- ThermoFisher Scientific (Suwanee, GA)
- …the future. **Location/Division Specific Information** Join Thermo Fisher Scientific as a Medical Director / Clinical Trial Physician(FSP) based in the United ... where you're encouraged to challenge yourself and contribute to breakthrough solutions , the Medical Director / Clinical Trial Physician could be a great fit.… more
- Highmark Health (Atlanta, GA)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- Humana (Atlanta, GA)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- CVS Health (Atlanta, GA)
- …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise ... directing case management when necessary. The Medical Director will act as a business and clinical...facilities if needed, to support the effective execution of medical services programs by the clinical… more
- Molina Healthcare (Savannah, GA)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
- PruittHealth (Atlanta, GA)
- …environment_** **Job Purpose:** PruittHealth Physician Services is seeking an experienced Medical Director to lead clinical care and ensure high-quality, ... support ongoing education for staff and healthcare professionals. **Key Responsibilities:** . Medical Practice Leadership - Direct overall clinical care for… more
- HCA Healthcare (Augusta, GA)
- …through clinical assessments and screening in collaboration with the Rehab Medical Director by demonstrating clinical knowledge of rehab admission ... Do you have the PRN career opportunities as a(an) Clinical Rehab Liaison PRN you want with your current...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services … more
- Grifols Shared Services North America, Inc (Hinesville, GA)
- …in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming ... medical support for investigator and consultant meetings and clinical advisory boards + Develop and manage relationships with...disease. **Pay Scale:** The estimated pay scale for the Medical Director (1-2) role based in the… more
- Elevance Health (Atlanta, GA)
- ** Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... medical appropriate information in order to make medical necessity determinations for services requested. +... Director review or policy interpretation. + Determine medical necessity of requests using applicable clinical … more
- Elevance Health (Atlanta, GA)
- …May be responsible for an entire clinical program and/or independently perform clinical reviews. + The Medical Director typically has program management ... ** Medical Director ** **Location:** This role enables...responsible for the administration of physical and/or behavioral health medical services , to ensure the appropriate and… more
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