- Grant Thornton (Atlanta, GA)
- As a Regulatory & Practice Review Director , you will use your technical and leadership skills to support audit teams and respond to regulatory ... to help engagement teams solve difficult business problems and review highly technical matters and disclosures - all with...include: + Supporting audit teams that are selected for regulatory inspection + Responding to regulatory requests… more
- Humana (Atlanta, GA)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources,… more
- Humana (Atlanta, GA)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer based review of moderately complex to complex ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
- Molina Healthcare (Atlanta, GA)
- …3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice . + Current clinical knowledge. + Experience ... **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to the… more
- Humana (Atlanta, GA)
- …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 ... episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Evolent (Atlanta, GA)
- …within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to… more
- CBRE (Atlanta, GA)
- VAS - Quality & Risk Management Director Job ID 201780 Posted 10-Feb-2025 Service line Advisory Segment Role type Full-time Areas of Interest Valuations/Appraisal ... Role:** As a CBRE Quality & Risk Management (QRM) Director , you will serve as the subject matter expert...incoming Risk Assessments (RA) and participate in the valuation review process, ensuring all valuations issued are of a… more
- The Coca-Cola Company (Atlanta, GA)
- …statement. + Cooperate with Technical, Supply Chain, Risk Management, and PACS to address regulatory risks and trends. + Review and advise on draft securities ... The Senior Director , Legal Counsel - Environmental, Safety & Sustainability...report directly to the Associate General Counsel for Global Regulatory & Litigation. This role will lead the global… more
- Evolent (Atlanta, GA)
- …within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality… more
- Evolent (Atlanta, GA)
- …within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review ... utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance… more