Job Seekers, Welcome to ADCES Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Search Results: 921 Jobs
Create Alert
Loading... Please wait.
University of Minnesota Physicians Logo
University of Minnesota Physicians

Fridley, Minnesota

NEW! NEW!
Northeast Georgia Health System Logo
Northeast Georgia Health System

Gainesville, Georgia

NEW! NEW!
St. Luke's Health System Logo
St. Luke's Health System

Twin Falls, Idaho

NEW! NEW!
Lee Health Logo
Lee Health

Fort Myers, Florida

NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Owensboro, Kentucky, Kentucky

NEW! NEW!
Penn State Health Logo
Penn State Health

Hershey, Pennsylvania

NEW! NEW!
Lee Health Logo
Lee Health

Fort Myers, Florida

NEW! NEW!
Memorial Sloan Kettering Cancer Center Logo
Memorial Sloan Kettering Cancer Center

New York, New York

NEW! NEW!
Duke University Health System Logo
Duke University Health System

Raleigh, North Carolina

NEW! NEW!
BJC HealthCare Logo
BJC HealthCare

Saint Louis, Missouri

NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Detroit, Michigan, Michigan

NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Charleston, South Carolina, South Carolina

NEW! NEW!
BJC HealthCare Logo
BJC HealthCare

Saint Louis, Missouri

NEW! NEW!
AdventHealth Logo
AdventHealth

Tavares, Florida

NEW! NEW!
NEW! NEW!
BJC HealthCare Logo
BJC HealthCare

Saint Louis, Missouri

NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

Corpus Christi, Texas, Texas

NEW! NEW!
Franciscan Physician Network Logo
Franciscan Physician Network

Greenwood, Indiana

NEW! NEW!
Veterans Affairs, Veterans Health Administration Logo
Veterans Affairs, Veterans Health Administration

San Diego, California, California

NEW! NEW!
Duke University Health System Logo
Duke University Health System

Durham, North Carolina

NEW! NEW!
Trinity Health Logo
Trinity Health

Darby, Pennsylvania

NEW! NEW!
CHRISTUS Health Logo
CHRISTUS Health

San Antonio, Texas

NEW! NEW!
Duke University Health System Logo
Duke University Health System

Durham, North Carolina

NEW! NEW!
Loading... Please wait.
Medical Dr Appeals&Grievances
JOB SUMMARYThe Medical Director, Appeals and Grievances provides leadership for Community Health Choice medical management programs. This includes reviewing appeals of adverse determinations, tracking them and providing feedback to Medical Affairs on current overturn trends. In addition will provide clinical input and oversight for Care (Disease) Management, Quality Improvement, Credentialing, and Preventive Health programs. Will work with Provider Relations to maintain and improve relationships with the provider community especially with Value based arrangements. Will perform medical necessity reviews as assigned including reviews with peer-to- peer interactions as needed and other duties as assigned.


This job listing is no longer active.

Check the left side of the screen for similar opportunities.
Loading. Please wait.