AustinRecruiter
the smart solution for Austin jobs

Administrative Physician - Physicians Only Apply - Perm

Company: UnitedHealth Group
Location: Austin
Posted on: April 19, 2019

Job Description:

Medical Doctors Only Apply. A Administrative Physician practice is seeking a qualified physician for AUSTIN, TX. 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, Austin , Administrative Physician - Physicians Only Apply - Perm, Healthcare , Austin, 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


ICU Registered Nurses -Travel - MICU, PICU, SICU, NICU RN Jobs
Description: Travel Nurses Needed - RN Intensive Care Units California Travel Nursing Assignments Nationwide Registered Nurse Travel Jobs The Travel Nurse Season is here and it shows Find great travel assignments (more...)
Company: HealthCare Travelers
Location: Temple
Posted on: 04/20/2019

Endocrinology Physician Endocrinologist/Metabolism - Physicians Only Apply - Perm
Description: Medical Doctors Only Apply. A Endocrinology Physician Endocrinologist/Metabolism practice is seeking a qualified physician for Waco, TX. This and other physician
Company: NetPro Search, LLC
Location: Waco
Posted on: 04/20/2019

OR/Circulating RN - 10K Sign on
Description: St. David's Medical Center- Austin Unit Description: Surgical Services consists of 19 suites. This team-oriented unit consists of Surgical Scheduling and Pre-surgical Testing, Surgical Outpatient preoperative (more...)
Company: Del Sol Medical Center - HCA
Location: Georgetown
Posted on: 04/20/2019


Hospitalist Shifts Available - Bryan, TX
Description: Internal Medicine opening in Bryan, Texas. This and other physician jobs brought to you by DocCafe.com Ongoing Hospitalist shifts are available in Bryan,
Company: Echo Locum Tenens
Location: Bryan
Posted on: 04/20/2019

Diag Rad MDs Non Intervention
Description: Radiology opening in Temple, Texas. This and other physician jobs brought to you by DocCafe.com br Baylor Scott White Health is seeking a board certified or board eligible Diagnostic Radiology with (more...)
Company: Baylor Scott and White Health
Location: Temple
Posted on: 04/20/2019

Icu registered nurses -travel - micu, picu, sicu, nicu rn
Description: Travel Nurses Needed
Company: a & t healthcare llc
Location: Temple
Posted on: 04/20/2019

Physical Therapist PT Jobs
Description: Of all the Healthcare Professional specialties we offer, Physical Therapist are one of the specialties that have the most difference between staffing agencies in job / travel assignment locations and (more...)
Company: HealthCare Travelers
Location: College Station
Posted on: 04/20/2019

Licensed Speech-Language Pathologist
Description: The Stepping Stones Group is currently interviewing school-based SLP Clinical Fellow Supervisors for the 19/20 SY in Toccoa, GA This is full time, serving grades K-12. Job Requirements ul li TX SLP (more...)
Company: The Stepping Stones Group
Location: Killeen
Posted on: 04/20/2019

Rn - neonatal intensive care unit
Description: Registered Nurse RN
Company: healthcare staffing
Location: Waco
Posted on: 04/20/2019

Changes Rock Springs - Clinical Program Manager
Description: Couple and Family opening in Georgetown, Texas. This and other social worker jobs brought to you by AlliedHealthJobCafe.com Changes - Rock Springs Cedar Park, TX Clinical Program Manager Changes is a (more...)
Company: Springstone, Inc
Location: Georgetown
Posted on: 04/20/2019

Log In or Create An Account

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

Austin RSS job feeds