- Molina Healthcare (Savannah, GA)
- …issues. + Prepares and presents cases in conjunction with the Chief Medical Officer for Administrative Law Judge pre-hearings, State Insurance Commission, and ... appropriate clinical guidelines and other appropriate criteria with Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization… more
- KBR (Albany, GA)
- …monthly, and quarterly reports, including employee performance reviews and other administrative duties. + Help schedule personnel to maintain service levels, ... support. + Fulfill the role and responsibility as Safety Specialist - Safety Specialist Duties: When also...management support or team leadership. + Proficiency in: + Administrative and management support + Applying quality control +… more
- KBR (Albany, GA)
- …including employee performance reviews and any other first line supervisor administrative duties as required. + Schedule personnel to always maintain acceptable ... Performs other related duties as required. + Fulfill the role and responsibility as Safety Specialist - Safety Specialist Duties: When also acting as the safety … more
- STG International (Milledgeville, GA)
- …"triple check" process for reviewing coding for accuracy. + Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, ... in the grievance process in coordination with the grievance officer ; assist residents with filing grievances, investigating allegations, and...Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B Medical Specialist Corps - 65B, 65C, 65D Nurse Corps -… more