- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …science to improve the lives of patients. As the Senior Director , Global Medical Affairs, Franchise Lead Specialty Immunology, you will play a critical role ... we are seeking a highly skilled and experienced Senior Director to serve as a Medical Affairs...Medical Affairs Franchise lead overseeing Global programs in Specialty Immunology This position is primarily, but not exclusively,… 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...Current and ongoing Board Certification in an approved ABMS Medical Specialty + **A current and unrestricted… 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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… 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 ... home health per diem, DME, and waiver requests. The Medical Director provides medical interpretation...Current and ongoing board certification in an approved ABMS Medical Specialty + A current and unrestricted… more
- Evolent (Atlanta, GA)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- BluePearl (Atlanta, GA)
- …to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . The Medical Director will partner in leadership ... and all clinicians. Using excellent communication and interpersonal skills, the Medical Director will support veterinary partner relationships and enhance… more
- Elevance Health (Atlanta, GA)
- **Clinical Operations Medical Director ** **Carelon MBM** **Location:** Alternate locations may be considered. The ideal candidate will live within 50 miles of ... one of our Elevance Health PulsePoint locations. The ** Medical Director , Cardiology** is responsible for supporting the medical management staff ensuring… 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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… 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 ... Management staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for… more