RenoRecruiter
the smart solution for Reno jobs

Pulmonary Medicine Physician General & Critical Care Pulmonologist - Physicians Only Apply - Perm

Company: UnitedHealth Group
Location: Reno
Posted on: April 17, 2019

Job Description:

Medical Doctors Only Apply. A Pulmonary Medicine Physician General & Critical Care Pulmonologist practice is seeking a qualified physician for RENO, NV. This and other physician jobs brought to you by ExactMD.

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 , Pulmonary Medicine Physician General & Critical Care Pulmonologist - Physicians Only Apply - Perm, Healthcare , Reno, Nevada

Click here to apply!

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

I'm looking for
in category
within


Other Healthcare Jobs


Nursing: Step-Down / Transitional Care
Description: Nursing: Step-Down / Transitional CareMedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Step Down Registered Nurse for a travel assignment with one of our (more...)
Company: MedPro Healthcare Staffing
Location: Reno
Posted on: 04/24/2019

Medical Assistant - PAR
Description: Position Purpose: br br Under the direction of the physician, the Medical Assistant/Patient Access Representative is accountable for assisting the providers in all back office procedures in Renown (more...)
Company: Renown Health
Location: Reno
Posted on: 04/24/2019

Registered Nurse
Description: Position Purpose br br Under the direction of the Nurse Manager, this position provides optimal patient care utilizing knowledge and skills within the context of the nursing process. The incumbent (more...)
Company: Renown Health
Location: Reno
Posted on: 04/24/2019


Travel RN Seasonal Jobs - HealthCare Travelers
Description: Travel Nurses Needed - All RN Specialties Vermont Travel Nursing Assignments Hospitals are posting their seasonal staffing needs Would you like to spend the fall / winter somewhere great The Hospitals (more...)
Company: HealthCare Travelers
Location: Reno
Posted on: 04/24/2019

Travel - ALLIED - Allied Health Professional/PT - Physical Therapist
Description: Come work at LRS Healthcare, the leading company in our industry. We re proud of our 4.7 rating on Glassdoor and 4.6 rating on Indeed. We are seeking to hire a talented traveling Physical Therapist to (more...)
Company: LRS Healthcare
Location: Reno
Posted on: 04/24/2019

Registered Nurse, RN - Reno
Description: Vitalant formerly United Blood Services is looking for a Part-Time with Benefits and would consider full time RN position in our Reno Mobile Blood Division operation. Working at Vitalant is more than (more...)
Company: Vitalant
Location: Reno
Posted on: 04/24/2019

Teachers, We need Health Care trainers/recruiters
Description: Wow another weekend with papers to grade and lesson plans. Dividing up your time between weekend family plans, time with kids and their extra curricular activities and just family
Company: Ameriplan
Location: Reno
Posted on: 04/24/2019

Certified Nurse Assistant
Description: Position Purpose br br Under the supervision of the unit manager or nurse on duty, as defined by the Nevada State Board of Nursing, this position is responsible to provide or assist in activities (more...)
Company: Renown Health
Location: Reno
Posted on: 04/24/2019

$100K Sign-On/Relocation Package (Physician #)
Description: Do you want to hit Lake Tahoe every weekend, but, don't want to be house poor If so, this small population, high-desert Nevada community could be
Company: The Curare Group, Inc
Location: Reno
Posted on: 04/24/2019

RN Job in Reno, NV
Description: Family Practice/Primary Care opening in Reno, Nevada. This and other rn jobs brought to you by NursingJobCafe.com RN Nurse - Reno, NV 89521 Are you ready to explore new places while building your resume (more...)
Company: AB Staffing Solutions, LLC
Location: Reno
Posted on: 04/24/2019

Log In or Create An Account

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

Reno RSS job feeds