- Elevance Health (Chicago, IL)
- ** Appeals Medical Director - Medicare** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... is granted as required by law. Alternate locations may be considered. The ** Appeals Medical Director ** is responsible for the appeal reviews for physical… more
- Health Care Service Corporation (Chicago, IL)
- …development. **Job Summary** This Position Is Responsible For Assigned Aspects Of Medical Policies And Programs. Performs Medical Appeal Reviews And Interacts ... Board Certification by a specialty board approved by the American Board of Medical Specialties, National Board of Physicians and Surgeons, or the Advisory Board of… more
- Elevance Health (Chicago, IL)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit Management/Utilization Review** **Virtual:** ... an accommodation is granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management… more
- Elevance Health (Chicago, IL)
- ** Medical Director Associate - CarelonRx** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... services to drive affordability and improve member outcomes. The ** Medical Director Associate- CarelonRx** supports pharmacy prior...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
- R1 RCM (Chicago, IL)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our **Denials Director ** , you will act as a strategic leader dedicated to… more
- Grant Thornton (Chicago, IL)
- As the Tax Practice & Quality Managing Director , you'll identify the impact of new tax developments and the opportunities that may relate to specialty areas - all ... of concepts relevant to federal or state tax enforcement, including audits, appeals , tax litigation, summonses, statutes of limitation, and penalties. + Strong… more
- Huron Consulting Group (Chicago, IL)
- …internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and ... agencies, and hospital contractual payor agreements. This position reports to the Director of Utilization Management and works with hospital leadership to coordinate… more