14 Medical Director And Reviewer Positions jobs in Atlanta.

Hiring now: Care Review Clinician Inp @ Molina Hea, Gastroenterology Physicia @ Atlantic M, Drg Coding Auditor @ Elevance H, Provider Reimburse Admin @ Elevation , Specialty Medical Dir Vet @ Thrive Pet.Explore more at jobswithgpt.com.

šŸ”„ Skills

Physician (4) utilization management (3) clinical service requests (2) evidence-based clinical guidelines (2) cost-effective (2) financial responsibility (2) prior authorization (2) Gastroenterology (2) ERCP (2) Relocation (2)

šŸ“ Locations

Atlanta (12) Decatur (2)
šŸ” Go to full job search

Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Atlanta
Skills & Focus: inpatient reviews, clinical service requests, evidence-based clinical guidelines, medically appropriate care, cost-effective, financial responsibility, prior authorization, multidisciplinary team collaboration, Utilization Management Certification, hospital acute care
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience.
Salary: $23.76 - $51.49 / HOURLY
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Care Review Clinician, Prior Authorization Nurse Atlanta
Skills & Focus: prior authorization, clinical service requests, evidence-based clinical guidelines, financial responsibility, multidisciplinary teams, utilization management, compliance, cost-effectiveness, referrals, patient outcomes
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 1-3 years of hospital or medical clinic experience.
Salary: $19.64 - $42.55 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Atlantic Medsearch

Gastroenterology Physician Atlanta
Skills & Focus: Gastroenterology, Physician, ERCP, Health Care, Associate, Support Staff, GI Procedures, Compensation, Relocation, CME
About the Company: Atlantic MEDsearch is a highly confidential search firm that provides resources for medical providers pursuing new opportunities & recruitment services for heaā€¦
Type: Full time
Benefits: generous salary, incentives, relocation, vacation, CME, benefits, malpractice, retirement & may include sign-on bonus

Molina Healthcare

Specialist, Appeals & Grievances Atlanta
Skills & Focus: appeals, grievances, member complaints, provider complaints, research, resolution, medical records, claims processing, communication, regulatory guidelines
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Min. 2 years operational managed care experience (call center, appeals or claims environment).
Salary: $21.16 - $38.37 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Care Review Clinician, Inpatient Review (RN) Atlanta
Skills & Focus: inpatient, review, clinical guidelines, authorization, utilization management, collaboration, multidisciplinary, cost-effective, treatments, encounter
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are sā€¦
Experience: 3+ years hospital acute care/medical experience.
Salary: $23.76 - $51.49 / HOURLY
Type: Full-time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Atlantic Medsearch

Gastroenterology Physician Atlanta
Skills & Focus: Gastroenterology, Physician, GI procedures, ERCP, call schedule, salary, incentives, relocation, CME, malpractice
About the Company: Atlantic MEDsearch is a highly confidential search firm that provides resources for medical providers pursuing new opportunities & recruitment services for heaā€¦
Type: Full time
Benefits: generous salary, incentives, relocation, vacation, CME, benefits, malpractice, retirement & may include sign-on bonus.

Elevance Health

DRG Coding Auditor Atlanta
Skills & Focus: auditing, claims, ICD-10, medical records, DRG coding, quality assurance, clinical reviews, recovery, provider billing, hospital coding
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: Requires at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing.
Type: Hybrid
Benefits: We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and inā€¦

Elevation Health

Provider Reimburse Admin Sr Atlanta
Skills & Focus: reimbursement policies, claims adjudication, subject matter expert, medical policies, editing policies, vendor collaboration, business process improvements, provider reimbursement activities, mentorship, coding conventions
About the Company: Elevation Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandā€¦
Experience: 4 years related experience; or any combination of education and experience.
Salary: $76,296 to $124,848
Type: Hybrid (1-2 days in the office)
Benefits: comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution

Elevance Health

Nurse Reviewer I Atlanta
Skills & Focus: medical necessity, clinical screening, diagnostic imaging, preauthorization, managed healthcare, utilization management, RN license, patient care, quality management, healthcare providers
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: Minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience.
Salary: $34.69/hr to $54.41/hr
Type: Full-time
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution, paid holiā€¦
Oncology Medical Director- Commercial National Division Atlanta
Skills & Focus: oncology, medical director, clinical consultation, case management, utilization review, evidence-based guidelines, health care quality, cost-effective medical care, peer-to-peer clinical reviews, program implementation
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: Minimum of 10 years of clinical experience
Salary: $262,152 to $398,228
Type: Full-time
Benefits: comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution

Atlantic Medsearch

Neurology Physician Atlanta
Skills & Focus: Neurology, Physician, outpatient, Hospital, neurohospitalist, Neurophysiology, call 1:3, health benefits, relocation, vacation/CME
About the Company: Atlantic MEDsearch is a highly confidential search firm that provides resources for medical providers pursuing new opportunities & recruitment services for heaā€¦
Type: Full time
Benefits: competitive base salary, productivity incentives, health benefits, relocation, malpractice, vacation/CME and 401K retirā€¦

Elevance Health

Medical Director, Cardiology Atlanta
Skills & Focus: Medical Director, Cardiology, clinical case reviews, medical necessity, peer-to-peer consultations, healthcare, vascular surgery, evidence-based guidelines, clinical criteria, treatments
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: Minimum of 1 year of experience with clinical case reviews for medical necessity.
Salary: $205,470.72 - $337,559.04
Type: Hybrid
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution.

Atlantic Medsearch

Urologist Decatur
Skills & Focus: Urology, Physician, Solo practitioner, Surgical responsibilities, General urology, Da Vinci Robotic system, Patient care, Incentives, Relocation, Healthcare
About the Company: Atlantic MEDsearch is a highly confidential search firm that provides resources for medical providers pursuing new opportunities & recruitment services for heaā€¦
Experience: Experienced
Type: Full time
Benefits: Generous salary, incentives, benefits, vacation, relocation, retirement, malpractice, potential sign-on bonus, student ā€¦

Thrive Pet Healthcare

Specialty Medical Director Veterinarian - Specialist Decatur
Skills & Focus: Veterinary, Medical Director, Specialist, AAHA Accreditation, Internal Medicine, Oncology, Surgery, Continuing Education, Mental health, Professional growth
About the Company: Thrive Pet Healthcare is looking to add a Veterinary Medical Director to the team at Saint Francis Veterinary Specialists. We believe in your abilities and areā€¦
Experience: Doctor of Veterinary Medicine (DVM/VMD) or equivalent degree required
Benefits: A progressive compensation model that includes competitive base salaries with additional production opportunities. Persā€¦