• Cordis (Atlanta, GA)
    …richness of our experiences and backgrounds enhances the careers of our teammates, the service to our customers, and ultimately, the lives of our patients. If you ... keep saving lives. **Responsibilities** **J** **ob** **Summary** **:** The Clinical Sales Specialistis responsible forsupporting the cardiovascular and endovascular… more
    DirectEmployers Association (10/30/25)
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  • National Youth Advocate Program (Duluth, GA)
    …process with multidisciplinary team of professionals including case managers, clinical counselors, medical coordinators and other designated stakeholders.?? ... to children in care.? + Work with program administration, clinical , medical and educational staff in identifying...+ Bachelor's degree required in Social Work, Psychology, Human Services , Counseling or other social service field.… more
    DirectEmployers Association (08/29/25)
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  • Director , Medical & Clinical

    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
    State of Georgia (10/30/25)
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  • Medical Director - OneHome

    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 (10/30/25)
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  • OneHome - Medical Director - Part…

    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 (10/17/25)
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  • Medical Director , Behavioral Health

    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 (10/17/25)
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  • Medical Director (AZ)

    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
    Molina Healthcare (10/17/25)
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  • Sign on Bonus! Medical Director

    PruittHealth (Atlanta, GA)
    …environment_** **Job Purpose:** PruittHealth Physician Services is seeking an experienced Medical Director to lead clinical care and ensure high-quality, ... support ongoing education for staff and healthcare professionals. **Key Responsibilities:** . Medical Practice Leadership - Direct overall clinical care for… more
    PruittHealth (10/17/25)
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  • Medical Director - Claims Management

    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
    Humana (11/01/25)
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  • Cardiology Medical Director

    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 (11/12/25)
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  • Sr. Director /VP/ Clinical Delivery…

    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
    Norstella (11/05/25)
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  • Associate Director of Clinical

    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
    Emory Healthcare/Emory University (10/28/25)
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  • Director , Clinical Programs

    Sedgwick (Atlanta, GA)
    …Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director , Clinical Programs **PRIMARY PURPOSE** : ... in claims and/or managed care. Preferred experience in: client services , clinical operations, and or workers comp...clinical programs. + Negotiates changes or improvements to service plan. + Facilitates the reduction of process barriers,… more
    Sedgwick (11/06/25)
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  • Director , Clinical Documentation…

    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
    Emory Healthcare/Emory University (10/22/25)
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  • Director , Clinical Performance…

    Molina Healthcare (Atlanta, GA)
    …* Develops, performs and promotes interdepartmental integration and collaboration to enhance clinical services . * Collaborates with and keeps clinical ... care management/leadership experience. * Registered Nurse (RN) or other advanced clinical or medical licensure. License must be active and unrestricted in state… more
    Molina Healthcare (11/09/25)
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  • PCO Medical Director - UM - Full…

    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
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    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 (10/25/25)
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  • Medical Director - National UM Team…

    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 (11/07/25)
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  • Behavioral Health Medical Director

    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
    Humana (11/11/25)
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  • Medical Director - Mid West Region

    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
    Humana (09/16/25)
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