- CVS Health (Atlanta, GA)
- …support to Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization ... to Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and… more
- CVS Health (Atlanta, GA)
- …license without encumbrances in one (1) of those five (5) states. + In the Medical Director role you will provide oversight for medical policy ... consistent responses to members and providers. + As a Medical Director you will focus primarily on...States Market (Georgia, Louisiana, Alabama, Mississippi, or Arkansas). Previous UM experience with a Health Plan / Payor. Previous… more
- CVS Health (Atlanta, GA)
- …members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying our ... physical, behavioral and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management leadership to collaborate across… more
- Evolent Health (Atlanta, GA)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management team. ... Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of...members + Supports design and implementation of health plan medical policies, and appropriate Care Management and UM… more
- Evolent Health (Atlanta, GA)
- …partners, including the CEO, CFO, CMO, pharmacy leadership, clinical operations/ UM , medical economics/actuarial services/analytics, and vendor management. ... for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Director , Partner Operations** The Senior Director , Partner Operations serves as… more
- Evolent Health (Atlanta, GA)
- …a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a strategic advisor to ... Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical , pharmacy and ancillary claims data, membership data, clinical operational data… more