What are the responsibilities and job description for the Appeals M.D. - Remote, Board-Certified Med-Peds or FM position at Rock Health?
The Appeals and Grievances Medical Director is responsible for clinical review and adjudication of appeals and grievances related to various health plan products.
Key duties include assessing cases based on medical policies and coverage criteria, responding to regulatory agencies, and collaborating with medical directors, network staff, and organizational teams.
Qualifications include an MD or DO with an active license, board certification in a non-pediatric specialty, and at least 5 years of clinical practice experience.
Preferred skills encompass quality management, managed care proficiency, strong communication, project management, data analysis, presentation abilities, and teamwork.
Compensation ranges from $248,500 to $373,000, with benefits such as health coverage, incentives, and 401k.
Join a team dedicated to improving healthcare quality, equity, and system efficiency, working remotely across the U.S.
Key duties include assessing cases based on medical policies and coverage criteria, responding to regulatory agencies, and collaborating with medical directors, network staff, and organizational teams.
Qualifications include an MD or DO with an active license, board certification in a non-pediatric specialty, and at least 5 years of clinical practice experience.
Preferred skills encompass quality management, managed care proficiency, strong communication, project management, data analysis, presentation abilities, and teamwork.
Compensation ranges from $248,500 to $373,000, with benefits such as health coverage, incentives, and 401k.
Join a team dedicated to improving healthcare quality, equity, and system efficiency, working remotely across the U.S.