Talent.com
MD Appeals Medical Director
MD Appeals Medical DirectorVirtualVocations • Louisville, Kentucky, United States
MD Appeals Medical Director

MD Appeals Medical Director

VirtualVocations • Louisville, Kentucky, United States
15 hours ago
Job type
  • Full-time
Job description

A company is looking for an Appeals M.D. - Member Appeals to perform clinical reviews and adjudications of appeals and grievances cases.

Key Responsibilities

Conduct individual case reviews for appeals and grievances related to various health plan products

Respond to regulatory inquiries from the Department of Insurance, Department of Managed Healthcare, and CMS

Collaborate with medical directors and staff on access, network, and quality issues while participating in team meetings

Required Qualifications

MD or DO with an active, unrestricted license

Board Certified in an ABMS or AOBMS specialty (excluding Pediatrics)

5+ years of clinical practice experience

Create a job alert for this search

Medical Director • Louisville, Kentucky, United States

Related jobs
Medical Director Physician - Competitive Salary

Medical Director Physician - Competitive Salary

DocCafe • Louisville, Kentucky, US
Full-time
DocCafe has an immediate opening for the following position : Physician - Medical Director in Louisville, Kentucky.DocCafe is the premier physician and advanced practice job board to help you advanc...Show more
Last updated: 30+ days ago • Promoted
Medical Director ( MD / DO )

Medical Director ( MD / DO )

Crossover Health • Louisville, KY, United States
Full-time
Corporate Wellness / Employee Primary Care ( MD / DO ) Opportunity Available : Louisville KY.Due to growth Crossover Health has an exciting opportunity for a. Physician Lead / Medical Director.Louisvill...Show more
Last updated: 4 days ago • Promoted
Medical Director Physician - Competitive Salary (Louisville)

Medical Director Physician - Competitive Salary (Louisville)

DocCafe • Louisville, KY, US
Part-time
DocCafe has an immediate opening for the following position : Physician - Medical Director in Louisville, Kentucky.DocCafe is the premier physician and advanced practice job board to help you advanc...Show more
Last updated: 30+ days ago • Promoted
Medical Director Physician - Competitive Salary (Madison)

Medical Director Physician - Competitive Salary (Madison)

DocCafe • Madison, IN, US
Part-time
DocCafe has an immediate opening for the following position : Physician - Medical Director in Madison, Indiana.DocCafe is the premier physician and advanced practice job board to help you advance yo...Show more
Last updated: 30+ days ago • Promoted
Physician / Medical Director / Kentucky / Permanent / Medical Director Opening, Louisville, Kentucky Job

Physician / Medical Director / Kentucky / Permanent / Medical Director Opening, Louisville, Kentucky Job

Confidential • Louisville, KY, United States
Full-time
Medical Director OpportunityLouisville, KY more information on this Medical Director opening and others like it through Metropolis, a Provider Engagement Platform that connects you with organizatio...Show more
Last updated: 15 hours ago • Promoted • New!
Center Medical Director in Louisville, KY Making $380,000

Center Medical Director in Louisville, KY Making $380,000

Optigy Group • Louisville, KY, US
Full-time
Clinical Medical Director Primary Care - Louisville, KY - Making $380,000Optigy - Louisville, KY, United StatCenter Clinical Medical Director - Primary Care Outpatient Louisville, KYCOMPENSATION : $...Show more
Last updated: 30+ days ago • Promoted
Medical Director ( MD / DO ) (Louisville)

Medical Director ( MD / DO ) (Louisville)

Crossover Health • Louisville, KY, US
Part-time
Corporate Wellness / Employee Primary Care ( MD / DO ) Opportunity Available : Louisville KY.Due to growth Crossover Health has an exciting opportunity for a. Physician Lead / Medical Director.Louisvill...Show more
Last updated: 3 days ago • Promoted
Physician / Medical Director / Kentucky / Permanent / Medical Directors Needed for Top Primary Care

Physician / Medical Director / Kentucky / Permanent / Medical Directors Needed for Top Primary Care

ChenMed • Louisville, KY, US
Full-time
Center Medical Directors Needed in 2023!Welcome to ChenMed and our family of companies : ChenMed, JenCare and Dedicated Care. Our company started 35 years ago and now consists of : 5,000+team members,...Show more
Last updated: 30+ days ago • Promoted
Internal Account Director (Recruitment & Retention)

Internal Account Director (Recruitment & Retention)

Syneos Health / inVentiv Health Commercial LLC • Louisville, KY, United States
Full-time
Internal Account Director (Recruitment & Retention).Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.We translate unique cli...Show more
Last updated: 30+ days ago • Promoted
Medical Director

Medical Director

ChenMed • Louisville, KY, United States
Full-time
We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with ...Show more
Last updated: 30+ days ago • Promoted
Associate Medical Director

Associate Medical Director

ChenMed • Louisville, KY, United States
Full-time
We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with ...Show more
Last updated: 30+ days ago • Promoted
Executive Medical Director

Executive Medical Director

BrightSpring Health Services • Louisville, KY, United States
Part-time
This physician executive provides clinical leadership to elevate quality, safety, and regulatory readiness across one or more partners to Abode Care Partner and BrightSpring Health.In this part-tim...Show more
Last updated: 30+ days ago • Promoted
Admissions Sales Director

Admissions Sales Director

CommuniCare Corporate • New Albany, IN, US
Full-time
Ideal position for individuals with a background in Skilled Nursing Admissions!.CommuniCare Health Services is seeking an experienced healthcare professional with sales and marketing abilities for ...Show more
Last updated: 1 hour ago • Promoted • New!
Center Clinical Director, Associate

Center Clinical Director, Associate

ChenMed • Louisville, KY, United States
Full-time
We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with ...Show more
Last updated: 30+ days ago • Promoted
Associate Medical Officer

Associate Medical Officer

ChenMed • Louisville, KY, United States
Full-time
We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with ...Show more
Last updated: 30+ days ago • Promoted
Senior Medical Director - Psychiatrist - Remote Based

Senior Medical Director - Psychiatrist - Remote Based

Syneos Health / inVentiv Health Commercial LLC • Louisville, KY, United States
Remote
Full-time
Senior Medical Director - Psychiatrist - Remote Based.Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success.We translate unique c...Show more
Last updated: 9 days ago • Promoted
Admission Sales Director

Admission Sales Director

CommuniCare Corporate • Corydon, IN, US
Full-time
CommuniCare Health Services is seeking an experienced healthcare professional with sales and marketing abilities for the position of Admissions Sales Director for Indian Creek Healthcare Center loc...Show more
Last updated: 6 days ago • Promoted
Veterinary Medical Director

Veterinary Medical Director

Crestwood Animal Hospital • Crestwood, KY, US
Full-time
Crestwood Animal Hospital – Crestwood, KY.Are you ready to lead a dynamic team while shaping the future of veterinary care? Join. Medical Director and make a lasting impact on both our team and comm...Show more
Last updated: 30+ days ago
Clinical Director

Clinical Director

MSH • Louisville, KY, United States
Full-time
The Clinical Director will directly supervise and train primary care providers (PCPs) in his / her assigned center.The incumbent in this role is accountable for maximizing overall core model executio...Show more
Last updated: 25 days ago • Promoted
Associate Chief Medical Officer

Associate Chief Medical Officer

ChenMed • Louisville, KY, United States
Full-time
We’re changing lives every day.For both our patients and our team members.Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with ...Show more
Last updated: 30+ days ago • Promoted