Top 3182 Medical director Jobs in Wilmington, Ca

Appeals Medical Director - Remote
UnitedHealthcare —Cypress, CA
- $248,500 - $373,000 a year
- Full-time
- Remote
- Medicine
- Word processing
- Computer literacy
13d
Director, Environmental Health & Safety (EHS)
Rocket Lab Corporation —Long Beach, CA
- $150,000 - $228,000 a year
- Extended hours
- 11+ years
- Bachelor's degree
- Continuous improvement
Quick Apply
SENIOR DIRECTOR - ADMINISTRATION
City of Long Beach, CA —Long Beach, CA
- $170,356.77 - $255,025.90 a year
- Online Application
- Background check
- Customer service
- Administrative experience
- Paid parental leave
- Disability insurance
MD - Associate Medical Director
Saban Community Clinic —Los Angeles, CA
- $267,000 - $318,000 a year
- Part-time
- Background check
- Spanish
- Medicine
- 403(b) matching
- Paid holidays
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
Family Medicine Physician
HCP Talent —Hawthorne, CA
- $290,000 - $300,000 a year
- Full-time
- Medicine
- Mid-level
- Outpatient experience
- Loan repayment program
- Health insurance
Quick Apply
Family Medicine Physician
HCP Talent —Los Angeles, CA
- $290,000 - $300,000 a year
- Full-time
- Medicine
- Mid-level
- Outpatient experience
- Loan repayment program
- Health insurance
Quick Apply
Psychiatrist - Medical Legal / QME (MD/DO)
Medical Evaluation Management —California
- $200,000 - $500,000 a year
- Choose your own hours
- Remote
- Medicine
- Psychiatry
- BC/BE
- Professional development assistance
- Flexible schedule
Quick Apply
Physician
Central City Community Health Center —Anaheim, CA
- $238,231 - $266,183 a year
- Part-time
- Spanish
- Medicine
- Management
- Health insurance
- Dental insurance
Quick Apply
14d
Family Medicine Physician
HCP Talent —Huntington Park, CA
- $290,000 - $300,000 a year
- Full-time
- Medicine
- Mid-level
- Outpatient experience
- Loan repayment program
- Health insurance
Quick Apply
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
IM/FM Physician
Saban Community Clinic —Los Angeles, CA
- $265,000 - $280,000 a year
- Full-time
- Background check
- Medicine
- Patient monitoring
- 403(b) matching
- Paid holidays
Quick Apply
Obstetrics and Gynecology Physician
Providence —Torrance, CA
- $325,000 - $385,000 a year
- Full-time
- Hospital
- Urgent Care
- Inpatient
- Health insurance
- Loan forgiveness
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
Double Board Certified Pain/PMR Physician to perform Med-Legal Evaluations
The Guardian Group, LLC —California
- $400,000 - $1,000,000 a year
- Part-time
- BC/BE
- Mid-level
- Flexible schedule
Quick Apply
Family Medicine Physician - SIGN ON BONUS
Herald Christian Health Center —Los Angeles, CA
- $232,960 - $290,000 a year
- Part-time
- Spanish
- Medicine
- Management
- Loan repayment program
- Health insurance
Quick Apply
BCBA Associate Clinical Director
360 Behavioral Health —Commerce, CA
- $90,000 - $97,500 a year
- Full-time
- Management
- HIPAA
- Clinic
- Continuing education credits
- Mileage reimbursement
Quick Apply
3d
Physician Assistant – Functional & Integrative Medicine
Regenera Medical —Los Angeles, CA
- $140,000 - $170,000 a year
- Full-time
- Urgent Care
- Mid-level
- Outpatient experience
- Paid holidays
- Health insurance
Quick Apply
2d
Physician
South Central Family Health Cent —Los Angeles, CA
- $224,800 - $244,000 a year
- Full-time
- Spanish
- CPR Certification
- Medicine
- Health insurance
- Dental insurance
Quick Apply
Rheumatology Physician Assistant - Certified
California Dermatology Institute —Los Angeles County, CA
- $60 - $100 an hour
- Full-time
- CPR Certification
- Writing skills
- BLS Certification
- Health insurance
- Dental insurance
Quick Apply
8d

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Appeals Medical Director - Remote

UnitedHealthcare -
Cypress, CA

Apply Now

Job Details

Full-time
$248,500 - $373,000 a year
13 days 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 wilmington, ca

Appeals Medical Director - Remote

Director, Environmental Health & Safety (EHS)

SENIOR DIRECTOR - ADMINISTRATION

MD - Associate Medical Director

Emergency Medicine Physician

Family Medicine Physician

Family Medicine Physician

Psychiatrist - Medical Legal / QME (MD/DO)

Physician

Family Medicine Physician

Site Lead Physician - Family Medicine

IM/FM Physician

Obstetrics and Gynecology Physician

Physician - OBGYN

Double Board Certified Pain/PMR Physician to perform Med-Legal Evaluations

Family Medicine Physician - SIGN ON BONUS

BCBA Associate Clinical Director

Physician Assistant – Functional & Integrative Medicine

Physician

Rheumatology Physician Assistant - Certified

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