- State of Georgia (Fulton County, GA)
- Director , Medical & Clinical Services Georgia - Fulton - Atlanta (https://ga.referrals.selectminds.com/jobs/73688/other-jobs-matching/location-only) ... the senior manager director within Division of Medical / Clinical Services . Directs or manages... available. + Identify community health needs, deficiencies in service and planning for correction or improvement. + Perform… more
- Humana (Atlanta, GA)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- Humana (Atlanta, GA)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- Molina Healthcare (Atlanta, GA)
- …Board Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... case management programs for mental health and chemical dependency services . Works closely with the Regional Medical ...* Supports BH committees for quality compliance. * Implements clinical practice guidelines and medical necessity review… more
- Molina Healthcare (Atlanta, GA)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
- Humana (Atlanta, GA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided...on the line of business. The Medical Director conducts Utilization Management or clinical validation… 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 ... set of clinical domains, including radiology, cardiology and oncology._ The ** Medical Director , Cardiology** is responsible for supporting the medical … more
- Elevance Health (Atlanta, GA)
- ** Clinical Operations Medical Director ** ** Medical Oncology** **Carelon Medical Benefit Management** **Virtual** : This role enables associates to ... clinical domains, including radiology, cardiology and oncology._ The ** Clinical Operations Medical Director ** is... medical appropriate information in order to make medical necessity determinations for services requested. +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Services ** (EUSHS). This administrative faculty physician reports directly to the Senior Director of Clinical Services (SDCS). Job Description: This ... The Assistant Director also serves as the clinical lead for two additionally important service ...Care (70-80%) + Provides direct outpatient primary care physician medical services (including Travel, Immunizations and Allergy)… more
- Norstella (Atlanta, GA)
- Sr. Director /VP/ Clinical Delivery Lead, Advisory Services Company: Citeline Location: Remote, United States Date Posted: Nov 4, 2025 Employment Type: Full ... Time Job ID: R-1553 **Description** Sr. Director /VP/ Clinical Delivery Lead, Advisory Services ...candidates who are on an OPT visa** **Benefits** + Medical and Prescription Drug Benefits + Health Savings Accounts… more
- Emory Healthcare/Emory University (Decatur, GA)
- …can contribute to the excellence of our academic community. **Description** This Associate Director of Clinical Sciences is essential to advancing CHAMPS program ... goals by providing scientific and clinical leadership across three operational areas: Pathology Services...sites, the Senior Epidemiologist, and the Informatics Business Unit Director + Provides clinical expertise and guidance… more
- RELX INC (Atlanta, GA)
- Director of Product Operations - Elsevier Clinical Solutions About Our Team Clinical Solutions is positioned to help our customers achieve success. We use ... care for providers and patients. We offer solutions and services that help customers utilize and integrate content. Working...financial outcomes. About the Role Elsevier is seeking a Director of Product Operations to lead the Product Excellence… more
- RxBenefits (Atlanta, GA)
- The Clinical Account Director will be responsible for nurturing high-level strategic client relationships, effectively collaborating with various levels of ... orientation, any service , past, present, or future, in the uniformed services of the United States (military or veteran status), or any other consideration… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …programs + And more **Work Location:** Atlanta, GA **Description** The System Director of Clinical Documentation Improvement (CDI) for the Emory Hospitals ... care med/surg bedside nursing experience + Minimum of 5 years experience in Clinical Documentation Improvement programs at academic medical centers or complex… more
- CenterWell (Atlanta, GA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Atlanta, GA)
- …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on medical ...background, experience, and judgement to make determinations whether requested services , requested level of care, and/or requested site of… more
- Humana (Atlanta, GA)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Atlanta, GA)
- …topics to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review of moderately complex to ... , requested level of care, and/or requested site of service should be authorized. All work occurs within a...Typically reports to an Associate Vice President of Health Services , Lead, or Corporate Medical Director… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …competencies. + Coordinates rotations, including creating and managing schedules in clinical nutrition, food service , community and enrichment experiences at ... or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services , veteran status or any other… more
- Humana (Atlanta, GA)
- …all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other ... Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert… more