- CVS Health (Atlanta, GA)
- …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the ... related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located...Two (2) + years of experience in managed care ( Medicare and/or Medicaid) MD or DO; Board certification in… more
- Evolent (Atlanta, GA)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Atlanta, GA)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Molina Healthcare (Augusta, GA)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... staff services. Maintains a working knowledge of applicable national , state, and local laws and regulatory requirements affecting...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Evolent (Atlanta, GA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Morehouse School Of Medicine (Atlanta, GA)
- Director , Graduate Medical Education (GME) Bookmark this Posting Print Preview | Apply for this Job Please see Special Instructions for more details. Employment ... career at MSM ! Posting Number NONAC3641 Job Title Director , Graduate Medical Education (GME) Position Title...Graduate Medical Education - ACGME accreditation standards, medical licensing, visa issues, Medicare funding, residency… more
- Evolent (Atlanta, GA)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... match reviewer in Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients,… more
- Gentiva (Statesboro, GA)
- …Hospice.** We have an exciting and rewarding opportunity for a RN Hospice Executive Director to join our leadership team. This role is ideal for a licensed ... operations, ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure… more
- Ascendis Pharma (GA)
- …offer a dynamic workplace for employees to grow and develop their skills. The National Director , Field HEOR serves as a strategic scientific liaison responsible ... such as Medicare and Medicaid. + Collaborate with commercial and medical in responding to external value assessments of Ascendis products, including external… more
- Molina Healthcare (Macon, GA)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for… more