AtlantaRecruiter Since 2001
the smart solution for Atlanta jobs

Reviewing Medical Director

Company: Humana
Location: Atlanta
Posted on: January 17, 2020

Job Description:

Required Qualifications Bachelor's degree 5 years of technical experience A current and unrestricted license in at least one jurisdiction and willing to obtain license, as required, for various states in region of assignment MD or DO degree Board Certified in an approved ABMS Medical Specialty Excellent communication skills with 5 years of established clinical experience Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products Possess analysis and interpretation skills with prior experience leading teams focusing on quality management, utilization management, discharge planning and/or home health or rehab Preferred Qualifications Medical management organizations, hospitals and experience, working with health insurance other healthcare providers, patient interaction, etc. Internal Medicine, Family Practice, Geriatrics, Hospitalist clinical specialists. Previous Medicare, Medicaid, and/or Commercial experience. Additional Information The Medical Director conducts clinical reviews of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews and/or condition committees. Must hold a MD or DO and be board certified and typically reports to a Lead or Regional or Corporate Medical Director, depending on size of region/line of business. physiciancareers

Keywords: Humana, Atlanta , Reviewing Medical Director, Executive , Atlanta, Georgia

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Other Executive Jobs

Senior Manufacturing Manager
Description: br br Major Tasks Responsibilities: br br Manage all facility costs and satisfy all cost metrics br Recruit, hire, train, and develop workforce br Identify and develop
Company: Staubach & Associates
Location: Kennesaw
Posted on: 01/25/2020

92Y Unit Supply Specialist - Warehouse Manager
Description: As a Unit Supply Specialist for the Army National Guard, you will ensure that your Unit and fellow Soldiers are well supplied and equipped for any mission. In this role, your keen eye and management ability (more...)
Company: Army National Guard
Location: Marietta
Posted on: 01/25/2020

Senior Manager Finance
Description: We are Aaron's - an industry leader in the sales and lease-to-own retail industry known for quality brand names and superior customer service. We provide our team members the opportunity to reach their (more...)
Company: Aarons
Location: Atlanta
Posted on: 01/25/2020

Director of Business Development
Description: Got Questions --Email us:-- CSI-IS-046 CYNETSYSTEMS.COM Job Title: Director Of Business Development Job Location: Atlanta, GA Job Type: Full Time / Perm / Direct Hire Due to the nature of the assignment, (more...)
Company: Cynet systems Inc
Location: Atlanta
Posted on: 01/25/2020

Tax Manager - Fortune 500 Company!
Description: Parker Lynch is working with a highly recognizable, Fortune 500 company on a search for a Tax Manager. If you're an experienced CPA
Company: Parker + Lynch
Location: Atlanta
Posted on: 01/25/2020

Director of Business Analytics
Description: Analytics Expert We are seeking a Director of Business Analytics to join our team. Your experience leading client solutions makes you an ideal candidate for this role. This is a permanent
Company: Talent 360 Solutions
Location: Atlanta
Posted on: 01/25/2020

Site Manager
Description: OVERVIEW Instacart Site Managers own multiple stores in a particular area and are critical to the success of our business. As a site manager, you are responsible for maintaining strong relationships with (more...)
Company: Instacart
Location: Atlanta
Posted on: 01/25/2020

Tax Manager, State Income and Franchise Tax, Investment Management Industry
Description: Are you a strategic and creative Multistate Tax professional who likes solving complex state tax issues Are you ready to make a greater impact on organizations by combining tax consulting solutions and (more...)
Company: Deloitte
Location: Atlanta
Posted on: 01/25/2020

P&C Reinsurance Catastrophe Modeling Manager PR10362
Description: P C Reinsurance Catastrophe Modeling Manager opening in
Company: Pryor Personnel Agency, Inc.
Location: Atlanta
Posted on: 01/25/2020

Portfolio Manager (Inside 285 Perimeter)
Description: Description: br This position consists of a portfolio mainly inside the perimeter of 285Purpose:To work with the Board of Directors BOD to provide guidance and improve the overall quality of living (more...)
Company: Community Management Associates
Location: Atlanta
Posted on: 01/25/2020

Log In or Create An Account

Get the latest Georgia jobs by following @recnetGA on Twitter!

Atlanta RSS job feeds