2125 Medical Professionals jobs in Georgia

Overview: Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Client all the possibilities of a career at Northside today. Responsibilities: Performs and interprets laboratory tests in the Clinical Laboratory for the diagnosis and care of neonate, pediatric, adolescent, adult and geriatric patients. Qualifications: REQUIRED Bachelor's degree in a chemical, physical, biological or clinical laboratory science or medical technology from an accredited institution and applicants must be eligible for an appropriate certification examination. Acceptable certifying agencies include: ASCP, NCA, AMT, AAB, HHS (HEW) OR Associates Degree in laboratory science (Chemical or Biological Science) or medical laboratory technology from an accredited institution and certification as a Medical Technologist. Acceptable certifying agencies include: ASCP, NCA, AMT, AAB, HHS (HEW) OR Graduate of a Military Program in Science (health science, biology, chemical, physical, medical technology) and certification as a Medical Technologist. Acceptable certifying agencies include ASCP, NCA, AMT, AAB, HHS (HEW) OR Grandfathered Medical Technologist by having previously qualified as a technologist on or before February 28, 1992 and current certification as a Medical Technologist. Acceptable certifying agencies include ASCP, NCA, AMT, AAB, HHS (HEW) Ability to implement and perform clinical laboratory procedures according to proper standards and regulations. Must submit to a Color-Acuity screening Test PREFERRED Experience in a Clinical Laboratory Setting

Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of applicable national, state, and local laws and regulatory requirements affecting the medical and clinical staff.

• Provides medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and satisfaction for patients and providers, as well as meeting or exceeding productivity standards.
• Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the most appropriate care at the most effective setting.
• Participates in and maintains the integrity of the appeals process, both internally and externally.
• Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements.
• Reviews quality referred issues, focused reviews and recommends corrective actions.
• Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.
• Attends or chairs committees as required such as Credentialing, P&T and others as directed by the Chief Medical Officer.
• Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial process.
• Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care.
• Ensures that medical decisions are rendered by qualified medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the standards for acceptable medical care.
• Ensures that medical protocols and rules of conduct for plan medical personnel are followed.
• Develops and implements plan medical policies.
• Provides implementation support for Quality Improvement activities.
• Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends corrective actions if needed.
• Fosters Clinical Practice Guideline implementation and evidence-based medical practice.
• Utilizes IT and data analysts to produce tools to report, monitor and improve Utilization Management.
• Actively participates in regulatory, professional and community activities.
• Must be able to get additional licensures in multiply states.

Required Education: Doctorate Degree in Medicine

Required Experience/Knowledge, Skills & Abilities: 3+ years relevant experience, including: 2 years previous experience as a Medical Director in a clinical practice. Current clinical knowledge. Experience demonstrating strong management and communication skills, consensus building and collaborative ability, and financial acumen. Knowledge of applicable state, federal and third party regulations

Required License, Certification, Association: Current state Medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.

Preferred Education: Master's in Business Administration, Public Health, Healthcare Administration, etc.

Preferred Experience: Peer Review, medical policy/procedure development, provider contracting experience. Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines. Experience in Utilization/Quality Program management HMO/Managed care experience

Preferred License, Certification, Association: Board Certification (Primary Care preferred).

Physical Demands: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $161,914.25 - $315,733 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Join us as a Medical Director at VCA Dunwoody Veterinary Center in Dunwoody, Georgia and you'll quickly discover that you're well supported by world-class medicine, technology, facilities, and a talented team. You'll be empowered to do your best work with a team you can count on. At VCA, the future of veterinary medicine is in our hands. Why join the team? Long-term staff Hands-free radiology We offer a positive culture with a collaborative style approach

Schedule: Full-Time Schedule

Cases: Small Animals A mixture of wellness and sick patients

Community: The surrounding attractions include Piedmont Park, Atlanta Botanical Gardens, Phillips Arena, and the new Mercedes Benz Stadium, home to the Atlanta Falcons. Enjoy all of the interests of city living, with many outdoor activities available and the North Georgia Mountains just a short drive away.

