- Elevance Health (Atlanta, GA)
- ** Plan Performance Medical Director ** **Location** : This role requires associates to be in-office 3 days per week, fostering collaboration and ... Join us and together we will drive the future of health care. The ** Plan Performance Medical Director ** is pivotal in ensuring the administration of… more
- Humana (Atlanta, GA)
- …help us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, ... effectiveness, compliance, and the achievement of key business objectives. The Director will be responsible for establishing clear performance metrics,… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- Evolent (Atlanta, GA)
- …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical ... with leadership and management staff as well as health plan members and staff whenever a physician`s input is...questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into… more
- Humana (Atlanta, GA)
- …a part of 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. The Corporate Medical Director works on problems of diverse...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
- Molina Healthcare (GA)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +... medical protocols and rules of conduct for plan medical personnel are followed. + Develops… more
- Humana (Atlanta, GA)
- …a part of 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 Corporate Medical Director works on problems of diverse...medical , dental and vision benefits, 401(k) retirement savings plan , time off (including paid time off, company and… more
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