- Elevance Health (Atlanta, GA)
- ** Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person ... for employment, unless an accommodation is granted as required by law. The ** Plan Performance Medical Director ** serves as a lead clinician and… more
- CenterWell (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… 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...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… 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...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… 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 to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- IHG (Atlanta, GA)
- …and conversions, ensuring robust audit trails and timely approvals. The Director leads and coordinates complex owner debt collection work outs, negotiating ... and commercial acumen + Demonstrated ability to scope a project and develop a plan of action, ability to influence others, present convincing arguments and deal with… 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...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- United Therapeutics (Atlanta, GA)
- …UT data is approved and ready for field use following presentation. Associate Medical Excellence & Training Director Minimum Requirements + Bachelor's Degree ... with GMA hiring managers to develop tailored on-boarding training plan for each new GMA new hire, oversee mentoring,...innovative mindset + Ability to travel up to 40% Medical Excellence & Training Director Minimum Requirements… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Job Summary** The Senior Director , Medical Communications, Nephrology & Immunology directs and provides strategic leadership for the global scientific ... **Global Scientific Communication Strategy** + Define, direct, and oversee a comprehensive medical communications strategy and tactical plan for the Nephrology &… more
- Merck (Atlanta, GA)
- **Job Description** **Role Summary** + The Regional Medical Scientific Senior Director Team Lead, RMSD TL, is a credentialed (ie, MD, PhD, PharmD, DO, and OD) ... + Manages, recruits, and on-boards a team of field-based medical affairs professionals + Assesses RMSD performance ...state field execution plans to the team and monitors performance to plan , aligned to: Scientific Exchange,… more
- Molina Healthcare (Atlanta, GA)
- …care team (ICT) activities. * Recruits, hires, trains, mentors and develops medical director staff as needed. * Ensures that authorization decisions ... plan members. * Provides leadership and expertise in performance of prior authorization, inpatient concurrent review, discharge planning,...practice experience, and at least 2 years as a medical director in managed care setting supporting… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- The Senior Director , Medical Communications, CNS directs and provides strategic leadership for the global and US scientific communication strategy for the ... **Global Scientific Communication Strategy** + Define, direct, and oversee a comprehensive medical communications strategy and tactical plan for the CNS… more
- ChenMed (Atlanta, GA)
- …We're rapidly expanding and we need great people to join our team. The Regional Medical Director (RMD) is a developmental, pathway role to Market Chief ... Medical Officer which is responsible for aiding in the...represent the region externally with key partners, including health plan partners and other collaborative organizations in the market,… more
- Emory Healthcare/Emory University (Decatur, GA)
- …all care and services provided at the entity + Oversees the integration of performance improvement processes with medical staff leadership to review and improve ... of the entity in accordance with the infection prevention plan + In collaboration with the Program Director... improvement results + In collaboration with the Program Director for Performance Analytics, coordinates and develops… more
- Morehouse School Of Medicine (Atlanta, GA)
- Sr. Director / Director , Department Administrator Bookmark this Posting Print Preview | Apply for this Job Please see Special Instructions for more details. ... role may be contingent upon extramural funding and successful performance and may be terminated or reduced in percentage...place of distinction, serving as the nation's leading academic medical center for vulnerable populations. It's also a place… more