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Insurance Medical Director Jobs in Decatur, GA (NOW HIRING)

Associa

CMA Regional Director

Atlanta, GA · On-site

$110K - $115K/yr

Works closely with the other Regional Director's to ensure uniformity of message. Major Tasks ... Dental insurance * Vision insurance * Health insurance * Life insurance * Paid time off Education ...

Aprio

Senior Director, ePMO

Atlanta, GA · On-site

$140 - $200/hr

Aprio Advisory Group, LLC is a progressive, fast-growing firm looking for a Senior Director to join ... Perks/Benefits we offer for full-time team members: * - Medical, Dental, and Vision Insurance on ...

Aprio

Senior Director, ePMO

Atlanta, GA · On-site +1

Aprio Advisory Group, LLC is a progressive, fast-growing firm looking for a Senior Director to join ... Perks/Benefits we offer for full-time team members: - Medical, Dental, and Vision Insurance on the ...

Aprio

Senior Director, ePMO

Atlanta, GA · On-site

Aprio Advisory Group, LLC is a progressive, fast-growing firm looking for a Senior Director to join ... Perks/Benefits we offer for full-time team members: - Medical, Dental, and Vision Insurance on the ...

PRAESUM HEALTHCARE

Registered Nurse

Alpharetta, GA · On-site

... the Medical Director and the Psychiatrist. Registered Nurse Requirements: • Clean, active and ... the following: • Insurance: Medical, Dental, Vision, and STD options • Medical FSA and ...

PRAESUM HEALTHCARE

Registered Nurse

Alpharetta, GA · On-site

... the Medical Director and the Psychiatrist. Registered Nurse Requirements: • Clean, active and ... the following: • Insurance: Medical, Dental, Vision, and STD options • Medical FSA and ...

PRAESUM HEALTHCARE

Registered Nurse

Alpharetta, GA · On-site

... the Medical Director and the Psychiatrist. Registered Nurse Requirements: • Clean, active and ... the following: • Insurance: Medical, Dental, Vision, and STD options • Medical FSA and ...

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All JobsInsurance Medical JobsInsurance Medical Director JobsInsurance Medical Director Jobs in Decatur, GA

Insurance Medical Director information

See Decatur, GA salary details

$12.7K

$226.9K

$348.6K

How much do insurance medical director jobs pay per year?

As of Sep 6, 2026, the average yearly pay for insurance medical director in Decatur, GA is $226,869.00, according to ZipRecruiter salary data. Most workers in this role earn between $193,300.00 and $277,800.00 per year, depending on experience, location, and employer.

What does an Insurance Medical Director do?

An Insurance Medical Director is a physician who reviews medical claims, evaluates policyholder cases, and ensures treatments align with insurance guidelines. They analyze complex medical information to determine coverage eligibility and assess the necessity of procedures. They also collaborate with claims adjusters, underwriters, and other medical professionals to ensure fair and accurate decision-making. Their role helps insurance companies manage risk while maintaining compliance with healthcare regulations.

What are the typical daily responsibilities of an Insurance Medical Director?

Insurance Medical Directors typically review medical claims, assess prior authorization requests, and provide clinical guidance on complex cases to ensure that coverage decisions comply with current medical standards and company policies. They also collaborate closely with underwriters, case managers, and other healthcare professionals, participating in multidisciplinary meetings and developing policies for medical management. Additionally, Insurance Medical Directors may engage in quality improvement initiatives, conduct peer reviews, and assist in training staff on clinical procedures and regulatory changes. The role requires a balance of high-level decision-making, medical expertise, and effective communication with both internal teams and external providers.

What are the key skills and qualifications needed to thrive in the Insurance Medical Director position?

To thrive as an Insurance Medical Director, you need a medical degree (MD or DO), board certification, clinical expertise, and experience with healthcare regulations and utilization review. Familiarity with claims management systems, ICD-10 coding, and tools like Milliman or InterQual guidelines is often required. Strong analytical skills, clear written and verbal communication, and the ability to make objective decisions are essential soft skills. These competencies are crucial for ensuring ethical, evidence-based determinations that balance patient care with organizational and regulatory requirements.

What job categories do people searching Insurance Medical Director jobs in Decatur, GA look for?

The top searched job categories for Insurance Medical Director jobs in Decatur, GA are:

What cities near Decatur, GA are hiring for Insurance Medical Director jobs?

Cities near Decatur, GA with the most Insurance Medical Director job openings:

Insurance Medical Director jobs near you
Infographic showing various Insurance Medical Director job openings in Decatur, GA as of June 2026, with employment types broken down into 1% As Needed, 86% Full Time, 4% Part Time, 1% Temporary, 7% Contract, and 1% Nights. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $226,869 per year, or $109.1 per hour.

