Results, order, filter

30 Jobs in Atlanta, GA

  • UM Medical Director

    ATLANTA, Georgia
    ... 50 miles of one of our Elevance Health office locations.** The Medical Director is responsible ... serve as a resource to staff including Medical Director Associates. May be responsible for an entire ...
  • Medical Oncology Medical Director - Utilization Review

    Atlanta, Georgia
    ... Clinical Operations Medical Director Utilization Management of Medical Oncology ... Medical Director supporting our Medical Oncology team is responsible for supporting the medical ...
  • UM Medical Director - Cardiology

    Atlanta, Georgia
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Associate Medical Director - Neurosurgery

    Atlanta, Georgia
    ... Clinical Operations Associate Medical Director Neurosurgery Carelon ... Associate Medical Director of Neurosurgery responsible for performing pre-authorizations and providing ...
  • Medicare Medical Director Clinical Programs

    Atlanta, Georgia
    ... .** The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Analyzes and ...
  • UM Medical Director - Orthopedic Surgery

    Atlanta, Georgia
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Atlanta, Georgia
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Associate Medical Director - Interventional Pain

    Atlanta, Georgia
    ... Clinical Operations Associate Medical Director **Carelon Medical Benefit Management ... and oncology._ The Clinical Operations Medical Director is responsible for supporting ...
  • National Solution Medical Director - Surgery

    ATLANTA, Georgia
    ... A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management ... and oncology. Carelon Medical Benefits Management is looking to hire a National Medical ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Atlanta, Georgia
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • National Medical Director - Total Cost of Care, Post Acute

    ATLANTA, Georgia
    ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Atlanta, Georgia
    ... .** The Behavioral Health Medical Director is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates ...
  • National Medical Director - Physiatry, Post Acute Solutions

    ATLANTA, Georgia
    ... Medical Director for Post Acute Care Solutions** . This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product ...
  • Director of Programs & Project Management

    ATLANTA, Georgia
    ... Director Programs & Project Management Location: This position will work a hybrid ... third-party administrator (TPA) of medical benefits, also providing medical management, human resource ...
  • Director II Product Management, Carelon Product Platforms

    ATLANTA, Georgia
    ... . With capabilities spanning pharmacy, behavioral health, complex care delivery, medical benefits ... Platform team is looking to hire a Director II Product Management, Carelon Product Platforms, who is ...
  • Health Benefits Executive Director

    Atlanta, Georgia
    ... Health Benefits Executive Director Location: This position will work a hybrid ... . The Health Benefits Executive Director is responsible for leading the development and ...
  • Pharmacy Quality Assurance Specialist

    ATLANTA, Georgia
    ... ) Specialist** . This Pharmacy Quality Assurance Specialist, reporting to the Director of ... of insurance industry and medical terminology and detailed knowledge of relevant systems and proven ...
  • Nurse Care Manager II (2pm - 11am Eastern Time)

    Atlanta, Georgia
    ... quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient ... . Partners with physician clinical reviewers and/or medical directors to interpret appropriateness of care ...
  • Provider Cost of Care Consultant

    ATLANTA, Georgia
    ... . Provides expert advice, analytic and consultative support to Medical Directors and management on cost of ... negotiation process. Can work with multiple provider types, e.g. physician, ancillary, medical groups ...
  • Provider Contract/Cost of Care Consultant

    ATLANTA, Georgia
    ... advice, and analytic and consultative support to Medical Directors and management on cost-of-care issues ... work with multiple provider types, e.g. physicians, ancillary, medical groups, or hospitals. Supports a ...
  • Provider Contract Cost of Care Analyst

    ATLANTA, Georgia
    ... satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of ...
  • Nurse Medical Management I-1

    Atlanta, Georgia
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Provider Contract/Cost of Care Consultant Senior

    Atlanta, Georgia
    ... looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... . Provides advice, analytic and consultative support to Medical Directors and management on cost of care ...
  • Provider Contract / Cost of Care Analyst Senior

    ATLANTA, Georgia
    ... , ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators ... control costs; Projecting cost increases in medical services by using analytic techniques for PMPM ...
  • Nurse Medical Management II

    Atlanta, Georgia
    ... Nurse Medical Management II At Federal Health Products and Services - FHPS , a ... Medical Management II** is responsible for collaborating with healthcare providers and members to ...
  • Reviewer - Therapy Services

    ATLANTA, Georgia
    ... ** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ...
  • Nurse Case Mgr II (US)

    ATLANTA, Georgia
    ... care management plan and modifies as necessary. Interfaces with Medical Directors and Physician ...
  • Telephonic Nurse Case Manager II

    ATLANTA, Georgia
    ... effectiveness of the care management plan and modifies as necessary. Interfaces with Medical Directors and ...
  • Telephonic Nurse Case Manager II

    ATLANTA, Georgia
    ... management plan and modifies as necessary. Interfaces with Medical Directors and Physician Advisors on ...
  • Nurse Case Mgr II (US)

    ATLANTA, Georgia
    ... necessary. Interfaces with Medical Directors and Physician Advisors on the development of care ...
More