UnitedHealthcare ยท 15 hours ago
Appeals M.D. - Gastroenterologist Required - Remote
United States
Full-time
Remote
Senior Level
$238K/yr - $358K/yr
5+ years expUnitedHealthcare is simplifying the health care experience and creating healthier communities. The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases, ensuring quality care and compliance with regulations.
FitnessHealth CareWellness
Responsibilities
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies
Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses
Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations
Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues
Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results
Provide clinical and strategic input when participating in organizational committees, projects, and task forces
Qualification
Required
MD or DO with an active, unrestricted license
Board Certified in an ABMS or AOBMS specialty
5+ years clinical practice experience
2+ years of Quality Management experience
Intermediate or higher level of proficiency with managed care
Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills
Proven excellent telephonic communication skills; excellent interpersonal communication skills
Proven excellent project management skills
Proven data analysis and interpretation skills
Proven excellent presentation skills for both clinical and non-clinical audiences. Familiarity with current medical issues and practices
Proven creative problem-solving skills
Proven solid team player and team building skills
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
UnitedHealthcare
UnitedHealthcare helps people live healthier lives by simplifying the health care experience.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
R
Rebecca Madsen
Chief Consumer Officer
Recent News
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