Top 3312 Medical director Jobs in Brea Ca

Appeals Medical Director - Remote
UnitedHealthcare —Cypress, CA
- $248,500 - $373,000 a year
- Full-time
- Remote
- Medicine
- Word processing
- Computer literacy
Associate Director, CAPA Management | Remote
Optum —Irvine, CA
- $112,700 - $193,200 a year
- Full-time
- Remote
- 5 years
- Pass drug screening
- Senior level
Quick Apply
2d
Executive Director - Senior Living
Clearwater at North Tustin —Santa Ana, CA
- $175,000 - $190,000 a year
- Full-time
- Nursing
- 5 years
- Bachelor's degree
- 401(k) matching
Quick Apply
9d
Medical Director - Clinical Advocacy and Support - Remote - PST preferred
Optum —Los Angeles, CA
- $248,500 - $373,000 a year
- Full-time
- Remote
- Medicine
- Microsoft Outlook
- Pass drug screening
Quick Apply
Associate Director
Sisters of St. Joseph of Orange —Orange, CA
- $70,304.00 - $101,200.32 a year
- Full-time
- School experience
- 5 years
- Education
DIRECTOR OF MEDICAL STAFF
Alhambra Hospital Medical Center —Alhambra, CA
- $59.50 an hour
- Hospital
- 5 years
- Bachelor's degree
Senior Director, Philanthropy Patient Liaison Program
City of Hope —Irvine, CA
- $60.32 - $100.73 an hour
- Full-time
- Marketing
- HIPAA
- 3 years
Social Service Director
Community Extended Care Hospital of Montclair —Montclair, CA
- Full-time
- Skilled nursing facility
- Mid-level
- Bachelor's degree
Quick Apply
8d
Executive Director
WelbeHealth —Los Angeles, CA
- $185,785.22 - $255,454.68 a year
- Master's degree
- Administrative experience
- Clinic
- Health insurance
- Dental insurance
Quick Apply
Medical Records Director
Valley View Post Acute —El Monte, CA
- Weekends as needed
- Anatomy knowledge
- Computer literacy
- Basic math
- On-the-job training
Quick Apply
Associate Director, Category Management
AbbVie —Irvine, CA
- $141,500 - $268,500 a year
- Full-time
- Hybrid work
- Office
- Master's degree
- Analysis skills
- Paid holidays
- Health insurance
Clinical Research Coordinator
University of California, Irvine —Orange, CA
- $37.56 - $61.91 an hour
- Weekends as needed
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Retirement plan
Director, Dietary Services
Masonic Home: Covina —Covina, CA
- $70,000 - $93,000 a year
- Full-time
- 5 years
- Recruiting
- Senior level
- Tuition reimbursement
- Opportunities for advancement
Quick Apply
Director of Behavioral Health Services (BHS)
County of Orange —Santa Ana, CA
- $281,956.76 a year
- Full-time
- Nursing
- Office
- Master's degree
Director, Operations Support & Strategy
WelbeHealth —Los Angeles, CA
- $159,939.07 - $211,119.57 a year
- Remote
- 5 years
- Analysis skills
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Regional Clinical Director
Amae Health —Pasadena, CA
- $175,000 - $215,000 a year
- LMFT
- Doctoral degree
- Licensed Clinical Social Worker
Quick Apply
Director, Philanthropy Operations
United Way —Irvine, CA
- $90,000 - $200,000 a year
- Email
- Clean driving record
- Microsoft Excel
- Microsoft Outlook
1d
Site Lead Physician - Family Medicine
Share Ourselves —Costa Mesa, CA
- $270,000 - $311,000 a year
- Full-time
- Background check
- Spanish
- Medicine
- 403(b) matching
- Health savings account
Quick Apply
Medical Director
American Indian Health & Services —Pomona, CA
- $250,000 - $275,000 a year
- Full-time
- Medicine
- Management
- BC/BE
- Health insurance
- Dental insurance
Quick Apply
Physician Hematology Oncology
Emanate Health Medical Group —Covina, CA
- $506,000 - $640,000 a year
- Full-time
- Background check
- Medicine
- Hospital
- Health savings account
- Loan repayment program
Quick Apply

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Appeals Medical Director - Remote

UnitedHealthcare -
Cypress, CA

Apply Now

Job Details

Full-time
$248,500 - $373,000 a year

Qualifications

Computer operation
Managed care
Phone communication
Managed care organization experience
Word processing
Computer literacy
BC/BE
Spreadsheets
Presentations for conferences or internal meetings
Research
Project management experience in healthcare
Desktop applications
Data interpretation
Medical License
Managing projects
Typing
Productivity software
Phone etiquette
Team building

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

Work at home!

What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. Performance accountabilities include:

Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies
Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses
Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations
Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues
Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results
Provide clinical and strategic input when participating in organizational committees, projects, and task forces

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

MD or DO with an active, unrestricted license
Board Certified in an ABMS or AOBMS specialty
5+ years of clinical practice experience
2+ years of Quality Management experience
Intermediate or higher level of proficiency with managed care
Proven excellent telephonic communication skills; excellent interpersonal communication skills
Proven excellent project management skills
Proven data analysis and interpretation skills
Proven excellent presentation skills for both clinical and non-clinical audiences. Familiarity with current medical issues and practices
Proven creative problem-solving skills
Proven basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills
Proven team player and team building skills

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Compensation for this specialty generally ranges from $248,500.00 to $373,000.00. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

medical director jobs in brea ca

Appeals Medical Director - Remote

Associate Director, CAPA Management | Remote

Executive Director - Senior Living

Medical Director - Clinical Advocacy and Support - Remote - PST preferred

Associate Director

DIRECTOR OF MEDICAL STAFF

Senior Director, Philanthropy Patient Liaison Program

Social Service Director

Executive Director

Medical Records Director

Associate Director, Category Management

Clinical Research Coordinator

Director, Dietary Services

Director of Behavioral Health Services (BHS)

Director, Operations Support & Strategy

Regional Clinical Director

Director, Philanthropy Operations

Site Lead Physician - Family Medicine

Medical Director

Physician Hematology Oncology

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