Who we look for: People obsessed with pets and their care Dedicated experts who want to provide world-class medicine Collaborators who enjoy teaching others and working as a team Curious lifelong learners who want to grow and thrive for a dynamic and fulfilling career Empathetic partners who develop strong client and Associate relationships built on trust

Total Rewards: As a member of the VCA family, eligible full-time employees will be rewarded with a comprehensive package, including: Compensation Salary is negotiable based on experience, skills, knowledge, abilities, and other relevant credentials. This position may also be eligible for other variable pay programs. Health & Well-being Innovative Associate health and well-being department (Headspace app subscriptions, Fidelity financial wellness tool, and access to additional mental health resources) 401k retirement savings plan with company match Health/dental/vision insurance, infertility benefits, gender affirmation services Paid parental, vacation, and sick leave Professional Development Continuing Education Allowance and Paid Continuing Education Days WOOF University offering abundant CE for Doctors and the care team Opportunities to participate in a robust Clinical Studies program

Qualifications: A Doctor of Veterinary Medicine (DVM) degree from an accredited university or equivalent Licensure in good standing to practice in Georgia or the ability to obtain A commitment to practicing the highest standard of medicine and upholding the veterinary code of ethics

About VCA: VCA is a leader in veterinary care and is committed to taking care of the future of veterinary medicine. With a network of 1,000 animal hospitals, we impact pets, people and our communities by delivering world-class medicine with hometown care to over 4.5 million pets annually. Trusted and empowered, our 35,000 Associates collaborate and unleash their unique power to achieve the best outcomes. With access to endless resources, we continuously learn and share knowledge to build fulfilling careers, push our profession forward and make a lasting impact on our shared future. VCA is part of the Mars Veterinary Health family of brands, working towards A Better World for Pets. Learn more at or find us on social media.

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of the personnel so classified. VCA is committed to a diverse work environment in which all individuals are treated with respect and dignity. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, creed, sex, age, disability, genetic information, marital status, citizenship status, sexual or affectional preference, or gender identity or expression, protected veteran status, or any other characteristic protected by law. Additionally, if you need assistance or accommodation because of a disability, please don't hesitate to ask. The company is pleased to provide such assistance, and no applicant or Associate will be penalized as a result of such a request. We are an Equal Opportunity Employer and a Drug Free Workplace. If you are a current associate, you will need to apply through our internal career site. Please log into Workday and click on the Jobs Hub app or search for Browse Jobs. Benefits: We offer competitive compensation along with a comprehensive benefits package, including medical, dental, vision and paid vacation/sick days, 401(k), generous employee pet discounts and more! The information in this position description indicates the general nature and level of work to be performed. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of associates assigned to this job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, change in personnel, workload, or technical development) We are proud to be an Equal Opportunity Employer - Veterans / Disabled. For a complete EEO statement please see our career page at vcacareers.com

Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of applicable national, state, and local laws and regulatory requirements affecting the medical and clinical staff.

Job Duties:

• Provides medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and satisfaction for patients and providers, as well as meeting or exceeding productivity standards.
• Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management.
• Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the most appropriate care at the most effective setting.
• Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the investigation of adverse incidents and quality of care concerns.
• Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements.
• Reviews quality referred issues, focused reviews and recommends corrective actions.
• Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care.
• Attends or chairs committees as required such as Credentialing, P&T and others as directed by the Chief Medical Officer.
• Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial process.
• Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care.
• Ensures that medical decisions are rendered by qualified medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the standards for acceptable medical care.
• Ensures that medical protocols and rules of conduct for plan medical personnel are followed.
• Develops and implements plan medical policies.
• Provides implementation support for Quality Improvement activities.
• Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends corrective actions if needed.
• Fosters Clinical Practice Guideline implementation and evidence-based medical practice.
• Utilizes IT and data analysts to produce tools to report, monitor and improve Utilization Management.
• Actively participates in regulatory, professional and community activities.
• Must be able to get additional licensures in multiply states.

Job Qualifications:

Required Education:

• Doctorate Degree in Medicine

Required Experience/Knowledge, Skills & Abilities:

• 3+ years relevant experience, including: 2 years previous experience as a Medical Director in a clinical practice.
• Current clinical knowledge.
• Experience demonstrating strong management and communication skills, consensus building and collaborative ability, and financial acumen.
• Knowledge of applicable state, federal and third party regulations

Required License, Certification, Association:

• Current state Medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.

Preferred Education:

• Master's in Business Administration, Public Health, Healthcare Administration, etc.

