17 Clinical Appeals jobs

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Clinical Appeals is responsible for the oversight of all clinical appeals activities ensuring consistency of services and…

United States (Remote)

$34.00 – $61.00 / hour

Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.

United States (Remote)

Summary We are currently hiring for an RN Appeals Analyst to join BlueCross BlueShield of South Carolina.

United States (Remote)

Overview Detailed review, analysis and extraction of clinical information from patient medical records and drafting of effective narratives for…

United States (Remote)

$80K / year

Applicants must reside in: Michigan, Florida, Idaho, Texas, Minnesota or Illinois.

United States (Remote)

$73–125K / year

Job Description A bit about this role: The Clinical Readmission Manager is responsible for conducting prepayment and post-payment clinical reviews of…

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

Description WHO WE ARE: GlobalHealth is a fast-growing Medicare Advantage HMO health insurer.

United States (Remote)

$82.7–96.5K / year

Job Description A bit about this role: The Clinical Guide Part A will be part of the Utilization Management team, responsible for inpatient,…

Harrisburg, Pennsylvania, US (Hybrid)

Category: Health Care Location: Harrisburg Pennsylvania United States Seeking a Registered Nurse (RN) – Expert Medical Examination Consultant to…

United States (Remote)

This is a remote position.

United States (Remote)

As a pharmaceutical support industry leader, UBC is devoted to empowering health solutions for a better tomorrow.

Massachusetts, US (Hybrid)

$100–105K / year

Job Description: Candidates must live in Massachusetts and hold an active, unrestricted Massachusetts RN license at the time of hire.

Harrisburg, Pennsylvania, US (Hybrid)

Category: Health Care Location: Harrisburg Pennsylvania United States Are you a registered nurse ready to take your career in an exciting new…

United States (Remote)

$65–85K / year

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…