical responsibility for the psychiatric care as needed for MMHC...

Job SummaryWe are seeking a highly qualified and visionary Associate Medical Director to lead our outpatient clinical team and drive excellence in mental healthcare services. As an affiliate of Harvard Medical School (HMS) through our partnership with the Beth Israel Deaconess Medical Center's Department of Psychiatry, an academic appointment will be...

Boston Medical Center Seeks Medical Director for Addiction ServicesWe are seeking a clinical psychiatrist with a passion for program development and strategic planning to join our faculty as Medical Director for Addiction Services. This is a full-time ambulatory position overseeing out-patient addiction services.Key Responsibilities:Oversee out-patient...

Medical Director for Addiction Services Clinical PsychiatristBoston University Chobanian & Avedisian School of Medicine is seeking a Medical Director for Addiction Services Clinical Psychiatrist to join our faculty. As a clinical psychiatrist with a passion for program development and strategic planning, you will oversee out-patient addiction services and...