- 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)
- …Strategy and Patient Affordability We are seeking a highly skilled and motivated Director of Specialty Pharmacy Operations to lead and oversee the operations ... This position will be responsible for the Specialty Pharmacy operations for OAPI The position will...while ensuring alignment with the product's brand strategy. The Director will collaborate closely with cross-functional teams, including Brand… more
- Bausch Health (Atlanta, GA)
- …it-where your skills and values drive our collective progress and impact. The Senior Director , Specialty Channel Accounts & Strategy will be responsible for the ... range of products, primarily in gastroenterology, hepatology, neurology, dermatology, medical aesthetic devices, international pharmaceuticals. Our 7,000 employees share… 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
- Evolent (Atlanta, GA)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine Surgery ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… 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 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
- 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
- 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 ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us 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...of assignment + Board Certified in an approved ABMS Medical Specialty + **Internal Medicine, Family Practice,… 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 ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Norfolk Southern (Atlanta, GA)
- Medical Director - Occupational Health Apply now " **Date:** May 25, 2025 **Location:** Atlanta, GA, US, 30318 **Company:** Norfolk Southern Corp. **Primary ... Purpose:** The primary purpose of the Medical Director is to evaluate and make...care field **Education:** + Preferred: Board Certified in ABMS specialty + Required Level: Doctor of Medicine; Occupational Medicine… more
- Evolent (Atlanta, GA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to.... Current, unrestricted clinical license in medicine or required specialty . Obtaining and maintaining medical licenses… more
- Evolent (Atlanta, GA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the utilization management team. ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to...+ Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining medical licenses… more
- Humana (Atlanta, GA)
- …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...of assignment + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills +… more
- Elevance Health (Atlanta, GA)
- **Clinical Operations Associate Medical Director ** **Orthopedic Surgery** **Virtual** : This role enables associates to work virtually full-time, with the ... analytics to improve the delivery of care. The **Clinical Operations Associate Medical Director - Orthopedic Surgery** is responsible for performing… more