Remote Medical Appeals Doctor — Policy & Quality Lead

UnitedHealthcare; Cypress (CA); On-site; USD 248,500 - 373,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) contribution

Equity stock purchase

Job summary

UnitedHealthcare is seeking a licensed MD or DO to perform case reviews for appeals and grievances for health plans. You will communicate with medical directors and participate in team meetings to ensure quality management.

The position offers remote work flexibility within the U.S. Compensation ranges from $248,500 to $373,000, along with a comprehensive benefits package. Successful candidates will have excellent communication skills and a solid background in quality management.

Qualifications

• 5+ years of clinical practice experience.
• 2+ years of Quality Management experience.
• Intermediate or higher level of proficiency with managed care.

Responsibilities

• Perform individual case review for appeals and grievances.
• Communicate with UnitedHealthcare medical directors regarding appeals.
• Participate in team meetings for process improvement.

Skills

Communication skills

Project management

Data analysis

Problem-solving

Team building

Education

MD or DO degree

Board Certification

Job description

UnitedHealthcare is seeking a licensed MD or DO to perform case reviews for appeals and grievances for health plans. You will communicate with medical directors and participate in team meetings to ensure quality management.

The position offers remote work flexibility within the U.S. Compensation ranges from $248,500 to $373,000, along with a comprehensive benefits package. Successful candidates will have excellent communication skills and a solid background in quality management.