Virtual Medical Director, Appeals & Grievances

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

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

401k contribution

Job summary

UnitedHealthcare is seeking an Appeals and Grievances Medical Director responsible for reviewing and adjudicating appeals for multiple health plans. The role requires a licensed MD or DO and focuses on ensuring quality and compliance in decision-making processes.

Candidates must have extensive clinical and quality management experience, along with strong communication and presentation skills. The compensation for this role ranges from $248,500 to $373,000, complemented by a comprehensive benefits package.

Qualifications

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

Responsibilities

• Review appeals and grievances for various health plans.
• Communicate with medical directors regarding appeals.
• Participate in organizational committees and projects.

Skills

Clinical practice experience

Quality Management experience

Telephonic communication skills

Data analysis and interpretation

Project management

Creative problem-solving

Education

MD or DO with active license

Board Certified in specialty

Job description

UnitedHealthcare is seeking an Appeals and Grievances Medical Director responsible for reviewing and adjudicating appeals for multiple health plans. The role requires a licensed MD or DO and focuses on ensuring quality and compliance in decision-making processes.

Candidates must have extensive clinical and quality management experience, along with strong communication and presentation skills. The compensation for this role ranges from $248,500 to $373,000, complemented by a comprehensive benefits package.