- Humana (Atlanta, GA)
- …Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness and… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Associate Director , Small Molecule Analytical Development** + Lead and oversee phase appropriate method development and optimization for drug substance and drug ... updates, strategies, and initiatives to key stakeholders and senior management . + Develop and manage comprehensive budgets for various...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …skilled and experienced professional to join our organization as the Assoc. Director of Manufacturing Science and Technology (MSAT) for Upstream processes. This ... technology transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. **Key Responsibilities:** +… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Job Summary** **** The Associate Director , MSAT - Downstream provides specialized technical leadership and oversight for all downstream manufacturing processes ... technology transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. + **Key Responsibilities:**… more
- Kimpton Hotels & Restaurants (Atlanta, GA)
- …compliance. Manage Workers' Compensation and Unemployment administration including effective case management of claims to minimize liability and expense ... transitional duty and return-to-work goals for employees with active Workers' Compensation claims . + Actively partner with the Director of Engineering and… more
- Molina Healthcare (Savannah, GA)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- NASCO (Atlanta, GA)
- **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance ... our industry leading SaaS healthcare payer products and corporate data management products. This hands-on leader will be responsible for actively leading and… more
- Sedgwick (Atlanta, GA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr VP Medical Director (Hourly) The ideal candidate would work 8-20 hours per week. **PRIMARY ... is seeking treatment plan clarification, claim denial, disability certification or duration management for return to work guidance. + Generating phone calls to… more
- Evolent (Atlanta, GA)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... role supports capitated risk and value-based strategy development, medical cost management activity, medical economics activity, and a variety of internal operations… more
- Humana (Atlanta, GA)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more