147 Emory Healthcare jobs in Avondale Estates

**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
For accommodation requests, please contact HR Services Online at
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Req ID: J

Job Description

Job Description

Salary: $30-$60 per hour

Job Summary:

The Clinical Services Supervisor (CSS) is responsible for overseeing the delivery of Douglas Services LLC's Behavior Support Services (BSS) within the framework of Georgias Comprehensive Supports Waiver (COMP) and New Options Waiver (NOW) programs. This role ensures that behavior support services are provided in compliance with state and federal regulations, maintaining high standards of care for individuals with developmental disabilities.

Key Responsibilities:

• Provide clinical oversight for Behavior Support Services (BSS) within the organization.
• Ensure compliance with COMP and NOW Waiver Manuals and DBHDD policies.
• Supervise and support behavior analysts and other professionals delivering behavior support services.
• Conduct assessments and evaluations to develop individualized behavior support plans.
• Collaborate with interdisciplinary teams to enhance service delivery and improve client outcomes.
• Maintain accurate documentation and reports in accordance with Medicaid and DBHDD requirements.
• Provide training and guidance to staff on best practices in behavior support services.
• Participate in audits, reviews, and quality assurance initiatives to ensure service excellence.

Qualifications:

• Licensure: Must hold a current state of Georgia license in one of the following fields:
  • Professional Counselor
  • Clinical Social Worker
  • Board-Certified Behavior Analyst (BCBA)
• Experience: Minimum one (1) year of direct service delivery in behavior support services.
• Advanced Training: Must have specialized training in behavior analytic techniques.

Preferred Skills:

• Strong leadership and supervisory abilities.
• Excellent communication and interpersonal skills.
• Ability to work collaboratively with diverse teams.
• Proficiency in documentation and compliance reporting.
• Knowledge: Strong understanding of Medicaid waiver programs, developmental disabilities, and behavioral health interventions

Employment Conditions:

• Must pass background checks as required by DBHDD and Medicaid regulations.
• Must complete required DBHDD provider training upon hiring.

