HealthAxis Group
Healthcare Insurance • SaaS • Fintech
HealthAxis Group is a technology solutions provider specializing in healthcare administration. Their cloud-native platform, AxisCore™, streamlines health plan management through solutions like claims processing and benefit administration, designed to enhance operational efficiency. HealthAxis offers a suite of services including Business Process as a Service (BPaaS), consulting, and staff augmentation. The company's approach focuses on scalability, compliance, and tailored support, aiming to empower healthcare organizations to meet member needs effectively.
201 - 500 employees
Founded 1965
⚕️ Healthcare Insurance
☁️ SaaS
💳 Fintech
Medical Director, Utilization Management
Job not on LinkedIn
October 22
HealthAxis Group
Healthcare Insurance • SaaS • Fintech
HealthAxis Group is a technology solutions provider specializing in healthcare administration. Their cloud-native platform, AxisCore™, streamlines health plan management through solutions like claims processing and benefit administration, designed to enhance operational efficiency. HealthAxis offers a suite of services including Business Process as a Service (BPaaS), consulting, and staff augmentation. The company's approach focuses on scalability, compliance, and tailored support, aiming to empower healthcare organizations to meet member needs effectively.
201 - 500 employees
Founded 1965
⚕️ Healthcare Insurance
☁️ SaaS
💳 Fintech
📋 Description
• Provides medical expertise and decision-making within the Utilization Management team • Ensures healthcare services are medically necessary and appropriately utilized • Reviews clinical cases and collaborates with various stakeholders • Participates in case reviews and medical necessity determination • Conducts post-service reviews issued for medical necessity and benefits determination coding • Analyzes aggregate data and reports to primary care physicians • Serves as the liaison between physicians and health plan Medical Directors • Identifies process improvements opportunities and inefficiencies
🎯 Requirements
• Doctor of Medicine (M.D.) or Doctor of Osteopathy (D.O.) degree • Preferably, Board Certified Family Practitioner or Internal Medical Specialist • Unrestricted licensed in at least one state within the United States • 5+ years of clinical practice experience • 2+ years of experience in utilization management activities • Proficiency with Microsoft Office applications • Strong interpersonal skills • Self-starter with strong organizational skills • Excellent oral and written communication skills
🏖️ Benefits
• HealthAxis is a prominent provider of core administrative processing system (CAPS) technology and business process outsourcing (BPO) capabilities • Commitment to a people-first approach • Opportunity to be involved in additional responsibilities such as special projects
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