• Associate Director

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Associate Director , Data…

    Humana (Atlanta, GA)
    …problems of diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS ... high quality metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team… more
    Humana (05/06/25)
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  • Associate Director , Channel…

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to ... of promotional investments across various channels (HCP, DTC, digital, non-personal promotion , etc.). + Develop and refine multi-touch attribution models and other… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • IPA Coding Associate Director

    CenterWell (Atlanta, GA)
    …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
    CenterWell (04/24/25)
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  • Associate Director , Global…

    Merck (Atlanta, GA)
    …consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance **Los Angeles Residents ... Customer-Focused, Data Analysis, Design Thinking, Email Marketing, Health Education Promotion , Marketing, Marketing Analytics, Marketing Automation, Marketing Campaign Development,… more
    Merck (05/13/25)
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  • Medical Director - Medicaid N. Central

    Humana (Atlanta, GA)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (05/14/25)
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  • Medical Director - Pacific SW Region

    Humana (Atlanta, GA)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (05/10/25)
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  • Medical Director - Care Plus - Florida

    Humana (Atlanta, GA)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (04/24/25)
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  • Divisional Director of Care Management,…

    CenterWell (Atlanta, GA)
    …our caring community and help us put health first** The Divisional Director is responsible for building a strong partnership with clinical-operational divisional ... and coordinating care to reduce acute and post-acute care utilization. The Divisional Director role is a hybrid with travel requirements to facilitate and liaise… more
    CenterWell (05/06/25)
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  • RN Branch Director , Home Health

    CenterWell (Sandy Springs, GA)
    …sit on-site at our Sandy Springs, GA branch location.** The **RN Branch Director ** is accountable for managing the day-to-day branch operations to ensure the ... following: operational efficiencies, quality of patient care, regulatory compliance , support of business development & patient base growth, achievement of key… more
    CenterWell (04/24/25)
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  • Medical Director - Medicare Grievances…

    Humana (Atlanta, GA)
    …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 scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
    Humana (04/24/25)
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  • Medical Director - Medicare Grievances…

    Humana (Atlanta, GA)
    …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 scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
    Humana (05/14/25)
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  • Regional Director - HIV Prevention, Field…

    Gilead Sciences, Inc. (Atlanta, GA)
    …pioneers in transforming patient care through groundbreaking therapies. As the **Regional Director - HIV Prevention, Field Activation Specialist** , you'll play a ... knowledge sharing and cooperation across the team and ecosystem organization. ** Compliance and Integrity/ Compliance and Legal Adherence:** + Ensure all… more
    Gilead Sciences, Inc. (05/16/25)
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  • Director of RxEducation Operations

    CenterWell (Atlanta, GA)
    …caring community and help us put health first** Humana is seeking a Director of RxEducation Operations to lead our Pharmacy telephonic member education operation. ... services (cost , quality, service, improved clinical outcomes, ease). The ** Director of RxEducation Operations** oversees the enrollment, education, engagement, and… more
    CenterWell (05/09/25)
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  • Director , Stars HOS Improvement…

    Humana (Atlanta, GA)
    …condition management, health outcomes, patient experience, and plan operations. The Director , Stars HOS Improvement and Operations is responsible for overseeing the ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    Humana (05/13/25)
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  • Director , Drug Trend and Pipeline…

    CenterWell (Atlanta, GA)
    **Become a part of our caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the leader of Forecasting and would ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    CenterWell (05/11/25)
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  • RN Clinical Manager, Home Health

    CenterWell (Decatur, GA)
    …part of our caring community and help us put health first** Reports To: Associate Director , Home Health Branch Administrator FLSA: Exempt **Work Schedule** : ... of Care (POC). + Monitors cases to ensure documentation is following compliance with regulatory agencies and requirements of third-party payers. Ensures final… more
    CenterWell (05/11/25)
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  • Division Chief, Nephrology

    Emory Healthcare/Emory University (Atlanta, GA)
    …Key Relationships: + Chief Medical Officer/Chief Quality Officer + Director , Physician Practice Operations + Practice Manager, Physician Practice Operations ... with other clinicians including community and referring providers. + Assure compliance with all relevant Department, clinic, and hospital policies and procedures.… more
    Emory Healthcare/Emory University (04/01/25)
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  • Nurse Practitioner / Physician Assistant

    CenterWell (Stone Mountain, GA)
    …professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their ... and lead with the care team through daily huddles. + Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in… more
    CenterWell (05/08/25)
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  • Patient Services Coordinator Home Health

    CenterWell (Duluth, GA)
    …and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization log, including entering ... weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. + Verifies visit paper… more
    CenterWell (05/16/25)
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