• Physician Medical Director - LTSS

    Humana (Atlanta, GA)
    …us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical authorizations to determine the ... of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex issues where the analysis of… more
    Humana (01/25/25)
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  • Medical Director - Medicaid N. Central

    Humana (Atlanta, GA)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (03/11/25)
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  • Specialty Pharmacy Accreditation…

    Cardinal Health (Atlanta, GA)
    …& Operations Support Specialist contributes to Cardinal Health_** Reporting to the Director of Specialty Pharmacy Operations, the Specialty Pharmacy ... while maintaining effective internal and external relationships. This role supports specialty pharmacy accreditations (URAC and ACHC), ongoing compliance , and… more
    Cardinal Health (02/20/25)
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  • Medical Director - Mid West Region

    Humana (Atlanta, GA)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
    Humana (03/04/25)
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  • Associate Director , Field Sales (Financial…

    Wolters Kluwer (Atlanta, GA)
    …Sales Reps when needed. A strong culture is pivotal to the success of WK Compliance Solutions, which the Associate Director , Field Sales will be responsible for ... **Associate Director , Field Sales (Financial Services) - Remote R0047770...contacts** ; build or elevate brand presence in the specialty lending industry (eg, on boards, relationships with associations)… more
    Wolters Kluwer (03/15/25)
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  • Field Medical Director , Cardiology

    Evolent (Atlanta, GA)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can ... **What You Will Be Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not...the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review… more
    Evolent (02/14/25)
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  • Medical Director - National Medicare Team

    Humana (Atlanta, GA)
    …of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The ... Medical Director work assignments involve moderately complex to complex issues...authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. Supports the assigned work with respect to… more
    Humana (03/11/25)
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  • System Epidemiologist, Medical Director

    Emory Healthcare/Emory University (Atlanta, GA)
    …* And more **Work Location:** Atlanta, GA **Description** **The Medical Director , Infection Control & Prevention and EHC Epidemiologist,** **Emory Healthcare (EHC)** ... with clinical responsibilities and a reporting line to the Director of the Division of Infectious Disease in the...- Catalyzes innovation and builds supporting capabilities **3. Regulatory Compliance and Quality Assurance:** - Lead efforts to meet… more
    Emory Healthcare/Emory University (03/04/25)
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  • Field Medical Director , Interventional…

    Evolent (Atlanta, GA)
    …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... Provide expert reviews for cardiovascular cases, serving as a specialty -matched expert reviewer for invasive/interventional cardiology cases (eg, cardiac… more
    Evolent (01/30/25)
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  • Behavioral Health Medical Director

    Humana (Atlanta, GA)
    …community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...with all work occurring within a context of regulatory compliance and assisted by diverse resources, which may include… more
    Humana (02/15/25)
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  • Director of Health Information Management

    Peachtree Orthopedics (Atlanta, GA)
    Summary The Director of HIM will have direct oversight and responsibility of coding, medical records, and documentation improvement. The Director of HIM is ... responsible for data quality and integrity and ensuring compliance with applicable laws, regulations, standards, internal policies and procedures and the Code of… more
    Peachtree Orthopedics (01/28/25)
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  • Director , Financial Assistance

    Emory Healthcare/Emory University (Atlanta, GA)
    …Location:** Atlanta, GA **Description** Primary function: We are seeking an experienced Director of Financial Assistance to lead and enhance our financial counseling ... services across both hospital operations and outpatient specialty clinics. This role is essential in ensuring a seamless patient experience throughout their… more
    Emory Healthcare/Emory University (03/04/25)
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  • Field Medical Director , Radiology (General…

    Evolent (Atlanta, GA)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the utilization management team. We can offer ... well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses… more
    Evolent (03/10/25)
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  • Senior Director of Pigment Operations

    Chemours (Atlanta, GA)
    …and more modern living depend on Chemours chemistry. Chemours is seeking **Senior Director of Pigment Operations.** The Senior Director of Operations will lead ... 1,300 Chemours employees and 1,500 contractors. The Pigments Operations Senior Director is responsible for the safety, asset reliability, product quality, cost… more
    Chemours (03/04/25)
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  • Associate Director , Global Scientific…

    Merck (Atlanta, GA)
    **Job Description** **The Global Scientific Training Associate Director is accountable for these core activities:** + Creation and delivery of timely, high quality, ... and Regional Field Medical Leadership. The Global Scientific Training Associate Director must possess subject matter expertise, project and vendor management… more
    Merck (03/18/25)
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  • Director of Accounting Policy and Strategic…

    CRC Insurance Services, Inc. (Atlanta, GA)
    …of accounting standards, regulatory requirements and financial reporting practices to ensure compliance and alignment with business objectives. The Director of ... States of America) **Please review the following job description:** The Director of Accounting Policy and Strategic Projects leads the development, implementation… more
    CRC Insurance Services, Inc. (03/04/25)
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  • Director Network Pharmacy - Aetna

    CVS Health (Atlanta, GA)
    …make health care more personal, convenient and affordable. Aetna is seeking a Director of Network Pharmacy to lead Strategy and Performance management across all ... pharmacy services to members. In close partnership with Caremark, the Aetna Director of Network Pharmacy will ensure optimized access points for our products… more
    CVS Health (03/04/25)
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  • Director Client Services

    EFI Global (Atlanta, GA)
    …is a full-service engineering, fire investigation, environmental, health and safety, and specialty consulting services firm serving a variety of industries in both ... failure analysis, origin-and-cause investigations, environmental consulting, laboratory testing and specialty consulting. Our forensic investigation, engineering and environmental services… more
    EFI Global (02/21/25)
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  • Statewide Medical Director - Office…

    State of Georgia (GA)
    Statewide Medical Director - Office of Support & Transition Services - Georgia (ADM) Georgia ... polices and standard operating procedures for the Office of Health Services. Ensures compliance with federal, state laws and regulations; Serves as an active member… more
    State of Georgia (03/15/25)
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  • The Carter Center: Associate Director

    Emory Healthcare/Emory University (Atlanta, GA)
    …are available at The Carter Center (http://www.cartercenter.org/) . SUMMARY: The Associate Director of Engagement is a member of The Carter Center's Communications ... Center programs to achieve identified goals. Reports to and works with the Director of Engagement to achieve departmental goals. May receive direction or functional… more
    Emory Healthcare/Emory University (03/12/25)
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