- 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 episodic, home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation and… more
- CVS Health (Atlanta, GA)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... At CVS Health , we're building a world of health...and consistent responses to members and providers. As a Medical Director you will focus primarily on… 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. ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, 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. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review ... health claims and preservice appeals. The Corporate Medical Director works on problems of diverse...and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation...focusing on quality management, utilization management, discharge planning and/or home health or rehab + Must be… 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. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… more
- Evolent (Atlanta, GA)
- …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key… more
- Evolent (Atlanta, GA)
- …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your… more
- BluePearl (Atlanta, GA)
- …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . The Medical Director will partner in ... all clinicians. Using excellent communication and interpersonal skills, the Medical Director will support veterinary partner relationships...and live for the whole family! + Atlanta is home to the Georgia Aquarium, Six Flags, the College… more