• Special Investigation Unit (SIU) Coding

    CVS Health (Atlanta, GA)
    …team members. + Registered Nurse (RN). + Previous experience with Behavioral Health coding /auditing of records. **Education:** + Bachelor's degree preferred or ... At CVS Health , we're building a world of health...the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral,… more
    CVS Health (08/08/25)
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  • Manager, Risk Adjustment Coding Support

    Evolent (Atlanta, GA)
    …addressing regular coding questions and issues. + Collaborate with the coding director to develop policies, procedures, and workflows to enhance department ... health outcomes for the population. The Risk Adjustment Coding Manager plays a crucial role in ensuring accurate...efficiency. **Qualifications - Required:** + A degree in health information , healthcare administration, or a related… more
    Evolent (08/14/25)
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  • Medical Coding Adjunct Instructor - Pool

    State of Georgia (GA)
    …(CPC), Certified Coding Specialist (CCS), Certified Medical Coder (CMC), Registered Health Information Administrator (RHIA), or Registered Health ... Medical Coding Adjunct Instructor - Pool Georgia (https://ga.referrals.selectminds.com/jobs/63755/other-jobs-matching/location-only) Education… more
    State of Georgia (06/08/25)
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  • Director , Prospective + Concurrent Risk…

    Datavant (Atlanta, GA)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you… more
    Datavant (08/08/25)
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  • Clinical Documentation and Claims Integrity…

    Elevance Health (Atlanta, GA)
    **Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... ideal candidate will live within a commutable distance from our PulsePoint locations. CareBridge Health is a proud member of the Elevance Health family of… more
    Elevance Health (08/14/25)
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  • Medical Director - Commercial Appeals

    CVS Health (Atlanta, GA)
    …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding , and reimbursement expertise as well ... At CVS Health , we're building a world of health...or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy… more
    CVS Health (08/20/25)
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  • Medical Director - National Medicare

    Humana (Atlanta, GA)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... **Additional Information ** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of… more
    Humana (08/21/25)
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  • Director of Client Success, Payer Risk…

    Datavant (Atlanta, GA)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP… more
    Datavant (07/18/25)
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  • Associate Medical Director

    Sumitomo Pharma (Atlanta, GA)
    …Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health , rare diseases, psychiatry & neurology, and cell & gene therapies. With ... novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com… more
    Sumitomo Pharma (08/15/25)
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  • The Carter Center: Senior Associate…

    Emory Healthcare/Emory University (Atlanta, GA)
    …Location** _US-GA-Atlanta_ **_Location : Name_** _Carter Center_ **Remote Work Classification** _N/A or Other_ ** Health and Safety Information ** _Not Applicable_ ... to prevent and resolve conflicts, enhance freedom and democracy, and improve health . The Carter Center collaborates with other organizations, public and private, in… more
    Emory Healthcare/Emory University (07/15/25)
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