Remote Oncology Appeals MD/DO – Policy & Leadership

Ventura MedStaff; Atlanta (GA); Remote; USD 249,000 - 373,000; Full time

Job summary

UnitedHealthcare is seeking an Appeals M.D. - Radiation Oncology for remote work across the U.S. You will review appeals, respond to regulatory bodies, and liaise with medical directors to interpret benefits and policies.

The role demands board-certified clinical expertise and strong communication, leadership, and analytical skills across a remote team. Salary range is substantial ($248,500 - $373,000 annually) with full-time benefits.

Qualifications

• MD or DO with an active, unrestricted license.
• Board Certification in an ABMS or AOBMS specialty.
• 5+ years of clinical practice experience.
• 2+ years of Quality Management experience.
• Familiarity with current medical issues and practices.
• Proven telephonic and interpersonal communication skills.

Responsibilities

• Perform individual case review for appeals and grievances for various health plan and insurance products.
• Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses
• Communicate with UnitedHealthcare medical directors regarding appeals decision rationales
• Communicate with Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues
• Participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation
• Provide clinical and strategic input when participating in organizational committees and projects

Skills

MD/DO

Board Certified

Telephonic comms

Project management

Data analysis

Clinical leadership

Regulatory compliance

Education

MD or DO with active license

Board Certification (ABMS/AOBMS)

Job description

UnitedHealthcare is seeking an Appeals M.D. - Radiation Oncology for remote work across the U.S. You will review appeals, respond to regulatory bodies, and liaise with medical directors to interpret benefits and policies.

The role demands board-certified clinical expertise and strong communication, leadership, and analytical skills across a remote team. Salary range is substantial ($248,500 - $373,000 annually) with full-time benefits.