Job is Expired
Location: Arizona, California, Florida, Illinois, New York, Texas
Compensation: To Be Discussed
Staff Reviewed: Wed, Jun 10, 2015
Job Summary
A diversified managed health care company has an open position for a Teleworking Appeals and Grievances Physician Assistant.
Core Responsibilities Include:
- Performing individual case review for appeals and grievances for various healthplan and insurance products
- Communicating with company medical directors regarding appeals decision rationales and benefit interpretations
- Providing clinical and strategic input when participating in organizational committees, projects, and task forces
Skills and Requirements Include:
- Physician Assistant (PA-C) with an active, unrestricted license
- Current Board Certification by National Commission on Certification of Physician Assistants
- 5-10 years clinical practice experience
- Intermediate or higher level of proficiency with managed care
