Appeals M.D. – Gastroenterologist Required – Remote

Job Summary

UnitedHealth Group is seeking an experienced Gastroenterologist to join its Appeals Medical Department on a remote basis, reporting from Boston, Suffolk County, US. This full‑time role offers a fixed annual salary of $55,555.96.

Key Responsibilities

• Review and adjudicate complex medical appeals related to gastroenterology services.
• Provide evidence‑based clinical opinions to support appeal decisions.
• Collaborate with physicians, case managers, and legal teams to ensure compliance with Medicare, Medicaid, and private payer guidelines.
• Document findings in the appeals system accurately and within established turnaround times.
• Stay current with gastroenterology best practices, coding updates (ICD‑10, CPT), and regulatory changes.
• Participate in continuous‑quality improvement initiatives and peer‑review sessions.

Required Qualifications

• Medical Doctor (MD) degree with board certification in Gastroenterology.
• Active medical license in the United States, eligible to practice in Massachusetts.
• Minimum 3 years of clinical experience in gastroenterology, preferably with exposure to insurance appeals or utilization management.
• Strong analytical skills and ability to interpret medical records, test results, and procedural reports.
• Excellent written and verbal communication skills.
• Proficiency with electronic health record (EHR) systems and familiarity with UnitedHealth Group’s claims platforms is a plus.

What We Offer

• Competitive fixed salary of $55,555.96 per year.
• Fully remote work arrangement with flexible scheduling.
• Comprehensive health, dental, and vision benefits.
• Retirement savings plan with company match.
• Professional development support and CME reimbursement.

How to Apply

Submit your CV and a cover letter referencing Requisition number 2273857 through the UnitedHealth Group careers portal. We look forward to welcoming a dedicated gastroenterology expert to our team.

Frequently Asked Questions

Is this position fully remote?

Yes, the Appeals M.D. – Gastroenterologist role is 100% remote, allowing you to work from Boston or any eligible location.

What is the required experience for this job?

Applicants need at least three years of clinical gastroenterology experience and familiarity with medical appeals or utilization management.

What benefits does UnitedHealth Group provide?

The role includes health, dental, vision coverage, a retirement plan with company match, CME reimbursement, and a fixed annual salary of $55,555.96.