Trabajos medical director en Atlanta, GA - Page 3Crear alertas

Wave Health Partners is excited to share an Medical Director opportunity near Atlanta, Georgia.

Oversee engagement of Regional Medical Directors, Medical Consortiums and other medical resources as appropriate. Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment impact Property & Casualty product lines. Devel...

Advenio Medical Staffing is seeking a Registered Nurse for an Executive Director job. The Executive Director or alternate will be available on site during business hours and additionally, if needed.

Maintain accurate and timely clinical documentation in accordance with organizational and regulatory standards. Participate in team meetings, case consultations, and professional development activities. Active, unrestricted medical license in at least one of our service states (Virginia, Maryland...

Director of Nursing (DON)Our Client is a growing healthcare organization based in the Atlanta, GA area that offers its employees Paid time off, work life balance, and top-rated management. The Position: Our Client is looking for Director of Nursing (DON).

Medical Director OpportunityAtlanta, GA more information on this Medical Director opening and others like it through Metropolis, a Provider Engagement Platform that connects you with organizations in the top 100 Metropolitan areas. Im already set to interview! I really like Metropolis and love th...

Serve as the Physician match reviewer in Medical Oncology and imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. Ens...

The Associate Director, Medical and Scientific Communications is a key member of the Medical and Scientific Communications team and is also core member of the therapeutic area team within the Medical Affairs organization. Experience with scientific peer-reviewed publications, global medical commu...

Otsuka Pharmaceutical Development & Commercialization, Inc. Minimum of 7 years of experience in Global Medical Affairs within the pharmaceutical or biotechnology industry, with at least 3 years in operational roles. Otsuka America Pharmaceutical Inc.

Position in this function is responsible, in part, as a member of a team of medical directors, for the overall quality, effectiveness and coordination of the medical review services. The Medical Director also provides/assists in the direction and oversight in the development and implementation of...

As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. The Medical Director will participate in all aspects of claim review services including provider telephonic discussions and provider appeals. In a...

Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve quality outcomes and decrease costs. Medical Director in clinical practice. Provide regional medical necessity reviews and cross coverage.

Full time Regional Medical Director: DVM - Great Opportunity + Amazing Compensation - Atlanta & North Georgia. Flexible compensation package (Salary or ProSal).

Full time Regional Medical Director - DVM - New opportunity + Great Compensation - Raleigh / Durham area of North Carolina. Flexible compensation packages, including Salary or ProSal options.

Full time DVM: Regional Medical Director - Great Opportunity + Amazing Compensation - Richmond, Virginia area. This field-based role provides a unique opportunity to collaborate with passionate veterinary teams, ensuring exceptional patient care, supporting staff development, and driving operatio...

Northern GA 20 miles to Chattanooga 70 miles to Marietta 90 miles to downtown Atlanta 2 hours to Knoxville Designated Institutional Official (DIO)/Executive Director for Medical Education.

Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system sup...

Case Management - Case Manager. The Case Manager is responsible for utilization reviews and resource management, discharge planning, treatment plan management and financial management, while also completing medical record documentation. You will report directly to the Director of Case Management ...

You'll enjoy the flexibility to work remotely * from anywhere within the U. All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members. The Medical ...

The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. This position reports directly to the Lead Behavioral Health Medical Director.

The C&S Plan Associate Medical Director is accountable for ensuring top performance in clinical quality and ratings improvement, appropriate inpatient and outpatient covered-service utilization, and health care affordability for Medicaid and the Georgia Foster Care Programs. At UnitedHealthcare, ...

Ensures consistent use of company medical policies when making medical necessity decisions. Clinical Operations Medical Director. Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested.

The Medical Director relies on medical background and reviews health claims. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, state and CMS requirements, Humana policies, ...

Full time Regional Medical Director - Now Hiring + Amazing Compensation - Raleigh / Durham area of North Carolina. Flexible compensation package (Salary or ProSal).

Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial healt...

On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. As a Cardiology, Field Medical Director you will be a key member of the utilizati...

Full time DVM: Regional Medical Director - New Opportunity + Great Compensation - Raleigh / Durham area of North Carolina. Flexible compensation package (Salary or ProSal).

Full time Regional Medical Director - Great Opportunity + Amazing Compensation - Richmond, Virginia area. Flexible compensation package (Salary or ProSal).

Full time Regional Medical Director: DVM - Now Hiring + Great Compensation - Raleigh / Durham area of North Carolina. Flexible compensation package (Salary or ProSal).

Full time DVM: Regional Medical Director - Now Hiring + Great Compensation - Raleigh / Durham area of North Carolina. Flexible compensation package (Salary or ProSal).

Otsuka Pharmaceutical Development & Commercialization, Inc. Minimum of 7+ years of relevant experience in the pharmaceutical industry or biotechnology setting. Otsuka America Pharmaceutical Inc.

Enjoy the benefits of improved access to care, with office and non-office-based visits(e.

Associate Medical Director - Cardiovascular Medicine.

The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The Medical Director relies on medic...

Medical Science Liaison (MSL), US Thoracic Oncology. This is a full-time, exempt, field-based position reporting to the Associate Director, or Director of US Thoracic Oncology Medical Science Liaisons.

Does the idea of doing something that really makes a difference in peoples lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growth and success from each and every one of its employees? If so, then come join our outpatient primary care ce...

Atlanta Board Certified Psychiatrist needed to serve as Associate Medical Director.Along with the Care Management Center Medical Director and Clinical Officer, the Associate Medical Director defines the clinical vision of the Care Management Center and Implements programs to support this vision.T...

Thoracic Surgeon / Medical DirectorJoin as the Medical Director of an established Thoracic Surgical / Lung Cancer Program.

The Medical Director, Infection Control & Prevention and EHC Epidemiologist,. The person will also have an academic appointment at Emory University School of Medicine, Department of Medicine, Division of Infectious Disease with clinical responsibilities and a reporting line to the Director of the...

Full time Regional Medical Director - Now Hiring + Great Compensation - Raleigh / Durham area of North Carolina. Flexible compensation package (Salary or ProSal).

Become a part of our caring community and help us put health first.The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized.All work occu...

Medcare Staffing is currently seeking an Interim Medical Director for locum tenens in Atlanta, GA. Provide oversight of clinical operations including direct supervision of 2 NPs and 3 PAs and the planning and coordination of medical servicesoReview 10% of chartsReview and respond to labs from imm...

Clinical Excellence, a national OptumCare team, is currently seeking an experienced National Senior Medical Director to join our growing Value Innovations efforts. Lead a team of medical directors, nurse coders and operations team to deliver DRG Clinical Review performance.

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge ...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge ...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge ...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge ...