• Associate Director , Performance Analytics

    Evolent (Atlanta, GA)
    …billing and various sites of care/service + Familiarity with value-based care and utilization management + Understanding of data systems and the critical ... Management ** , leveraging advanced analytics to solve complex healthcare challenges and support impactful decision-making that enhances organizational performance… more
    Evolent (07/15/25)
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  • Director I - Graduate Medical Education

    Morehouse School Of Medicine (Atlanta, GA)
    Director I - Graduate Medical Education Bookmark this Posting Print Preview | Apply for this Job Please see Special Instructions for more details. Employment in this ... career at MSM ! Posting Number NONAC3601 Job Title Director I - Graduate Medical Education Position Title ...in partnership with CommonSpirit Health ( CSH ) hospitals healthcare facilities to create GME programs and/or develop affiliations… more
    Morehouse School Of Medicine (08/08/25)
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  • Associate Director , Client Analytics

    Evolent (Atlanta, GA)
    …leadership is preferred. + Familiarity with value-based care models and utilization management frameworks is preferred. Technical Requirements: We require ... related discipline). + 5+ years of analytics & reporting experience in healthcare , including medical economics, cost/ utilization analysis, and membership trend… more
    Evolent (09/05/25)
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  • Corporate Medical Director - Medicare…

    Humana (Atlanta, GA)
    …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with health insurance ... 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.… more
    Humana (09/05/25)
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  • Associate Medical Director - Orthopedic…

    Elevance Health (Atlanta, GA)
    …preferred. + Extensive spine surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. + **Orthopedic ... Medical Director ** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management ** **Schedule: 10:30 AM-7 PM Central** **Virtual:** This role enables… more
    Elevance Health (08/02/25)
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  • Associate Medical Director

    Elevance Health (Atlanta, GA)
    **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review** _A proud ... as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (09/04/25)
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  • Medical Director - Medicare Grievances…

    Humana (Atlanta, GA)
    …focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with health insurance ... 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… more
    Humana (09/06/25)
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  • Sr Director Clinical Strategy and Oncology…

    Prime Therapeutics (Atlanta, GA)
    …clinical and financial outcomes + Excellent communication, negotiation, and relationship management abilities + Knowledge of healthcare regulations, payer ... and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description**… more
    Prime Therapeutics (07/01/25)
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  • Atlanta Market - Medical Director

    ChenMed (Atlanta, GA)
    …expanding and we need great people to join our team. The Regional Medical Director (RMD) is a developmental, pathway role to Market Chief Medical Officer which is ... a designated region. As a member of the Executive Management team, the incumbent in this role, in close...quality outcomes, efficiency and the patient experience. + Drives utilization of customized, end-to-end technology designed to support every… more
    ChenMed (09/02/25)
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  • Senior Director , Global Quality Strategy…

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for developing and delivering the Global Quality strategic plan, ... the effectiveness of global systems. This role will also encompass document management , learning and development, risk management , data integrity and process… more
    Otsuka America Pharmaceutical Inc. (09/03/25)
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