- Molina Healthcare (Augusta, GA)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to… more
- Molina Healthcare (Savannah, GA)
- …highly preferred Work hours: Monday- Friday 8:00am - 5:00pm Central time Remote position **Essential Job Duties** * Performs clinical/medical reviews of previously ... practice. * Experience demonstrating knowledge of ICD-9, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience… more
- Molina Healthcare (Augusta, GA)
- …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including experience in ... payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD),… more
- GovCIO (Atlanta, GA)
- …with DevOps tools and Azure is a plus. This position is fully remote and available to candidates within the Continental United States (CONUS). **Responsibilities** ... excellence within the team. + Promote best practices and coding standards to maintain high standards of excellence within...Azure DevOps, Confluence, etc.). + Demonstrated experience in a remote work environment. + Must be a US citizen… more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Manager , Fraud and Waste Investigator: Nurse Audit/Review performs clinical audit/validation processes to ... ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The … more
- SitusAMC (Atlanta, GA)
- …client requirements + Other activities as may be assigned by your manager Qualifications/ Requirements: + Bachelor's degree or equivalent from four-year College or ... team accomplishments. + Ability to work independently in a remote work environment. + Understanding of ADO, WLS, and...work environment. + Understanding of ADO, WLS, and SQL coding a plus + Ability to work in a… more
- GovCIO (Atlanta, GA)
- …be instrumental in ensuring customer satisfaction. This position will be fully remote within the United States. **Responsibilities** We are seeking a User ... + Front-End Development Knowledge: HTML, CSS, JavaScript (not necessarily coding but understanding implementation). + Agile/Scrum Methodologies: Working in iterative… more
- SitusAMC (Atlanta, GA)
- …across the organization. + Other activities as assigned by your manager Qualifications/ Requirements: + **Bachelor's degree in Computer Science** or related ... scaling of APIs in the cloud. + **Programming & Automation:** 6+ years coding in Python, Shell, or equivalent scripting languages for automation. + **AWS Cloud… more
- Danaher Corporation (Atlanta, GA)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE ) position is a provider ... / customer facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. This role… more