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Job description
UnitedHealth Group's Focus Claims Review team seeks a Medical Director to provide leadership for the claims review program, overseeing medical services, clinical criteria, and policy development. Remote work available within the U.S.
Responsibilities include reviewing surgical and professional claims, discussing cases with providers, and ensuring compliance with CMS/URAC/NCQA standards; strong communication with physicians and staff is essential.
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Worksite address
minneapolis, MN, 55400, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.