Preferred Experience:

• Peer Review, medical policy/procedure development, provider contracting experience.
• Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.
• Experience in Utilization/Quality Program management
• HMO/Managed care experience

Preferred License, Certification, Association:

• Board Certification (Primary Care preferred).

Physical Demands:

Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $161,914.25 - $315,733 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

5 days ago Be among the first 25 applicants

Compensation: Up to $400,000 annually + monthly Medical Director Stipend and this position is eligible for a SIGN-ON BONUS to welcome you to the team!

Job Highlights

• Work-Life Balance : Competitive compensation with balanced hours.
• Always Supported : NP/PA support at all locations, always.
• Pre-Screened Patient Interactions : Virtual care team and APP triage before physician contact.
• Flexible Scheduling : Your schedule, tailored to fit your life. No set daily shift times.
• No Overnight Duties : Sleep peacefully with no overnight call/requirements.
• Effortless documentation : Conversational and Dragon dictation.
• Meaningful Connections : Establish lasting relationships with patients and staff.
• Culture of Appreciation : Your work is valued and rewarded.
• $,500 CME and Conference Allowance : Invest in your growth.
• Full Gear : iPad with LTE, Apple Pen, AirPods provided.
• Licensure Reimbursed : We cover your medical licensure costs.
• Malpractice & Tail Covered : Full insurance peace of mind.
• Relocation Help: Assistance for a smooth move.
• Referral Bonus : Earn more by expanding our team.
• Travel Reimbursed : Gas and mileage for work travel.
• Career Advancement : Leadership opportunities promoted.
• UpToDate Subscription : Latest medical info at your fingertips.
  

Essential Functions & Responsibilities

• The physician serves as medical director for skilled nursing facilities (SNF) and participates in administrative and quality initiatives for the facilities he or she is responsible for;
• Medical directorship functions include attending and participating in monthly quality assurance and process improvement meetings; participating in quality improvement initiatives; providing guidance to facility staff; reviewing and revising (if necessary) facilitys clinical guidelines; insuring compliance with state and federal regulations, training facility staff; and supervising facility clinical staff.
• In addition to the medical director role, the physician also serves as the attending physician for the residents residing at each facility;
• The physician collaborates with Nurse Practitioners and Physician Assistants to manage day to day resident care at each facility. Typically, each facility will have a full-time PA or NP assigned to the facility depending on the acuity and volume of the patient population;
• Physician will provide high quality, patient-centered, comprehensive primary care services by rounding on patients residing in SNFs;
• Physician is responsible for diagnosing and treating patients with acute illness, such as bacterial and viral infections, as well as chronic diseases and conditions, such as hypertension, heart disease, or diabetes
• Provider documentation is completed in Theorias proprietary electronic health record (EHR) system, ChartEasy
• PointClickCare, MatrixCare, and American HealthTech are the most commonly used facility EHR systems
• Participating in Theorias Chronic Care Management, Transitional Care, RPM and other medical quality initiatives and programs
• Physician must be able to supervise collaborating nurse practitioners and physicians assistants
• Physician must be able to utilize electronic/online medical tools such as EHR systems and state/county medical systems utilized for Death Certificates and administrative functions.
  

Company Overview

Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors. Our extensive network includes multispecialty physician services and RPM, covering skilled nursing facilities across the country. In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care. Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare.

Shift Structure

• Shifts are flexible depending on physicians schedule;
• Typically, medical directors work a minimum of 2-3 days/week at each facility they oversee;
• Rounding times are flexible with no set start and end time. Preferably, physicians start in the morning between 7-10 a.m. and finish their day when their caseload has been seen;
• Call is covered by Theoria's virtual care team
• This is an in-person position
  

Compensation and Benefits

• Competitive compensation package, including Medical Director stipend
• Compensation ranges approximately from 50,000- 400,000/year depending upon employment status and availability (PRN, Part-Time, Full-Time)
• Employer Paid - Life Insurance Policy
  

Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position. All benefits and job highlights are subject to and contingent upon availability.

