• Medical Director - Commercial

    CVS Health (Atlanta, GA)
    …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... and consistent responses to members and providers. As a Medical Director you will focus primarily on...will focus primarily on review appeal cases for denied medical services. This includes First Level Appeals more
    CVS Health (11/13/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Atlanta, GA)
    Director relies on medical background and reviews health claims and preservice appeals . The Corporate Medical Director works on problems of diverse ... scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (10/29/24)
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  • Oncology Medical Director

    Elevance Health (Atlanta, GA)
    **Oncology Medical Director - Commercial National Division** Location: This position will work a hybrid model (remote and office). The ideal candidate **must ... one of our Elevance Health PulsePoint locations. The **Oncology Medical Director ** will be supporting our clients...the United States when conducting utilization review or an appeals consideration and cannot be located on a US… more
    Elevance Health (11/12/24)
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  • Medical Director - South Central

    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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (11/08/24)
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  • Medical Director - Mid West Region

    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 ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical more
    Humana (10/29/24)
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