- PruittHealth (Buford, GA)
- …care environment_** **Job Purpose:** PruittHealth Physician Services is seeking an experienced Medical Director to lead clinical care and ensure high-quality, ... **_PART TIME with Flexibility - Monday - Friday routine...education for staff and healthcare professionals. **Key Responsibilities:** . Medical Practice Leadership - Direct overall clinical care for… 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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- CenterWell (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex...requires an in-depth evaluation of variable factors. **Become a part of our caring community and help us put… 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...good faith estimate of starting base pay for full time (40 hours per week) employment at the … 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 preauthorization ... requests for services. The Medical Director work assignments involve moderately complex...good faith estimate of starting base pay for full time (40 hours per week) employment at the … 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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- CVS Health (Atlanta, GA)
- …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports ... related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located...will be required to work Eastern or Central Standard time 8-5. Occasional weekend/holiday call to cover urgent cases… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... to operationalize this knowledge in their daily work specifically for DSNP. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put...caring community and help us put health first The Medical Director actively uses their medical ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...w/standard weekends (about 5 per year on average) Eastern Time Zone hours** **Use your skills to make an… more
- Elevance Health (Atlanta, GA)
- ** Medical Director -PSCCR** Location: This role enables associates to work virtually full- time , with the exception of required in-person training sessions, ... an accommodation is granted as required by law. The ** Medical Director -PSCCR** is responsible for the administration...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
- Elevance Health (Atlanta, GA)
- …schedule: Monday - Friday. Half day Saturday rotation, once a month.** The ** Medical Director ** is responsible for the administration of behavioral health ... and quality. + Provides oversight, direction, and guidance to Medical Director Associates. + Works independently with...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
- Evolent (Atlanta, GA)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... state. Multiple opportunities for a flexible schedule and both part - time and full- time options available.**...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Elevance Health (Atlanta, GA)
- **Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full- time , with the exception of required ... but not required. Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
- Elevance Health (Atlanta, GA)
- **Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This role enables associates to work virtually full- time , with the exception of ... as required by law._ **Schedule:** Opportunities for both Full Time and Part Time work...of clinical domains, including radiology, cardiology and oncology._ The ** Medical Director , Cardiology** is responsible for supporting… more
- Elevance Health (Atlanta, GA)
- **Clinical Operations Medical Director ** ** Medical Oncology** **Carelon Medical Benefit Management** **Virtual** : This role enables associates to work ... of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director ** is responsible for supporting the medical … more
- Elevance Health (Atlanta, GA)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit Management/Utilization Review** **Virtual** : ... radiology, cardiology and oncology. _ The **Clinical Operations Associate Medical Director ** is responsible for supporting the...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
- Elevance Health (Atlanta, GA)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full- time , with the exception of required in-person training ... is granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician...several times per week. Specific requirements and expectations for time onsite will be discussed as part … 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 ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more