RenoRecruiter
the smart solution for Reno jobs

Administrative Physician - Physicians Only Apply - Perm

Company: UnitedHealth Group
Location: Reno
Posted on: March 15, 2019

Job Description:

A Administrative Physician practice is seeking a qualified physician for RENO, NV. 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, Reno , Administrative Physician - Physicians Only Apply - Perm, Administration, Clerical , Reno, Nevada

Click here to apply!

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

I'm looking for
in category
within


Other Administration, Clerical Jobs


Home Office - internet/phone req.
Description: Seeking homeworkers for solid healthcare company. No cold calling/telemarketing involved. Must be a team
Company: Ameriplan
Location: Sparks
Posted on: 03/15/2019

Administrative Assistant
Description: Administrative Assistant Mommy Jobs Online mommyjobsonline.com is now seeking Administrative Assistants to join our team Essential Functions: Provide administrative support and office management tasks (more...)
Company: Mommy Jobs Online
Location: Reno
Posted on: 03/10/2019

Home Office - ft/pt
Description: Health Programs company seeking smart and upbeat people for Health Programs Specialist positions.
Company: Ameriplan
Location: Sparks
Posted on: 03/8/2019


Healthcare - Home office
Description: The nation's largest provider of healthcare access in the U.S. is looking for motivated self starters to
Company: Health Options 16
Location: Sparks
Posted on: 03/14/2019

Data Entry Specialist - (Telecommute)
Description: Mommy Jobs Online is now recruiting Data Entry Specialists to work remotely. This is a great opportunity for the right person to work part or full-time to earn income. If you have clerical or administrative (more...)
Company: Mommy Jobs Online
Location: Reno
Posted on: 03/19/2019

Healthcare - Home office
Description: The nation's largest provider of healthcare access in the U.S. is looking for motivated self starters to
Company: Health Options 16
Location: Reno
Posted on: 03/8/2019

Healthcare - home office
Description: America 039 s 1 Consumer driven Health Care is looking for motivated people who will lead the way in Health Care
Company: Ameriplan
Location: Reno
Posted on: 03/9/2019

Cust. Serv. home office/telecommute
Description: Dental Plan Company, featured on 60-Minutes and in the Wall Street Journal, and Good Morning America seeks serious and
Company: FreedomGoal
Location: Reno
Posted on: 03/14/2019

Telemarket - Home office
Description: Twenty four year old healthcare benefits company is looking for Benefits Consultants to work
Company: Dental Options
Location: Reno
Posted on: 03/17/2019

Admin Assistant-Loss Prev - The Ritz-Carlton, Lake Tahoe - (19000NBX)
Description: Admin Assistant-Loss Prev At more than 80 award-winning properties worldwide, The Ritz-Carlton Ladies and Gentlemen create experiences so exceptional that long after a guest stays with us, the experience (more...)
Company: Marriott International
Location: Reno
Posted on: 03/13/2019

Log In or Create An Account

Get the latest Nevada jobs by following @recnetNV on Twitter!

Reno RSS job feeds