- Humana (Atlanta, GA)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **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
- ABM Industries (Atlanta, GA)
- …Design and implement best practices, policies, and procedures to ensure efficient claims management and regulatory compliance. + Continuously assess the ... **Overview** The Director of Workers' Compensation Claims is...evaluate performance of external partners, including TPAs, legal firms, medical management vendors, and investigative services. +… more
- Elevance Health (Atlanta, GA)
- ** Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This role requires associates to be in-office **3 days per week** , fostering ... considered if candidate resides within a commutable distance from an office._ The ** Director II, Digital Claims Operations** oversees a combined digital and… 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 Sr. Product ... 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
- 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
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
- Elevance Health (Atlanta, GA)
- **Manager, Medical Director - Transformation Initiatives** Location: This role requires associates to be in-office 3 days per week, fostering collaboration and ... is granted as required by law. Alternate locations may be considered. The **Manager, Medical Director ** will serve as a clinical and strategic advisor to… more
- Humana (Atlanta, GA)
- …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 scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- Molina Healthcare (Atlanta, GA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Humana (Atlanta, GA)
- …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 scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- The Cigna Group (Atlanta, GA)
- …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical ... **WORK LOCATION: Atlanta, GA** The ** Director ** **Provider Contracting Network Management ** serves...position. + Creates and manages initiatives that improve total medical cost and quality. + Drives change with external… more
- Celestica (Atlanta, GA)
- Req ID: 129127 Remote Position: Hybrid Region: Americas Country: USA **Summary** The Director , Strategic Supply Chain Management is a global supply chain focal ... provides guidance to ensure capacity is installed as needed. + Supports E&O claims , shortage management and follow up escalations with customers for resolutions.… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
- Elevance Health (Atlanta, GA)
- ** Director II Engineering** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing ... an accommodation is granted as required by law_ The ** Director II Engineering** is a strategic leader responsible for...Build and scale cloud-based data platforms integrating RWD, EHR, claims , and other healthcare data. * Partner with business… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be based in… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... execution and provide feedback to optimize performance at all levels + **Compliance Management :** + Must comply with all state and federal laws, regulations and… more
- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- … roles, leading projects and teams . 5 years of experience in healthcare claims adjudication, medical coding, DRGs, and/or reimbursement methodologies . 5 years ... ** Director of Payment Integrity Consulting** **Category:** Finance **Main...Type:** Full Time **Position Description:** Client Engagement & Relationship Management : * Serve as the primary point of contact… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Position Overview:** The Senior Director , MSAT Biologics provides strategic and technical leadership for all late-stage and commercial manufacturing processes for ... through effective technology transfer, validation, process monitoring, and lifecycle management . This individual will serve as the primary technical steward… more
- Ascendis Pharma (GA)
- …account planning with Market Access team. + Maintain account plans and update medical customer relationship management system in a timely, accurate and compliant ... mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly… more