UnitedHealth Group's Focus Claims Review team seeks a Medical Director to provide leadership for the claims review program, overseeing medical services, clinical criteria, and policy development. Remote work available within the U.S.
Responsibilities include reviewing surgical and professional claims, discussing cases with providers, and ensuring compliance with CMS/URAC/NCQA standards; strong communication with physicians and staff is essential.
#J-18808-LjbffrRemote Medical Director - Spine & Brain Surgery Claims in minneapolis at Unknown Company
This position is listed as full time and able to be worked remotely.