- Novo Nordisk Inc. (Atlanta, GA)
- … Director . Relationships Position reports to Field Director /Senior Field Director . Serves as organization spokesperson on advanced medical and technical ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk...monthly reports on scientific support activities in region to Director including budget expenditures as directed Records all activities… more
- Pacer Staffing (Atlanta, GA)
- … medical providers, the Director , Case Management and the Medical Director for Case Management on program interpretation and guidance. Actively ... participates in clinical and non-clinical performance improvement projects and meetings. Monitors and provides input on the performance of non-clinical staff. Supports department by covering case management and CM Special Programs, and/or carry a case load as… more
- Pacer Staffing (Atlanta, GA)
- …timelines. Identify questionable review decisions and escalate to the appropriate Medical Director for evaluation and/or corrective action. Provide accurate ... e) Shift: 5x8 Hour Shifts, Monday-Friday Job Summary Conducts retrospective medical claim reviews and adjudication for coding determinations. Provides coding-related… more
- Pacer Staffing (Atlanta, GA)
- …plan. Prepares and presents cases involving high-profile or sensitive issues to the Medical Director for review. Functions as an advocate for the beneficiary ... for requested services particular to the ECHO according to policy, collaborating with Medical Directors as needed. ECHO Case Managers serve as subject matter experts… more
- Credit Acceptance Corporation (Atlanta, GA)
- …the organization and champion new ways of performing analytics ( Director )Requirements:Bachelor's degree or higher5+ years' experience developing predictive models ... years experience developing predictive models, including originations and behavior models ( Director )5+ years' experience using programming languages such as SQL, R,… more
- Pacer Staffing (Atlanta, GA)
- …Care Managers or Behavioral Health providers. Present high-profile cases to the Medical Director as needed. Supervision: Provide direction to non-clinical staff. ... Proficiency in Case Management, TRICARE policies, HIPAA, URAC standards, and medical management systems. Familiarity with InterQual ISD(R) criteria and medical… more
- GHR Healthcare (Atlanta, GA)
- …medically necessary services and refer cases that don't meet criteria to the Medical Director . Compliance & Advocacy: Ensure adherence to regulatory standards ... a detail-oriented RN with a knack for navigating complex medical cases? Do you thrive on making critical decisions...Hourly (paid weekly) What You'll Do: Clinical Analysis: Review medical records to determine the necessity of patient services… more
- Insmed Incorporated (Atlanta, GA)
- …of the field-based Field Access team, and will report to the Director , Field Access Managers. This is a non-supervisory position.ResponsibilitiesA key component of ... pet, legal, and supplemental life insuranceFlexible spending accounts for medical and dependent careAccident and Hospital Indemnity insuranceEmployee Assistance… more
- MultiPlan (Atlanta, GA)
- …areas and serve as subject matter expert committee member5Interact with Medical Director on credentialing, certification and insurance issues.6Serve as ... subject matter expert for contracting staff regarding reimbursement methodologies, language, non-standard language changes/contract forms and certification and credentialing requirements7Identify and present opportunities for process improvementIdentify and… more
- Windstream (Atlanta, GA)
- …in a world of infinite possibilities! About this Role: The Strategic Account Director will focus on business development by positioning and selling Kinetic's full ... our customer base utilization of strategic next-gen services. The Strategic Account Director will leverage a full support team consisting of the Customer Success… more
- Butler Aerospace and Defense (Atlanta, GA)
- Regional Sales Director IT Business Services - DoDLocation: Remote Job ID: #69206 Pay Range: $120K-$165K Annual SalaryAs a Sales Director for Butler America ... with significant experience in building senior relationships & partnershipsBenefits provided: 401K, medical , dental, and vision, sick time as applicable to state law… more
- MultiPlan (Atlanta, GA)
- …desired savings based on product rules and payer guidelines.-Reviewing submitted medical documentation for bill reviews and adding coding input.-Contributing to or ... teams are working as intended.4. Oversee engagement with the medical review team when required to provide subject matter...subject matter expertise on the most complex claims for medical review and/or approval on a case-by-case basis ensuring… more
- Lennar Homes (Alpharetta, GA)
- …and kept records.Attend promotional events for Communities as needed per the Director of Marketing.Prepare and distribute ISC performance and other reports as ... ISC department meetings, and assist with Sales TEAMS meetings needed per the Director of Marketing.Submit and maintain MLS listings for the division per direction by… more
- Reach Out and Read (Atlanta, GA)
- …both within a tight-knit virtual team, and when working directly to support our medical and clinic partners. It requires a commitment to equity combined with the ... supporting clinic and family cultures. By establishing collaborative relationships with medical providers and staff at multiple program sites and providing ongoing… more
- Lennar Homes (Alpharetta, GA)
- …modules. Regularly interact with the Regional Environmental Manager (REM), Director of Construction, regulatory agencies, and division associates.A career with ... Storm Water Pollution Prevention Plans and Best Management Practices.Interact with the Director of Construction, Director of Land Development and Regional… more
- Team Rehabilitation (Marietta, GA)
- …Competitive Pay Benefits for Both Full and Part Time Employees! FREE Medical Plan! Monthly Bonuses 401(k) Match Reimbursement for training and/or student loans! ... Physical Therapist. Other Tasks:The Physical Therapy Technician reports to the clinic director and performs any additional tasks assigned by the clinic director… more
- Prestige Staffing (Atlanta, GA)
- …by scheduling appointments through EClinicalWorks Communicate with law offices, Marketing Director and other areas of the practice needed in scheduling patients ... by phones, emails, fax, and Referral MD Collect new patient demographics and medical records if necessary Verify health insurance when necessary Maintain a calm… more
- Northeast Georgia Health System, Inc (Buford, GA)
- …Degree is required plus a minimum of seven (7) years of progressive medical office experience in medical office registration, back-office clinical, scheduling ... Job Specific and Unique Knowledge, Skills and AbilitiesKnowledge of medical practices, terminology and reimbursement policies Excellent verbal and demonstrated… more
- Windstream (Atlanta, GA)
- …end close process, reporting and reconciliations and will report to the Kinetic Expense Director . This is a remote position. What You Will Do: Prepare and/or review ... compensation range for this job is $ $63,500 to $81,700. Our Benefits: Medical , Dental, Vision Insurance Plans 401K Plan Health & Flexible Savings Account Life… more
- 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