OB GYN Physician Assistant

Job Summary

A company is looking for an Appeals and Grievances Physician Assistant - OB/GYN - Remote.

Key Responsibilities

• Review and adjudicate appeals and grievances for various health plan and insurance products
• Communicate with medical directors regarding appeals decisions and benefit interpretations
• Participate in team meetings focused on communication, feedback, and process improvement

Required Qualifications

• Active, unrestricted Physician Assistant (PA-C) license
• Current Board Certification by the National Commission on Certification of Physician Assistants (NCCPA)
• 5+ years of clinical practice experience
• 2+ years of Quality Management experience
• Experience with claims coding and review