Job Title:
VP- Clinical Services Practice
Job Description
The VP of Clinical Services will be instrumental in designing and driving the go-to-market (GTM) strategy for our newly launched clinical services capability. This individual brings deep expertise in clinical services within the healthcare payer/provider landscape, focusing on GTM design, building strategic solutions, and establishing market credibility. They will work closely with sales, product development, and leadership to shape and execute strategies that position us competitively and ensure successful engagement with clients.
The VP of Clinical Services will be instrumental in designing and driving the go-to-market (GTM) strategy for our newly launched clinical services capability. This individual brings deep expertise in clinical services within the healthcare payer/provider landscape, focusing on GTM design, building strategic solutions, and establishing market credibility. They will work closely with sales, product development, and leadership to shape and execute strategies that position us competitively and ensure successful engagement with clients.
This is a strategic role to business development and solution leadership enabling account and dales teams to credibly approach clients and ensuring that our clinical offerings align with market needs. The ideal candidate will be measured on their ability to shape and activate a national go-to-market strategy, generate demand for clinical services, enhance market positioning, and contribute to building a scalable clinical practice, with particular emphasis on incorporating technology and innovation into our service design.
Key Responsibilities:
Clinical Go to Market Leadership:
· Design and execute the go-to-market strategy for clinical services, ensuring alignment with broader business objectives.
· Bring SME-level knowledge to clinical GTM design, helping develop scalable and competitive offerings tailored to client needs.
· Identify key industry trends, market dynamics, and competitor positioning to inform strategic decisions and refine clinical practice capabilities.
· Serve as a credible industry voice, participating in industry events, conferences, and webinars to enhance the visibility and credibility of our clinical solutions.
Sales Enablement and Market Engagement:
· Act as the solution lead for clinical services, equipping sales teams with tailored strategies, materials, and insights to engage prospective clients effectively.
· Support sales efforts by participating in client meetings and pitches, ensuring a credible and knowledgeable presence in clinical discussions.
· Focus on driving deal flow by helping secure meetings with key stakeholders in the healthcare payer/provider space.
· Collaborate with sales teams to develop strategies and messaging that resonate with target clients, emphasizing designing and building clinical solutions rather than simply selling.
Building and Enhancing Clinical Practice:
· Provide strategic input into the design and build of clinical services, ensuring offerings are innovative and aligned with market demands.
· Integrate technology and analytics into the design of clinical solutions to enhance scalability, efficiency, and competitiveness.
· Work cross-functionally with operational teams to ensure that client engagements are seamlessly transitioned from design to delivery, but with minimal direct operational involvement.
Market Credibility and Competitive Positioning:
· Develop and execute strategies to position our clinical services competitively, focusing on differentiation in the marketplace.
· Engage in thought leadership by contributing to whitepapers, panels, or industry discussions that highlight our expertise and solutions.
Performance Metrics and Impact:
· Define and track key metrics to measure success, including the number of industry events attended, the quality and quantity of client engagements, and the impact on deal flow.
· Collaborate with leadership to establish benchmarks for growth and market presence, providing regular updates on progress.
Qualifications:
· Bachelor's degree in Healthcare Administration, Business, or a related field; Master's degree preferred.
· Proven experience and deep understanding of the U.S. healthcare payer/provider landscape, preferably including experience designing, scaling, and operationalizing clinical engagements.
· Demonstrated expertise in GTM strategy design for clinical services, including solution leadership and market positioning.
· Strong understanding of the intersection of clinical services and technology, with experience incorporating tech solutions into clinical practice design.
· Excellent communication, presentation, and interpersonal skills, with the ability to engage credibly at all levels.
· Experience attending or presenting at industry events and engaging with key stakeholders.
· Ability to travel as needed to meet business objectives.
Performance Metrics:
· Number of industry events attended or thought leadership activities contributed.
· Metrics around deal flow and client engagements (e.g., number of meetings secured with key stakeholders).
· Contribution to designing and building scalable clinical solutions that meet market needs and drive differentiation.
The base salary range for this position is plus incentives that align with individual and company performance. Actual salaries will vary based on work location, qualifications, skills, education, experience, and competencies. Benefits available to eligible employees in this role include medical, dental, and vision insurance, comprehensive employee assistance program, 401(k) retirement plan, paid time off and holidays and paid learning days.
Location:
USA NV Work-at-Home
Language Requirements:
Time Type:
Full time
Physical & Mental Requirements: While performing the duties of this job, the employee is regularly required to operate a computer, keyboard, telephone, headset, and other office equipment. Work is generally sedentary in nature.
**If you are a California resident, by submitting your information, you acknowledge that you have read and have access to the** Job Applicant Privacy Notice for California Residents ( is an equal opportunity and affirmative action (EEO-AA) employer. We promote equal opportunity to all qualified individuals and do not discriminate in any phase of the employment process based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy or related condition, disability, status as a protected veteran, or any other basis protected by law.
For more information regarding your EEO rights as an applicant, please visit the following websites:
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If you wish to review the Affirmative Action Plan, please click here ( .

Job Description

Job Description

Are you an experienced BCBA ready to lead a team, shape clinical quality, and make a lasting impact? At Centria Autism, our Directors of Clinical Services are more than managers, they're mentors, collaborators, and drivers of clinical excellence.

This is your opportunity to lead ABA services in a dynamic, mission-driven environment where quality comes first, staff are supported, and children thrive.

Compensation & Incentives – Earn a base salary of $95,000–$05,000, plus bonus (typically averaging 2,500/month).

Why Lead with Centria?

• Lead with Impact – Oversee clinical teams and client care, ensuring high-quality ABA therapy that is compassionate, individualized, and evidence-based.
  
  
• Support a Team That Cares – Coach and guide Supervising Clinicians (BCBAs) and Behavior Technicians with consistent feedback, hands-on modeling, and regular check-ins.
  
  
• Built-In Support Systems – Partner with Area Directors, operations leaders, and the Clinical Excellence Team to ensure your teams and families have what they need to succeed.
  
  
• Assent-Based, Ethical ABA – Champion a clinical model rooted in assent, Practical Functional Assessment, and Skills-Based Treatment, fully integrated into Centria's systems.
  
  
• Career Growth That's Clear – Gain access to advanced leadership training, clinical forums, and opportunities to move into area leadership roles.
  
  
• Support Systems Wherever You Land

• • Clinical Directors, Area Clinical Directors, and Clinical Excellence Leaders
  • Dedicated scheduling, admin, and operational support
  • Peer network across markets for connection and mentorship
    
    

• We Invest in You – From CEU stipends and paid CEU days to exclusive internal training events, we're serious about keeping you sharp and helping you level up.
  
  
• Perks That Actually Matter – Annual, all-inclusive vacation for two, early wage access, 401k with company match, and full benefits package.
  
