- Humana (Atlanta, GA)
- …our caring community and help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… 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
- Conviva (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)
- …a part 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 where the analysis of situations or data requires an in-depth… 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
- Elevance Health (Atlanta, GA)
- …candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. ** Medical Director ** The ** Medical Director ** will be responsible ... cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. **How will… 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
- 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)
- **Oncology Medical Director - Commercial National Division** Location: This position will work a hybrid model (remote and office). The ideal candidate **must ... miles of one of our Elevance Health PulsePoint locations. The **Oncology Medical Director ** will be supporting our clients in operations with utilization and… more
- 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 ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … more
- CSL Plasma (Warner Robins, GA)
- …the Quality Assurance Team. Acts as a liaison between the Corporate or Divisional Medical Director and the Center Medical Staff, which includes preparation ... cell immunizations are given. Submits monthly report to Divisional (or Corporate) Medical Director . + Determines donor suitability following adverse reactions in… more
- Evolent (Atlanta, GA)
- …the 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. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- HCA Healthcare (Savannah, GA)
- **Description** **Specialization:** Anesthesiology **Job Summary:** **Facility Medical Director Opportunity in Savannah, GA.** HCA Healthcare Anesthesia Services ... on providing outstanding patient care. In this key role, the Facility Medical Director is responsible for the oversight and management of all clinical operations… 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)
- **Clinical Operations Associate Medical Director ** **Interventional Pain** **Carelon Medical Benefits Management** **Location:** Alternate locations may be ... of one of our Elevance Health PulsePoint locations. The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical … more
- Elevance Health (Atlanta, GA)
- **Clinical Ops Associate Medical Director ** **Location:** **This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... analytics to improve the delivery of care. The **Clinical Ops Associate Medical Director ** is responsible for supporting the medical management staff… more
- BluePearl (Augusta, GA)
- …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . As Medical Director you will partner in ... offer a competitive salary and relocation assistance. Your primary responsibilities as Medical Director include **upholding medical quality standards**… 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. The ... Corporate Medical Director works on problems of diverse scope and complexity...and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation… more
- Devereux Advanced Behavioral Health (Kennesaw, GA)
- …fields? Then consider joining our Devereux Advanced Behavioral Health Team! **Being a Medical Director at Devereux has its Advantages** You will work with ... _Keywords: psychiatrist, child, adolescent, MD, medical services director , medical director , child psychiatry, residential… more
- HCA Healthcare (Augusta, GA)
- …- where innovative healthcare meets a warm community! Join us as a Facility Medical Director and lead our dedicated team towards unparalleled patient care. ... Medical Director Responsibilities: 1. Deliver expert emergency medical ...provide to our community. 2. Collaborative environment: The facility medical director , will be part of a… more