OneHome - Medical Director - Part Time
HumanaPart Time
Senior (5 to 8 years)
Candidates must be a Board Certified Physician, with expertise in Organ Transplant, including solid organ and BMT experience, particularly in Lung, Heart, Kidney, and Liver specialties. Applicants should possess clinical expertise and a strong understanding of insurance appeals and claims review processes.
The Board Certified Physician Reviewer will utilize clinical expertise to review insurance appeals and prospective and retrospective claims, providing interpretations of medical necessity in compliance with client policies and evidence-based guidelines. They will ensure clear and concise rationales with adequate supporting documentation, identify and utilize relevant criteria and literature, and provide timely reports. The role also includes maintaining proper credentialing, attending required training, and addressing quality assurance issues, complaints, and regulatory matters.
Specialty coffee shop with efficient service
Blank Street provides a unique coffee shop experience by offering high-quality coffee and food at affordable prices. The company started with a small coffee cart in Brooklyn and has since expanded to major cities like New York, London, Boston, and Washington, D.C. Their product offerings include specialty coffees sourced from around the world and fresh, locally-sourced food. Customers can enjoy a quick yet premium experience, thanks to the efficiency of their small locations that help keep costs down. Blank Street differentiates itself from competitors by focusing on customer convenience through technology, such as their app that allows for ordering ahead, customizing drinks, and participating in loyalty programs. They also prioritize employee satisfaction by paying baristas above-market wages. The goal of Blank Street is to redefine the coffee shop experience by combining quality, affordability, and exceptional service, making it a significant player in the specialty coffee market.