OneHome - Medical Director - Part Time
HumanaPart Time
Senior (5 to 8 years)
Candidates must be board-certified and actively practicing physicians with current state licenses and any necessary special certifications. The role requires the ability to utilize and critique current criteria and resources, including national, state, and professional association guidelines, and peer-reviewed literature.
Physician Reviewers will review insurance appeals and claims, providing interpretations of medical necessity based on client policies and evidence-based guidelines. They will clearly document the rationale for decisions, identify and utilize supporting criteria, and promptly return completed cases by their due dates. Responsibilities also include making mandated telephone calls, maintaining proper credentials, and addressing quality assurance issues, complaints, regulatory matters, depositions, court appearances, or audits as needed.
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.