Job Seekers, Welcome to GHC Job Board
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Featured! Featured!
NEW! NEW!
Featured! Featured!
NEW! NEW!
Indiana University Health
Indianapolis, Indiana
NEW! NEW!
Jackson Physician Search
Illinois
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Loma Linda, California, California
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Augusta, Georgia, Georgia
NEW! NEW!
Vanderbilt Health
Nashville, Tennessee
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Indiana University Health
Indianapolis, Indiana
NEW! NEW!
NEW! NEW!
Temple University
Philadelphia , Pennsylvania
NEW! NEW!
NEW! NEW!
Indiana University Health
Indianapolis, Indiana
NEW! NEW!
NEW! NEW!
Loading... Please wait.
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.
Loading. Please wait.