#TCMD1

• Seniority level Director

• Employment type Part-time

• Job function Health Care Provider
• Industries Hospitals and Health Care

Referrals increase your chances of interviewing at Theoria Medical by 2x

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Provide medical oversight and supervision to clinicians and staff in the CHWB Student Health Services, providing clinical services, coordinating and participating in chart and peer review, monitoring standards of care, and responding to UVM medical emergencies. Develop, coordinate and provide medical oversight and supervision to academic medical rotations in the Center's clinics. Participate on the CHWB Leadership Team. Responsible for promoting a safe Center for Health and Wellbeing for students and staff of all races, ethnicity, religions, national origins, gender sexual orientations, disabilities and ages. Responsible for supporting the mission and philosophy of the Center for Health and Wellbeing, Division of Student Affairs and the University of Vermont.

Minimum Qualifications (or equivalent combination of education and experience): MD/DO degree from an accredited program. Vermont State Medical license or eligible. Board eligibility in primary care specialty required (pediatrics, adult, family, or internal medicine). CPR certified. DEA certification or eligible. Five years of physician practice required, or an equivalent combination of education and experience with comparable knowledge and abilities, to include progressively responsible leadership positions within student health. Knowledge of developmental issues of adolescent/young adults. Experience working with RN's, NP's and PA's. Experience with electronic health record systems. CQI and research experience. Effective leadership and management experience and data-driven decision making. Collaboration, problem-solving, and crisis management experience. Effective written, verbal, and technological communication skills. Demonstrated ability to build positive and effective relationships with students, colleagues, senior leaders, and other internal and external partners. Demonstrated ability to work with co-workers and clients in a respectful, non-judgmental manner, as well as skill working with diverse populations. Demonstrated support and commitment to enhancing a diverse campus culture and the student experience.

Desirable Qualifications

Anticipated Pay Range $210,000 to $220,000

Other Information

All CHWB employees are considered Healthcare workers as defined in Vermont State Law. Vaccination against infectious diseases helps to protect against contracting infectious diseases and helps to provide "herd immunity". Vaccination of staff also provides additional protection for students who seek care with us, some of whom are immunocompromised or unable to receive vaccines for medical reasons. The following vaccinations are required for all CHWB employees:

• Rubeola (measles)- two rubeola vaccines, two MMR vaccines, OR a positive rubeola titer
• Mumps- two mumps vaccines, two MMR vaccines, OR a positive mumps titer
• Rubella- one rubella vaccine, one MMR vaccine, OR a positive rubella titer
• Varicella (chicken pox)- two varicella vaccines OR a positive varicella titer
• Tdap (Tetanus/Diphtheria/Acellular Pertussis) a one-time only dose for adults
• Hepatitis B- a series of two OR three vaccines (depending on manufacturer), followed by a positive Hepatitis B surface antibody. An employee may decline Hepatitis B vaccination and testing.
• Tuberculosis (TB) screening: o A negative "two step" PPD or a negative IGRA blood test (QuantiFERON Gold) o Note: if you have had positive tuberculosis testing in the past it is very important that you send any records related to testing and/or treatment, and the results of your most recent chest x-ray.

Special Conditions Background Check required for this position, A probationary period may be required FLSA Exempt Union Position No

Posting Details Position will be posted for a minimum of one week, after which it is subject to removal without notice. Job Location Burlington, Vermont, United States Job Open Date 05/02/2025 Job Close Date (Jobs close at 11:59 PM EST.) Open Until Filled No

Our Common Ground Statement The University of Vermont is a welcoming, educationally purposeful community committed to creating an inclusive environment that embraces intellectual diversity and global perspectives. We seek to prepare students to be accountable leaders who will bring to their work a grasp of complexity, effective problem-solving and communication skills, and an enduring commitment to learning and ethical conduct. Members of the University of Vermont community embrace and advance the values of Our Common Ground: Respect, Integrity, Innovation, Openness, Justice, and Responsibility. Staff play a critical role in this effort and the successful candidate will demonstrate a strong commitment to UVM's mission and advancing Our Common Ground values through the execution of their job duties.

Position Information Position Title Health Care Administrator Posting Number S5504PO Department Center for Health & Wellbeing/30450 Position Number 018150 Employee FTE 1.0 Employee Term 12

Supplemental Questions Required fields are indicated with an asterisk (*).

Documents Needed to Apply Required Documents Curriculum Vitae Cover Letter/Letter of Application Optional Documents