Director of Clinical Services (DCS)

RV BEHAVIORAL LLC

Smyrna, GA • On-site

$95K - $110K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 27 days ago

Job description

JOIN OUR TEAM AS A DIRECTOR OF CLINICAL SERVICES (DCS)!
Annual bonus eligibility!
Must hold an active GA license in mental health: LCSW, LMFT, LPC-CPCS
Your Work Matters How will you make a difference?
The Director of Clinical Services (DCS) provides executive-level leadership and strategic direction for the facility's clinical and social services programs, ensuring high-quality care, regulatory compliance, and alignment with organizational performance goals.
This role partners closely with the Medical Director and senior leadership to design, implement, and continuously improve clinical programming that supports patient outcomes, staff excellence, and long-term growth.
  • Provide strategic and operational leadership for all clinical services, including administrative oversight, clinical workflows, and performance management systems.
  • Serve as the executive representative for Clinical Services, collaborating with the Medical Director to plan, develop, and implement structured, evidence-based social services programs within the therapeutic environment.
  • Ensure the integrity of the clinical programs for specialized patient populations, ensuring responsiveness to community needs and payer expectations.
  • Monitor and interpret market trends, referral patterns, payer dynamics, and regulatory or political factors impacting behavioral health delivery.
  • Set a clear vision for clinical programming, evaluating current services and driving improvements that enhance quality, efficiency, and outcomes.
  • Apply systems-level thinking to solve complex organizational challenges, establishing measurable goals and guiding change through strong leadership and collaboration.
  • Establish and uphold clinical standards of practice, providing direction, mentorship, and guidance to clinical leadership and interdisciplinary teams.
  • Lead departmental budget planning, including development, justification, and ongoing fiscal oversight for staffing, facilities, and resources.
  • Ensure all clinical service goals and initiatives align with the facility's overall mission, strategic priorities, and performance objectives.
  • Manage Program Therapists, Discharge Planner, and other treatment team members.

Your Experience Matters What we're looking for:
  • Education: Graduate of an accredited school with a master's in social work, or a related mental health field; preferred.
  • Experience: Minimum of five (5) years of experience in the psychiatric/mental health field, with a minimum of three (3) years of experience in advanced clinical/management practice preferred.
  • License: Appropriate State of Georgia licensure in mental health; LCSW, LMFT, LPC-CPCS.
  • Additional Skill Requirements: A strong knowledge of Joint Commission and CMS standards, OSHA regulations, patient rights standards, and all other applicable federal and state laws and regulations governing mental health care facilities.

Your Care Matters What we provide for our team:
  • 401(k) + matching
  • Health insurance
  • 100% company-paid life insurance coverage up to 2x your annual salary
  • Vision insurance
  • Dental insurance
  • 100% company-paid long-term disability insurance
  • Paid time off
  • Paid holidays
  • Cafeteria on site
  • Employee engagement events
  • Employee assistance program
  • Employee recognition program
  • Free parking

What sets us apart?
  • Career & training development opportunities
  • Dynamic and inclusive work environment
  • Engaged management team dedicated to your success
  • A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations

Disclaimer: Select benefits are available only to full-time positions. Benefits are subject to change at the discretion of Ridgeview Institute - Smyrna.
Compensation:
This is a full-time role. We are eager to engage with all qualified candidates, and we will consider their experience and skill level. The salary range for this position is $95,000 to $110,000.00 annually, plus an annual bonus opportunity. Join us as our Director of Clinical Services (DCS)!
Get to know usOutstanding Care, Compassionate People, Unparalleled Service.
Welcome to Ridgeview Institute Smyrna (RIS), a premier healthcare provider in Smyrna, GA, setting the gold standard for mental health and addiction treatment support excellence. Located in Smyrna, GA, RIS offers a full continuum of care, including inpatient and outpatient psychiatric services, as well as specialized, evidence-based programs for all patients, regardless of their ability to pay.
At RIS, the community is an integral part of our team, fostering collaboration to build an efficient, comprehensive, and seamless continuum of care. We take pride in offering dynamic, challenging, and advantageous positions. You'll have the opportunity to work closely with a team of experts, ensuring our patients receive personalized services that guide them toward achieving their treatment goals.
Join us in providing exceptional care and contributing to the well-being of needy individuals and families. Be a part of the transformative healthcare experience at Ridgeview Institute Smyrna.
To learn more about RIS, visit us at: https://www.ridgeviewinstitute.com
TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.
Individuals Maintaining Positive Attitude and Commitment To Service
At Ridgeview Institute Smyrna, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

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