- CVS Health (Atlanta, GA)
- …continuum of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing ... and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management...and quality objectives are met. * Consults with plan medical staff regarding adverse determinations, addresses issues related to… more
- Humana (Atlanta, GA)
- …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Atlanta, GA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Atlanta, GA)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Evolent Health (Atlanta, GA)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... 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… more
- Highmark Health (Atlanta, GA)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
- J&J Family of Companies (Atlanta, GA)
- Director , Regulatory Medical Writing (1 of 4)...countries. Remote work options may be considered on a case -by- case basis and if approved by the company. ... - 2406211847W **Description** Johnson & Johnson is currently seeking a Director , Regulatory Medical Writing. The primary location for this position is the United… more
- Merck (Atlanta, GA)
- …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Health Systems Oncology Medical Affairs Director , US Medical...This role also serves as a resource for the Medical Affairs (MA) management team on strategic… 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 ... clinical / medical programs and expand Aetna's medical management programs to address member needs...consistent responses to members and providers. + As a Medical Director you will focus primarily on… more
- HCA Healthcare (Savannah, GA)
- …providing outstanding patient care. In this key role, the Facility Medical Director is responsible for the oversight and management of all clinical ... **Description** **Specialization:** Anesthesiology **Job Summary:** **Facility Medical Director Opportunity in Savannah, GA.** HCA Healthcare Anesthesia Services… more
- Evolent Health (Atlanta, GA)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management ... Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of...in risk management , claim adjudication, pharmacy utilization management , catastrophic case review, outreach programs, +… more
- Humana (Atlanta, GA)
- …our caring 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...experience post-training providing clinical services + Experience in utilization management review and case management … more
- National Youth Advocate Program (Duluth, GA)
- …clinical, medical and educational staff in identifying best case management practices while maintaining a collaborative multi-disciplinary environment; ... sponsors in local communities. NYAP works in collaboration with Federal agencies to provide case management services to arriving minors, so they can be reunified… more
- Merck (Atlanta, GA)
- **Job Description** The Executive Director , Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of ... scientific & medical affairs Value and Implementation (V&I) plans for their...and Implementation (V&I) plan, in collaboration with the Executive Director of Scientific Affairs (EDSA), that guides TA scientific… 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 ... can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject...will lead all aspects of utilization review/quality assurance, directing case management . In this role you will… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …KEY RESPONSIBILITIES: The Case Manager and Communications Coordinator reports to the Director , Student Case Management and Intervention Services and is ... coordination of support mechanisms between individual colleges and offices to university case management . + Participates in a variety of interdepartmental team… more
- CVS Health (Atlanta, GA)
- …preferably resides in North Carolina and have a NC License without encumbrances.** In the Medical Director role you will provide oversight for medical policy ... evaluation of clinical/ medical programs and expand Aetna's medical management programs to address member needs...In addition you will oversee utilization review/quality assurance, directing case management . In this role you'll provide… more
- Highmark Health (Atlanta, GA)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Peachtree Orthopedics (Atlanta, GA)
- …team in coordinating and managing daily and weekly PI patient schedules and case management . + Provide daily support and backup coverage for PI-AAs ... (PI) Department, including PI Assistants (PI-AAs), PI Physicians, support staff, the PI Case Manager, and the Executive Director of Administration. This role… more
- J&J Family of Companies (Atlanta, GA)
- …able to thrive in a matrixed environment. Ability to build an effective business case and project management . Track record of successful leadership skills in the ... Director , Global Brand Protection Capabilities & Technology -...stakeholders (internally / externally) to develop an effective business case , strategies, and tactics to address and mitigate brand… more