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The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for...
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for...
* Clinical leadership within Optum Serve and reports to the Chief Medical Officer, Community Care Services. They collaborate with the CEO, Community...
* Work to improve quality and promote evidence-based medicine * Provide information on quality and efficiency to doctors, patients and customers...
* Clinical leadership within Optum Serve and reports to the Chief Medical Officer, Community Care Services. They collaborate with the CEO, Community...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Work to improve quality and promote evidence-based medicine * Provide information on quality and efficiency to doctors, patients and customers...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Assists in development and maintaining an efficient UM program to meet the needs of the health plan members and commensurate with company values...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Perform utilization review determinations for oncology populations, and support case and disease management teams to achieve optimal clinical...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
* Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage...
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