- Cardinal Health (Atlanta, GA)
- …- leading providers of medical supplies direct-to-home. **Position Summary:** The ** Director of Document Management & Revenue Integrity (DME)** is responsible for ... documentation that supports revenue cycle operations, payer requirements, and audit readiness within the DME space. This leader will...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Molina Healthcare (Augusta, GA)
- …from regulatory agency through analysis and response to findings. * Organize audit submissions, interact directly with auditors for all lines of business as ... internal compliance program, including annual, periodic, focal, etc. audits. * Request, review and perform oversight of internal corrective action plans (CAPs) for… more
- ADP (Alpharetta, GA)
- **ADP is hiring a Director , Operations - Sales Compliance & Ethics** You will serve a key role in supporting the Sales Compliance Program operations and ... Support enhancements to the Sales Compliance & Ethics Program including working with Internal Audit on findings that impact the Sales area. + Assist with the overall… more
- Papa John's International (Atlanta, GA)
- **Job Summary** The Director , Intl Operations Excellence role is responsible and accountable for providing leadership and direction to multiple teams based globally ... all international markets. + Manage the global store level audit process to ensure brand protection of standards and...International Franchised community - Design and implement solutions + Review and evaluate feedback success of all of L&D… more
- Marriott (Atlanta, GA)
- …in a clear and precise manner. * Oversees internal, external and regulatory audit processes. * Provides excellent leadership by assigning team members and other ... brand SOPs and owner requirements. * Facilitates critique meetings to review information with management team. **Developing and Maintaining Finance and Accounting… more
- BMO Financial Group (Atlanta, GA)
- …or used by BMO Commercial Bank. + Maintains a full inventory, review schedule, documentation and approval records for policies, procedures, and underwriting ... templates. + Monitors and tracks performance against review schedule, addresses any issues. + Provides monthly reporting for past due reviews to first and second… more
- NCR VOYIX (Atlanta, GA)
- …collection guidelines are adhered to and issues quickly resolved + Daily review of collection reports to ascertain status of collections and balances outstanding ... and reduce collection cycle times (DSO) where possible + Audit delinquent accounts considered to be uncollectible to ensure maximum efforts have been taken before… more
- Molina Healthcare (GA)
- …external reporting requirements. * Reviews and analyzes, collects data along with audit results on unit's performance; analyzes and interprets trends and prepares ... experience **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/resolution, including 3 years in… more
- Veolia North America (Alpharetta, GA)
- …of the customer are clarified and communicated. + May manage internal technical audit and internal approvals for project. + Manages and participates in proposal ... fit or equivalent technical and commercial experience. + Ability to review , comprehend and negotiate complex legal contracts (with Attorney support).… more
- CVS Health (Atlanta, GA)
- …a collaborative process to implement, coordinate, monitor and evaluate medical review cases. Applies the appropriate clinical criteria/guideline and plan language or ... thinking, evidenced based clinical criteria and clinical practice guidelines. Med Review nurses use specific criteria to authorize procedures/services or initiate a… more
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