• Medical Director - Florida

    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 (10/03/25)
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  • Medical Director -Payment Integrity

    Humana (Atlanta, GA)
    …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. Medical ...a Lead Medical Director . The Medical Director conducts post- service , inpatient… more
    Humana (09/26/25)
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  • Director of Physician Services II

    HCA Healthcare (Vidalia, GA)
    …of care in 21 states and the United Kingdom. We are looking for a Director of Physician Services II for our South Atlantic Division, where excellence creates ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for… more
    HCA Healthcare (10/05/25)
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  • Director , Prospective + Concurrent Risk…

    Datavant (Atlanta, GA)
    …requirements, medical record standards, and regulatory guidance impacting concurrent coding or risk adjustment. + Product experience integrating into EHRs or ... experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the… more
    Datavant (08/08/25)
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  • Associate Director , Field Reimbursement,…

    AbbVie (Atlanta, GA)
    …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please… more
    AbbVie (10/09/25)
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  • Senior Director , Active Directory

    ADP (Alpharetta, GA)
    **ADP is hiring a Senior Director , Active Directory** **Locations: Roseland, NJ or Alpharetta, GA** + _Are you empathetic to client needs and inspired by ... environments. + Define and execute the roadmap for identity management, directory services , and certificate services across hybrid infrastructure. + Align IAM… more
    ADP (08/22/25)
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  • Director of Payment Integrity Consulting

    CGI Technologies and Solutions, Inc. (Atlanta, GA)
    …projects and teams . 5 years of experience in healthcare claims adjudication, medical coding , DRGs, and/or reimbursement methodologies . 5 years of experience ... ** Director of Payment Integrity Consulting** **Category:** Finance **Main...including pre-payment review, post-payment audit, FWA detection and prevention, coding accuracy, clinical integrity, and provider data management. *… more
    CGI Technologies and Solutions, Inc. (09/25/25)
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  • Director , Technology Consulting

    Public Consulting Group (Atlanta, GA)
    …be versed in big data, coding , project management, technical writing, and cloud services . The Director will manage a team of resources in addition to ... Business Solutions + Project Assurance PCG is hiring a Director with focus on delivering management consulting services...union, or domestic partnership status, past or present military service , citizenship status, family medical history or… more
    Public Consulting Group (10/04/25)
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  • Director , Denial Resource Center

    Baylor Scott & White Health (Atlanta, GA)
    …issues with efficiency resulting in improved utilization of appropriate patient care services . Collaborates with medical , clinical, HIM and other BSWH ... **Job Summary** The Director , Denial Resource Center is responsible for the...lead a highly skilled team of Registered Nurses, Certified Coding Specialists, Complex Appeal Specialists, Payer Liaisons and Collectors… more
    Baylor Scott & White Health (10/04/25)
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  • Associate Director Informatics

    CenterWell (Atlanta, GA)
    …of our caring community and help us put health first** The Associate Director , Informatics coordinates with other analytics, IT and business areas across the ... organizational capabilities intersect within and across departments. The **Associate Director , Informatics** will be responsible for supporting Patient Safety… more
    CenterWell (10/09/25)
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