CorpusChristiRecruiter
the smart solution for Corpus Christi jobs

Administrative Physician - Physicians Only Apply - Perm

Company: UnitedHealth Group
Location: Corpus Christi
Posted on: February 15, 2019

Job Description:

A Administrative Physician practice is seeking a qualified physician for CORPUS CHRISTI, TX. 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, Corpus Christi , Administrative Physician - Physicians Only Apply - Perm, Healthcare , Corpus Christi, Texas

Click here to apply!

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

I'm looking for
in category
within


Other Healthcare Jobs


Hospitalist
Description: Nocturnist opening in Corpus Christi, Texas. This and other physician jobs brought to you by DocCafe.com Through People, We Make a DifferenceBeing a physician-led practice is a big part of who we are. (more...)
Company: Sound Physicians
Location: Corpus Christi
Posted on: 02/24/2019

Speech-Language Pathologist
Description: Speech-Language Pathologist Non-profit Hospital in Southeastern Texas is seeking 2 SLP's for their Outpatient setting with a pediatric feeding focus. At least 1 year of feeding experience is ideal for (more...)
Company: CompHealth
Location: Corpus Christi
Posted on: 02/24/2019

Hospitalist needs - Corpus Christi, TX
Description: Hospitalist opening in Corpus Christi, Texas. This and other physician jobs brought to you by DocCafe.com Join this well established 9 person practice located in Corpus Christi. Texas. 7 on 7 off 12 hour (more...)
Company: National Health Partners
Location: Corpus Christi
Posted on: 02/24/2019


RN, Registered Nurse - 2A Rapid Admissions Unit
Description: Description Provides professional nursing care for the comfort and well-being of patients. Prepares equipment and assists physician during examinations and treatments. Administers prescribed
Company: CHRISTUS Health
Location: Corpus Christi
Posted on: 02/24/2019

New In-patient Primary Care Opportunity in Corpus Christi Texas
Description: Family Practice-Geriatrics opening in Corpus Christi, Texas. This and
Company: Texas Recruiters
Location: Corpus Christi
Posted on: 02/24/2019

Registered Nurse (RN) Cardiac Telemetry
Description: Standard br br Qualifications: br br Corpus Christi Medical Center, Corpus Christi, TX br br An HCA Affiliated Hospital br br Registered Nurse RN - Medical Telemetry Unit Med-Tele . (more...)
Company: HCA.
Location: Corpus Christi
Posted on: 02/24/2019

RN, Registered Nurse- Surgical Services
Description: Description Provides professional nursing care for the comfort and well-being of patients. Prepares equipment
Company: Christus Health
Location: Corpus Christi
Posted on: 02/24/2019

Licensed Therapist / Respiratory Therapy Job in Corpus Christi, Texas
Description: Job Category Registered Respiratory Therapist Profession PICU Specialty Shift 12 D Duration 13 Weeks Start Date 08/27/2018 Pay Rate 31.00 - 36.00 Job Description Requirements Registered Respiratory (more...)
Company: Club Staffing
Location: Corpus Christi
Posted on: 02/24/2019

Licensed Vocational Nurse - Full-Time, Evening
Description: Public/Community Health opening in Corpus Christi, Texas. This and other lpn/lvn jobs brought to you by NursingJobCafe.com Company Introduction As a nurse with Correct Care Solutions CCS , you will have (more...)
Company: WellPath
Location: Corpus Christi
Posted on: 02/24/2019

RN, Registered Nurse - Trauma Step Down A9
Description: Description Provides professional nursing care for the comfort and well-being of patients. Prepares equipment and assists physician
Company: CHRISTUS Health
Location: Corpus Christi
Posted on: 02/24/2019

Log In or Create An Account

Get the latest Texas jobs by following @recnetTX on Twitter!

Corpus Christi RSS job feeds