- CareFirst (Baltimore, MD)
- …members for government programs lines of business. Ensures quality management of the clinical appeal process to reduce the risk of State and Federal Regulatory fines ... who is willing and able to work in a hybrid model. The incumbent will be expected to work...goals resulting in the full and fair review of appeals and grievances designed to achieve corporate objectives and… more
- Elevance Health (Washington, DC)
- ** Clinical Operations Medical Director** **Carelon MBM** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... interventions. **How you will make an impact:** + Ensures timely completion of clinical case reviews for their board certified specialty. + Makes physician to… more