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Salem Health Hospitals & Clinics

Medical Director: Orthopedic Claims Lead (Remote)

northern, KY

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Job description

UnitedHealth Group is seeking a Medical Director to lead the Focus Claims Review team and coordinate medical services for claims review programs. You will oversee case reviews, provider discussions, and policy implementation to ensure compliant, high-quality care decisions.

You will collaborate with physicians, nurses, and other providers, and support staff to guide medical necessity decisions and program alignment, while working remotely within the U.S.

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