- Humana (Atlanta, GA)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- AIG (Atlanta, GA)
- … and legal aspects of assigned claims using available resources which include medical management services to manage medical treatment and coordinate use ... Join us as a Complex Federal Workers Compensation Claims Examiner to take on key responsibilities within...to take on key responsibilities within a world -class claims function. Make your mark in Claims … more
- Elevance Health (Atlanta, GA)
- **Project Director - Claims and Recovery** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office). The ... will drive the future of health care. **The Project Director - Claims and Recovery** is responsible...Masters in Project Management preferred. + Project Management Professional (PMP) certification preferred. + Claims … more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** This role reports to a Director , Product Management and work closely with User Experience team and Technology teams. The Product Manager ... and product quality + Assisting your VP of Product Management in coordinating with sales, marketing, development, and customer...+ bonus, if applicable) + Customizable benefits package (3 medical plans with Health Saving Account company match) +… more
- CenterWell (Marietta, GA)
- …of trends of consolidated account receivables. Report information to appropriate line management . + Assume responsibilities of Director , as assigned, during ... experience preferred + At least three years in a management role generally required + Strong knowledge of accounts...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Humana (Atlanta, GA)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Atlanta, GA)
- …Owners aligned to the claims adjudication and finalization value stream. The Director , Product Management Leads all phases of the product life cycle, from ... caring community and help us put health first** The Director , Product Management Leads all phases of...the product life cycle for the Medicare and Medicaid claims adjudication value stream, from inception to introduction into… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +...claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees… more