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Remote Medical Appeals Director: Coverage & Quality
Remote / Online - Candidates ideally in
Houston, Harris County, Texas, 77246, USA
Listed on 2026-08-06
Houston, Harris County, Texas, 77246, USA
Listing for:
DayToDay Health
Remote/Work from Home
position Listed on 2026-08-06
Job specializations:
-
Doctor/Physician
Healthcare Consultant, Chief Medical Officer
Job Description & How to Apply Below
Day To Day Health is seeking a remote Medical Director to oversee appeals and grievances within health plans, focusing on medical service determinations, benefit coverage, and clinical criteria. The role involves collaboration with medical directors and network staff, reviewing regulatory inquiries, and contributing to team meetings and organizational committees.
Requires an MD or DO with an active license and board certification, plus 5+ years of clinical practice and 2 years in Quality
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