Manager, Medical Policy - Atlanta

+ Lead the review of clinical literature, regulating agency guidance (e.g., FDA, CMS, State/Federal Departments), and specialty society guidelines to develop sound coverage criteria for medical services/devices/technologies. · + Conduct health technology assessments for novel med ...

+ Lead clinical research and development of evidence-based medical necessity criteria within the Office of Clinical Affairs (OCA). · + Responsible for the end-to-end clinical lifecycle of medical policies. · + Serve as lead clinical subject matter expert (SME) for medical evidenc ...

The Senior Manager, Global Compliance will provide day-to-day management of compliance program initiatives primarily for the Americas. · ...

The Certified Medical Coder will review adjudicated medical claims that have been denied and resubmitted by providers for reconsideration. They will analyze claim documentation, coding accuracy, and medical record details to determine if denial reasons are valid or if payment rec ...

+Assists residents with medications ordered by health care providers and as established in each resident's individualized care plan. · ...

The Certified Medication Aide assists residents with medications ordered by their licensed healthcare providers and follows company policies and procedures. · Able to accurately read and follow medication orders and labels. · Able to accurately transpose medication orders to the ...

Computed Tomography Technologist Job Summary: · American-based healthcare organization seeks travel Computed Tomography Technologists for various locations. · About the Position · This travel Computed Tomography Technologist role involves performing CT scans on patients using med ...

We are seeking a pharmacist who is motivated, detail-oriented, capable of managing dosing, discussing policies with physicians, · and able to work independently. Candidates with a passion for pediatric care and a background in surgical pharmacy · and pediatric medications are pre ...

Medical Director Services PC is looking to hire an experienced Attending Physician (MD/DO) to provide care in Atlanta Region. · ...

As a Payment Accuracy Policy Manager, you will serve as a critical bridge between healthcare payment expertise and client strategy. · ...

The Associate Director of Market Access Reimbursement Medical Policy is responsible for developing implementing US reimbursement strategies affecting current future products across Avanos Specialty Nutrition Systems Pain Management portfolios. · ...

+20-40% travel. · Requisition ID: 6896 · Job Title: · Associate Director Market Access & Reimbursement - Alpharetta GA or Remote The Associate Director of Market Access Reimbursement Medical Policy is a customer-facing role responsible for developing implementing U.S.reimbursemen ...

About this role · This Physician Reviewer/Advisor position involves utilizing clinical expertise to review insurance appeals and claims. · Key responsibilities: · Interpret medical necessity of services provided by other healthcare professionals · Comply with client policies, nat ...

The Senior Director, State Government Affairs will represent Fresenius Medical Care-North America and its affiliate companies in all public policy, legislative and political matters before state governments in a defined region. This position will be a home office-based role with ...

This role enables associates to work virtually full-time. This approach promotes productivity, supports work-life integration. · Perform physician-level case review of Medical Oncology regimens and supportive care. · ...

The Associate Director of Market Access, Reimbursement, and Medical Policy is responsible for developing and implementing U.S. reimbursement strategies that affect current and future products across Avanos' Specialty Nutrition Systems · Develops strategies to optimize the reimbu ...

We are hiring a Travel Nurse to provide patient care in a fast-paced medical-surgical setting. · Assess patient conditions and administer medications · Coordinate with healthcare teams and maintain accurate documentation · ...

We are seeking a dedicated Travel Nurse - RN with Medical Surgical (MS) experience for an immediate opening. · Provide high-quality patient care in a fast-paced medical-surgical unit · Educate patients and families on post-discharge care · ...

We are seeking a dedicated Travel Nurse - RN specializing in Medical Surgical (MS) to join our team in Atlanta · Assess, plan, and implement individualized care plans for diverse patient populations. · Monitor patient conditions, administer medications, and collaborate with healt ...

We are seeking a dedicated Travel Nurse for a Med Surg position in Atlanta. · ...