- Elevance Health (Atlanta, GA)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Management** ** Outpatient Rehab Utilization Management** **Location:** Alternate ... of clinical domains, including radiology, cardiology and oncology. The **Clinical Operations Associate Medical Director ** is responsible for supporting the… more
- CenterWell (Atlanta, GA)
- …Leaders to identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying business partner ... and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies...of management experience + 8 or more years of Medical Coding, IPA, or similar experience + Medical… more
- Humana (Atlanta, GA)
- …scenarios arise from outpatient , inpatient or post-acute care environments. The Medical Director will have discussions with external physicians by phone to ... caring community and help us put health first** The Medical Director relies on medical ...which preferably includes some experience in an inpatient and/or outpatient environment and/or related to care of a Medicaid… more
- Humana (Atlanta, GA)
- …or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical ... caring community and help us put health first** The Medical Director relies on medical ...well as some claims and provider dispute cases for outpatient reviews. **Use your skills to make an impact**… more
- Humana (Atlanta, GA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... **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 … 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...participation in care management, with clinical scenarios arising from outpatient or inpatient environments + Conducts discussions with external… more
- Molina Healthcare (Atlanta, GA)
- …including 2 years in a manager role. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient /Inpatient UB92, Universal Claims, Stop Loss, ... to Molina Medicare's maximum STAR ratings.. **Job Qualifications** **Required Education** Associate 's Degree or 4 years of Medicaid grievance and appeals experience.… more
- Molina Healthcare (Atlanta, GA)
- …including 2 years in a manager role. * Experience reviewing all types of medical claims (eg HCFA 1500, Outpatient /Inpatient UB92, Universal Claims, Stop Loss, ... New York, Mississippi and South Carolina **Job Qualifications** **Required Education** Associate 's Degree or 4 years of Medicare grievance and appeals experience.… more
- Morehouse School Of Medicine (Atlanta, GA)
- …along with other MSM faculty. The clinical sites will include residents, and medical , nursing, and PA students. Outpatient services include traditional scheduled ... Assistant / Associate Professor (MD) Department of Psychiatry and Behavioral...and community-based committees + May serve as a Co-course Director for undergraduate medical education courses +… more
- Morehouse School Of Medicine (Atlanta, GA)
- … medical student teaching and supervision + May serve a Course Director for undergraduate medical education courses + May undertake clinical responsibilities ... Assistant or Associate , Clinical Psychiatry (Child Psychiatry) Bookmark this Posting...place of distinction, serving as the nation's leading academic medical center for vulnerable populations. It's also a place… more