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Insurance Medical Director Jobs in South Fulton, GA

At Concentra, our Medical Directors spend most of their time clinically treating patients; the ... Life/Disability Insurance: * Colleague Referral Bonus Program * Opportunity to teach residents and ...

At Concentra, our Medical Directors spend most of their time clinically treating patients; the ... Life/Disability Insurance: * Colleague Referral Bonus Program * Opportunity to teach residents and ...

At Concentra, our Medical Directors spend most of their time clinically treating patients; the ... Life/Disability Insurance: * Colleague Referral Bonus Program * Opportunity to teach residents and ...

At Concentra, our Medical Directors spend most of their time clinically treating patients; the ... Life/Disability Insurance: * Colleague Referral Bonus Program * Opportunity to teach residents and ...

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 ...

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 ...

Showing results 21-40

Insurance Medical Director information

See South Fulton, GA salary details

$12.3K

$220.3K

$338.5K

How much do insurance medical director jobs pay per year?

As of Sep 7, 2026, the average yearly pay for insurance medical director in South Fulton, GA is $220,340.00, according to ZipRecruiter salary data. Most workers in this role earn between $187,800.00 and $269,800.00 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 are popular job titles related to Insurance Medical Director jobs in South Fulton, GA?

For Insurance Medical Director jobs in South Fulton, GA, the most frequently searched job titles are:

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

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

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

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

Infographic showing various Insurance Medical Director job openings in South Fulton, GA as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 18% Part Time, 1% Temporary, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $220,340 per year, or $105.9 per hour.

Medical Director Opportunity in Metro Atlanta, Georgia!!

DOCTORS CHOICE PLACEMENT SERVICES, INC.

Atlanta, GA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 26 days ago


Job description

Medical Director Opportunity in Metro Atlanta, Georgia!!
Overview"
We are seeking an experienced and mission-driven Medical Director with a background in Cardiology, Nephrology or Primary Care to lead our integrated clinical care model, centered around primary care coordination and outcomes-focused specialty collaboration.
The ideal candidate will provide both clinical and administrative leadership across a multidisciplinary team—including nurse practitioners, physician assistants, and nurse case managers—to ensure seamless coordination of care. This role is designed to support optimal patient outcomes by reducing avoidable hospitalizations, unnecessary emergency room visits, and preventable readmissions.
The Medical Director will champion primary care integration, clinical quality, and a strong referral network to build a high-performing care continuum in our community.
Position Highlights:
Lead and expand a comprehensive, team-based care model that bridges specialty and primary care.
Supervise and collaborate with nurse practitioners, physician assistants, and nurse case managers to drive population health outcomes.
Guide efforts to reduce unnecessary specialty consultations by empowering frontline providers through decision support and collaborative case review.
Promote equitable care delivery through targeted outreach to underserved communities.
Play a central role in strategic growth planning, including network development and care pathway optimization.
Enjoy a structured 4-day workweek with protected administrative time to provide leadership, oversee quality metrics, and deliver structured feedback to the team. 
Core Responsibilities:
Deliver both clinical services and administrative oversight in outpatient and consultative settings.
Oversee provider workflows and coordination between specialty care, primary care, hospitalists, and emergency services.
Implement and evaluate clinical protocols to align with evidence-based best practices.
Support provider scheduling and coverage planning in both clinic and hospital settings.
Facilitate structured team feedback, provider rounding, and multidisciplinary case review meetings.
Drive continuous improvement through data-driven initiatives targeting utilization, quality, and access.
Serve as a clinical liaison with strategic partners, payers, and health system leadership.
Preferred Qualifications:
MD or DO with board certification in Cardiology, Nephrology, Internal Medicine, Family Practice or another specialty
Active Georgia medical license (or eligibility to obtain)
2+ years of clinical leadership or administrative experience
Strong knowledge of managed care, quality metrics (HEDIS, NCQA), and population health principles
Demonstrated success in leading multidisciplinary clinical teams
Excellent communication, collaboration, and problem-solving skills
Benefits Include:
Competitive salary with leadership performance incentives
401(k) with company match
Medical, dental, vision, and life insurance
Paid time off and CME allowance
4-day workweek with protected administrative time
Leadership development and career advancement opportunities
Help redefine community-based care delivery.
Join us in building a model that integrates specialty and primary care, strengthens our team, and delivers superior outcomes to the patients who need us most.