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El Centro Regional Medical Center Logo
MEDICAL STAFF SERVICES DIRECTOR
El Centro Regional Medical Center

El Centro, California

NEW!
Credentialing Verification Specialist I
MaineHealth

Westbrook, Maine

Director of Medical Staff Services
St. Charles Healthcare System

Bend, Oregon

PeaceHealth Logo
Medical Staff Coordinator
PeaceHealth

Bellingham, Washington

Novant Health Logo
Director Sys Medical Staff Ops
Novant Health

Charlotte, North Carolina

Sharp HealthCare Logo
Manager Medical Staff Services - Sharp HealthCare - Onsite - Relocation Assistance eligible
Sharp HealthCare

Chula Vista, California

AdventHealth Logo
Customer Service Specialist Clinic
AdventHealth

Shawnee Mission, Kansas

NEW!
Beebe Healthcare Logo
EPIC INTEGRATION MANAGER
Beebe Healthcare

Lewes, Delaware

NEW!
Beebe Healthcare Logo
EPIC CLINICAL APPLICATIONS MANAGER
Beebe Healthcare

Lewes, Delaware

NEW!
AdventHealth Logo
Medical Assistant
AdventHealth

Overland Park, Kansas

NEW!
BJC HealthCare Logo
Oncology Data Specialist
BJC HealthCare

Saint Louis, Missouri

NEW!
Beebe Healthcare Logo
EPIC LEAD SYSTEMS ANALYST
Beebe Healthcare

Lewes, Delaware

NEW!
Beebe Healthcare Logo
EPIC MANAGER OF FINANCIAL APPLICATIONS
Beebe Healthcare

Lewes, Delaware

NEW!
Beebe Healthcare Logo
EPIC CLINICAL APPLICATIONS MANAGER
Beebe Healthcare

Lewes, Delaware

NEW!
AdventHealth Logo
Customer Service Specialist
AdventHealth

Overland Park, Kansas

NEW!
Northeast Georgia Health System Logo
Certified Medical Assistant CMA - Northeast Georgia Physicians Group NGPG - Academic Family Medicine - Gainesville - FT Days 10 Hour Shifts
Northeast Georgia Health System

Gainesville, Georgia

NEW!
AdventHealth Logo
Home Health Aide
AdventHealth

Hinsdale, Illinois

NEW!
WakeMed Health & Hospitals Logo
Credentialing Specialist Medical  Staff Services
WakeMed Health & Hospitals

Raleigh, North Carolina

NEW!
Beebe Healthcare Logo
EPIC DECISION SUPPORT MANAGER
Beebe Healthcare

Lewes, Delaware

NEW!
Beebe Healthcare Logo
EPIC APPLICATIONS MANAGER OF OUTPATIENT AND POPULATION HEALTH
Beebe Healthcare

Lewes, Delaware

NEW!
AdventHealth Logo
Medical Assistant MA
AdventHealth

La Grange Highlands, Illinois

NEW!
Duke University Health System Logo
CHIEF MEDICAL OFFICER- Duke Regional Hospital
Duke University Health System

Durham, North Carolina

NEW!
North Kansas City Hospital Logo
Coordinator Medical Staff Svc GME
North Kansas City Hospital

North Kansas City, Missouri

NEW!
Foundation Health Partners Logo
Certified Medical Assistant (CMA) - Internal Medicine Senior Care Clinic
Foundation Health Partners

Fairbanks, Alaska

NEW!
Veterans Affairs, Veterans Health Administration Logo
Supervisory Medical Supply Technician-Assistant Chief (Sterile Processing Services)
Veterans Affairs, Veterans Health Administration

Kansas City, Missouri, Missouri

NEW!
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Medical Director Appeals Grievances
JOB SUMMARYThe Medical Director, Appeals and Grievances provides leadership for Community Health Choice medical management programs. This includes reviewing appeals of adverse determinations, tracking them and providing feedback to Medical Affairs on current overturn trends. In addition will provide clinical input and oversight for Care (Disease) Management, Quality Improvement, Credentialing, and Preventive Health programs. Will work with Provider Relations to maintain and improve relationships with the provider community especially with Value based arrangements. Will perform medical necessity reviews as assigned including reviews with peer-to- peer interactions as needed and other duties as assigned.


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