What are the responsibilities and job description for the Appeals M.D. - Oncologist - Remote position at Health Wealth Safe?
The Appeals and Grievances Medical Director is responsible for clinical review and adjudication of appeals and grievances related to various health plan products, ensuring compliance with regulatory agencies.
They perform case reviews, communicate decisions to internal teams, and participate in meetings focused on process improvement, training, and problem-solving.
Qualifications include an MD or DO with active licensure, board certification in a relevant specialty, 5 years of clinical practice, and 2 years in Quality Management.
Essential skills encompass managed care proficiency, excellent communication, project management, data analysis, presentation abilities, and team collaboration.
Competitive compensation ranges from $248,500 to $373,000, supplemented by comprehensive benefits.
Join to impact healthcare positively, working remotely within the U.S., and contribute to a mission of promoting equitable, quality care for all.
They perform case reviews, communicate decisions to internal teams, and participate in meetings focused on process improvement, training, and problem-solving.
Qualifications include an MD or DO with active licensure, board certification in a relevant specialty, 5 years of clinical practice, and 2 years in Quality Management.
Essential skills encompass managed care proficiency, excellent communication, project management, data analysis, presentation abilities, and team collaboration.
Competitive compensation ranges from $248,500 to $373,000, supplemented by comprehensive benefits.
Join to impact healthcare positively, working remotely within the U.S., and contribute to a mission of promoting equitable, quality care for all.
Salary : $248,500 - $373,000