- CVS Health (Atlanta, GA)
- …**Position Summary** CVS Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Board Certified ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
- CVS Health (Atlanta, GA)
- …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the ... and providers related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the US. The… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Evolent Health (Atlanta, GA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of ... development of questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of cases to review.… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- Highmark Health (Atlanta, GA)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- CenterWell (Stone Mountain, GA)
- …a part of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling a ... variety of health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities interrelate across… more
- Elevance Health (Atlanta, GA)
- …appeals reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral ... cost of care opportunities. May serve as a resource to staff including Medical Director Associates. How you will make an impact: + Conducts peer-to-peer clinical… more
- Elevance Health (Atlanta, GA)
- …must live within 50 miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration of physical and/or behavioral ... cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How you… more
- CVS Health (Atlanta, GA)
- …license without encumbrances in one (1) of those five (5) states. + In the Medical Director role you will provide oversight for medical policy ... timely and consistent responses to members and providers. + As a Medical Director you will focus primarily on overseeing utilization review and quality assurance… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director reviews cases of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical … more
- BluePearl (Atlanta, GA)
- …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . The Medical Director will partner in ... and all clinicians. Using excellent communication and interpersonal skills, the Medical Director will support veterinary partner relationships and enhance… more
- Elevance Health (Atlanta, GA)
- ** Medical Director Associate - Oral Health (Utilization Mgmt.)** This is an Individual Contributor Role. Location: **This position will work a Hybrid Model ... Shift Hours: **Monday through Friday, 40 hrs a week** . The ** Medical Director Associate - Oral Health (UM)** is responsible for providing day-to-day guidance,… more
- CVS Health (Atlanta, GA)
- …clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to ... directors to ensure the delivery of holistic and integrated person-centered care. The Medical Director will be responsible for provider education regarding best… more
- Morehouse School Of Medicine (Atlanta, GA)
- Mental Health Crisis Unit Medical Director (Psychiatry Dept ) Bookmark this Posting Print Preview | Apply for this Job Posting Details Position Details About MSM ... at MSM ! Posting Number ACAD423 Job Title Mental Health Crisis Unit Medical Director (Psychiatry Dept ) Position Title Mental Health Crisis Unit Medical … more
- CVS Health (Atlanta, GA)
- …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This ... role can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …surgeon with expertise in growing a practice focused on venous disease to serve as Medical Director of the Emory Vein Center. As one of the largest healthcare ... access to cutting-edge technology through numerous clinical trials. The role of Medical Director involves developing a multi-site office-based vein practice for… more