UnitedHealth Group is seeking a Medical Director to lead appeals and grievances review for UnitedHealthcare. This role involves adjudicating cases across PPO, ASO, HMO, MAPD, and PDP products, applying clinical criteria and regulatory requirements.
We value MD/DO board-certified leaders with 5+ years of clinical practice and 2+ years in quality management, strong telephonic communication, project management, data analysis, and presentation skills.
#J-18808-LjbffrRemote Medical Director: Appeals & Grievances (Pulmonology) in workfromhome at Unknown Company
This position is listed as full time and onsite.