As the Director of Account Management, you will be responsible Key Responsibilities Department Building: > Develop and execute the vision, strategy...
* Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines...
* Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD...
The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for...
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