FortLauderdaleRecruiter Since 2001
the smart solution for Fort Lauderdale jobs

Administrative Physician - Physicians Only Apply - Perm

Company: UnitedHealth Group
Location: Fort Lauderdale
Posted on: November 22, 2020

Job Description:

A Administrative Physician practice is seeking a qualified physician for FORT LAUDERDALE, FL. This and other physician jobs brought to you by ExactMD. Medical Doctors Only Apply.

Appeals and Grievances --- Work From Home
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.

Qualifications:
-MD or DO with an active, unrestricted license
-Board Certified in an ABMS or AOBMS specialty
-5+ years clinical practice experience
-Intermediate or higher level of proficiency with managed care
-2+ years Quality Management experience
- Excellent telephonic communication skills; excellent interpersonal communication skills.
- Excellent project management skills
- Data analysis and interpretation skills
- Excellent presentation skills for both clinical and non-clinical audiences; Familiarity with current medical issues and practices - Creative problem solving skills
- Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills; Internet researching skills
- Strong team player and team building skills.

Careers with UnitedHealthcare: Let's talk about opportunity. Start with a Fortune 14 organization that's serving more than 85 million people already and building the industry's singular reputation for bold ideas and impeccable execution. Now, add your energy, your passion for excellence, your near-obsession with driving change for the better. Get the picture? UnitedHealthcare is serving employers and individuals, states and communities, military families and veterans where ever they're found across the globe. We bring them the resources of an industry leader and a commitment to improve their lives that's second to none. This is no small opportunity. It's where you can do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

Keywords: UnitedHealth Group, Fort Lauderdale , Administrative Physician - Physicians Only Apply - Perm, Healthcare , Fort Lauderdale, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Travel RN-Cathlab - Jupiter, FL
Description: Cath Lab opening in Jupiter, Florida. This and other rn jobs brought to you by NursingJobCafe.com ul li We are seeking an experienced and self motivated cath lab registered nurse to join our growing (more...)
Company: RNnetwork
Location: Jupiter
Posted on: 12/4/2020

Cath Lab Registered Nurse - Travel RN
Description: Travel Nurses Needed - Cardiac Services br Nationwide Travel Cath Lab RN Nursing Jobs br Looking for a Cardiac Cath Lab travel assignment You are in the right place, the HCEN Network of staffing (more...)
Company: RN Travel HealthCare Jobs
Location: Jupiter
Posted on: 12/4/2020

Radiologist - Locums - Fort Pierce, FL
Description: Radiology opening in Fort Pierce, Florida. This and other physician jobs brought to you by DocCafe.com Position: Radiology br Location: Ft. Pierce, FL MPLT Healthcare is looking for physicians who Understand (more...)
Company: MPLT Healthcare
Location: Fort Pierce
Posted on: 12/4/2020


Dental Hygienist (Jupiter,FL)
Description: Are you ready to take your dental career further than you ever thought possible Do you get excited about working closely with dentists and dental staff to provide the best
Company: Stynt
Location: Jupiter
Posted on: 12/4/2020

Neurointerventionalist Job in Fort Pierce, FL
Description: Neurology opening in Fort Pierce, Florida. This and other physician jobs brought to you by DocCafe.com DirectShifts is seeking a Neurointerventionalist
Company: DirectShifts
Location: Fort Pierce
Posted on: 12/4/2020

Travel Registered Nurse RN Telemetry
Description: While working as a Traveling Healthcare Professional with OneStaff Medical
Company: One Staff Medical
Location: Fort Pierce
Posted on: 12/4/2020

Telemetry RN - Tele Travel Registered Nurse
Description: Travel RN Nursing Jobs br Registered Nurses needed for: br Nationwide Travel Tele, PCU, CCU, Stepdown Nursing JobsHCEN has numerous request for RN Candidates Looking for a Tele RN travel assignment (more...)
Company: RN Travel HealthCare Jobs
Location: Jupiter
Posted on: 12/4/2020

Travel RN-ICU - Jupiter, FL
Description: Critical Care/ICU/PICU/NICU opening in Jupiter, Florida. This and other rn jobs brought to you by NursingJobCafe.com ul li We are seeking a qualified intensive care RN to work in the ICU/critical (more...)
Company: RNnetwork
Location: Jupiter
Posted on: 12/4/2020

Registered Dental Hygienist (Jupiter,FL)
Description: Are you ready to take your dental career further than you ever thought possible Do you get excited about working closely with dentists and dental staff to provide the best
Company: Stynt
Location: Jupiter
Posted on: 12/4/2020

Pediatric's Travel Nurse (Peds RN)
Description: Travel Nurses Needed - Pediatric RN Specialties br Nationwide Pediatric Travel Nursing JobsPediatric Intensive Care Unit, Pediatrics, Pediatric OncologyHCEN has numerous request for RN Candidate Profiles (more...)
Company: RN Travel HealthCare Jobs
Location: Jupiter
Posted on: 12/4/2020

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Fort Lauderdale RSS job feeds