  

Your Role & Impact as a Director of Clinical Services

• Drive Client Progress – Support your team in making data-driven decisions by reviewing treatment plans, monitoring outcomes, and ensuring every child receives individualized, evidence-based care.
  
  
• Mentor Clinical Teams – Lead, coach, and develop Supervising Clinicians through regular case reviews, performance feedback, and ongoing support to ensure consistent, high-quality therapy.
  
  
• Lead Clinical Excellence – Use Centria's internal tools and standards to evaluate treatment fidelity, supervision practices, and clinical impact across your team.
  
  
• Deliver Targeted Training – Facilitate skill-building workshops and group training for Supervising Clinicians and Behavior Technicians to enhance clinical performance and maintain best practices.
  
  
• Collaborate Across Functions – Partner with Area Directors and Operations Leaders to align staffing, caseloads, compliance, and service quality across your region.
  
  
• Support Elevate Growth – Contribute to the development of future clinicians by supporting our Elevate practicum supervision and mentorship program.
  
  
• Champion the Centria Experience – Conduct caregiver check-ins and ensure families feel supported, heard, and engaged throughout their journey with Centria.

What You'll Need

• Experience That Matters – At least 3 years of experience working with children diagnosed with autism spectrum disorder in a clinical setting.
  
  
• Leadership Background – 3+ years of supervisory experience preferred, OR a strong track record of successful case oversight and Behavior Technician mentorship at Centria (minimum 2 years), with preference given to those who have mentored practicum students.
  
  
• Crisis Management Skills – Experience navigating challenging clinical situations and supporting teams through high-stress moments is highly valued.
  
  
• Clinical Fluency in Best Practices – Familiarity with Practical Functional Assessment (PFA), Skills-Based Treatment (SBT), and assent-based ABA practices preferred.
  
  

At Centria, clinical leadership is about more than managing caseloads; it's about shaping the future of care. Apply today and take the next step in your leadership journey.

Centria is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Hybrid Patient Coordinator

Reports to: Sales & Marketing Director & Director of Operations

WIFH is a leading concierge medical practice in Atlanta, GA, specializing in Lasers & Aesthetics. Our focus is on providing exceptional patient care and achieving outstanding results. With over 90 years of combined laser experience, our team is dedicated to excellence, innovation, and ensuring patient safety.

The Hybrid Patient Coordinator is a dual-function role combining patient-facing responsibilities with sales, marketing, and administrative support. This position plays a key role in delivering a seamless, positive experience for new and existing patients while also contributing to the success of our marketing and sales initiatives. The Hybrid Patient Coordinator will split time between front desk operations and sales/marketing coordination, ensuring efficiency across both areas.

Key Responsibilities

Patient Experience & Front Desk Operations

• Serve as the first point of contact for patients in person, over the phone, and via email, delivering an exceptional first impression.
• Build rapport with patients, ensuring a welcoming, calm environment at all times.
• Schedule appointments efficiently to optimize provider time and treatment room utilization.
• Maintain accurate patient records in our EMR system (PatientNow), including procedures, outcomes, and medical details.
• Create invoices and quotes, process payments, and manage patient balances.
• Scan, file, and manage confidential patient documents, including consent forms through DocuSign.
• Maintain the reception area, restock products on displays, and ensure common areas are tidy.

Sales & Marketing Support

• Manage and follow up on leads via RAMP (CRM software) and track patient conversions.
• Assist with patient consultations, providing procedure and product education to drive sales.
• Administer weekly and monthly sales/marketing reports and track service line performance.
• Monitor PatientNow analytics to identify patterns and opportunities for sales strategies.
• Support target marketing campaigns, including weekly Mailchimp email marketing.
• Conduct market research, forecast revenue, and assist in budget development for service lines.
• Collaborate with the Sales & Marketing Director on promotions, events, and special projects.

Administrative & Cross-Functional Support

• Work closely with both the Operations and Sales teams to ensure a smooth workflow.
• Manage charitable donation requests.
• Participate in cross-department initiatives to improve patient experience and operational efficiency.
• Perform other administrative and support duties as assigned.

Qualifications

• 2–3+ years of sales and/or customer service experience, preferably in a medical, spa, or aesthetics setting.
• Friendly, energetic personality with strong interpersonal skills.
• Excellent verbal, written, and communication abilities.
• Highly organized with strong time and workload management skills.
• Ability to work autonomously, prioritize multiple assignments, and adapt quickly to shifting needs.
• Self-starter with a goal-oriented mindset and creative problem-solving abilities.
• Comfortable balancing both patient-facing and administrative/marketing responsibilities.