Top 3789 Medical director Jobs in Downey, Ca

Appeals Medical Director - Remote
UnitedHealthcare —Cypress, CA
- $248,500 - $373,000 a year
- Full-time
- Remote
- Medicine
- Word processing
- Computer literacy
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
Emergency Medicine Physician
Emergent Medical Associates —Long Beach, CA
- $185 an hour
- Full-time
- Background check
- Mid-level
- US work authorization
- Opportunities for advancement
Quick Apply
Emergency Medicine Physician
Emergent Medical Associates —San Dimas, CA
- $215 an hour
- Full-time
- CPR Certification
- Mid-level
- US work authorization
- Opportunities for advancement
Quick Apply
Physician - Family Medicine/Internal Medicine
Valley Community Healthcare —North Hollywood, CA
- $275,000 - $290,000 a year
- Full-time
- Background check
- Spanish
- CPR Certification
- Health savings account
- Health 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
Physician IM/FM (MD or DO)
Southern California Medical Center —El Monte, CA
- $110 - $160 an hour
- Full-time
- CPR Certification
- Medicine
- BLS Certification
- Travel reimbursement
- Loan repayment program
Quick Apply
Gastroenterology Physician
Emanate Health Medical Group —West Covina, CA
- $495,000 - $550,000 a year
- Full-time
- Background check
- Medicine
- Doctoral degree
- Health savings account
- Loan repayment program
Quick Apply
Inpatient/ Primary Care Physician
Kedren Community Health Center Inc —Los Angeles, CA
- $185,000 a year
- On call
- CPR Certification
- Medicine
- BLS Certification
Quick Apply
Physician
All-Inclusive Community Health Center —Burbank, CA
- $260,000 - $285,000 a year
- Full-time
- Bilingual
- CPR Certification
- BC/BE
- Paid jury duty
- Paid holidays
Quick Apply
Executive Director for Academic Personnel
Cal Poly Pomona —Pomona, CA
- $120,000 - $160,440 a year
- Full-time
- Management
- 5 years
- Writing skills
- Health insurance
- Dental insurance
Medical Director
Atlas Consultancy Group Ltd —Chino Hills, CA
- $180,000 - $250,000 a year
- Call employer
- Surgery
- 3 years
- Surgery
- Continuing education credits
- Dental insurance
Quick Apply
3d
Physician Assistant - Urgent Care
Exer Urgent Care —Hollywood, CA
- $80 - $82 an hour
- Part-time
- Blood sampling
- PALS Certification
- BC/BE
Quick Apply
Principal Clinical Research Analyst - Class III Medical Devices (EU MDR Clinical Affairs Expert)
BIOTRONIK —Tustin, CA
- $165,000 - $185,000 a year
- Online Application
- Hybrid work
- 7 years
- Office
- Bachelor's degree
- Health savings account
- Health insurance
Physician Assistant - Urgent Care
Exer Urgent Care —Pasadena, CA
- $80 - $82 an hour
- Part-time
- Blood sampling
- PALS Certification
- BC/BE
Quick Apply
Physician
Wilmington Community Clinic —Long Beach, CA
- $220,000 - $250,000 a year
- Full-time
- Spanish
- CPR Certification
- Management
- Paid holidays
- Health insurance
Associate Medical Director/Physician
South Central Family Health Cent —Los Angeles, CA
- $213,870 - $219,220 a year
- Full-time
- Spanish
- CPR Certification
- Medicine
- Health insurance
- Dental insurance
Quick Apply
Primary Care Physician - Family Medicine
Marin Community Clinics —California
- $243,693 - $286,000 a year
- 8 hour shift
- Spanish
- Medicine
- Microsoft Excel
- Commuter assistance
- AD&D insurance
Physician - OBGYN
Saban Community Clinic —Hollywood, CA
- $260,000 - $290,000 a year
- Full-time
- Background check
- Medicine
- BC/BE
- 403(b) matching
- Paid holidays
Quick Apply
4d
Family Medicine Physician - SIGN ON BONUS
Herald Christian Health Center —City of Industry, CA
- $232,960 - $290,000 a year
- Part-time
- Spanish
- Medicine
- Management
- Loan repayment program
- Health insurance
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
1 day ago

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 downey, ca

Appeals Medical Director - Remote

Site Lead Physician - Family Medicine

Emergency Medicine Physician

Emergency Medicine Physician

Physician - Family Medicine/Internal Medicine

Physician Hematology Oncology

Physician IM/FM (MD or DO)

Gastroenterology Physician

Inpatient/ Primary Care Physician

Physician

Executive Director for Academic Personnel

Medical Director

Physician Assistant - Urgent Care

Principal Clinical Research Analyst - Class III Medical Devices (EU MDR Clinical Affairs Expert)

Physician Assistant - Urgent Care

Physician

Associate Medical Director/Physician

Primary Care Physician - Family Medicine

Physician - OBGYN

Family Medicine Physician - SIGN ON BONUS

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