• Complex Claims Director

    AIG (Atlanta, GA)
    Join us as a Complex Federal Workers Compensation Claims Examiner to take on key responsibilities within a world -class claims function. Make your mark ... impact + Provide technical expertise in directing and resolving Federal Workers' Compensation claims in accordance with...Experience in handling DBA negotiations, mediation, on higher value complex claims . + Policy language skills enabling… more
    AIG (03/25/25)
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  • Medical Director -- Claims

    Humana (Atlanta, GA)
    …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
    Humana (05/08/25)
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  • Medical Director - Medicaid N. Central

    Humana (Atlanta, GA)
    … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex...IN, OH, VA, WI** + No current sanction from Federal or State Governmental organizations, and able to pass… more
    Humana (05/14/25)
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  • Medical Director - Care Plus - Florida

    Humana (Atlanta, GA)
    … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of...additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass… more
    Humana (04/24/25)
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  • Lead Director , AI Solutions Design

    CVS Health (Atlanta, GA)
    …day. **Position Summary** CVS Health is seeking an experienced and innovative Director of AI Solutions Design to lead the development of artificial ... intelligence-driven solutions that address complex process challenges across our healthcare operations. This role...related), and the ability to drive impactful change. This Director will serve as the main point of contact/liaison… more
    CVS Health (05/17/25)
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  • Corporate Medical Director - Medicare…

    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
    Humana (04/24/25)
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  • Associate Director , Access and Patient…

    Cardinal Health (Atlanta, GA)
    …can get life-changing therapies to patients who need them-faster. The Associate Director , Access and Patient Support (APS) is responsible for the tactical execution ... collaboration and integration with cross functional teams. The Associate Director oversees revenue and budget accountability, organizational development, and… more
    Cardinal Health (04/17/25)
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  • Director of Sales & Partnerships - enGen

    Highmark Health (Atlanta, GA)
    **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant ... as well as outsourced technology and BPO services. The Director is a strategic thinker with experience in selling...of SaaS, PaaS, BPaaS and professional services in a complex healthcare sales cycle environment + 8 years of… more
    Highmark Health (04/19/25)
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  • Medical Director - Medicare Grievances…

    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
    Humana (05/14/25)
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  • Director of Sales

    Mass Markets (GA)
    …as a trusted partner in the industry. We are seeking a seasoned and driven Director of Sales to join our team. The ideal candidate will excel at building ... existing accounts or leading a sales team. As a Director of Sales, you will play a pivotal role...sales experience with a proven track record of selling complex , consultative services to large corporations, including Fortune 500… more
    Mass Markets (05/17/25)
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