- Humana (Atlanta, GA)
- …and help us put health first** Humana is seeking a forward-thinking Associate Director for Human Resources Technology to join our HRIT leadership team. In this ... performance, data integrity, and security through rigorous governance and proactive compliance practices. + Build a best-in-class HR data and analytic platforms… more
- Molina Healthcare (Augusta, GA)
- …health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric ... reviews and appeals. * Supports behavioral health committees for quality compliance . * Implements behavioral health specific clinical practice guidelines and medical… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Director of Security Operations is a security leadership position that will manage the Joint Security Operations and Identity Management ... accounts. + Perform user access reviews required to meet compliance (SecurEnds). + Other duties as required **WHAT YOU'LL...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Molina Healthcare (GA)
- …overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. **Knowledge/Skills/Abilities** ... plan for the Medicaid , CHIP, Marketplace, MMP and Medicare lines of business. * Works with staff and...* Oversees Enrollment and Contact Center Operations to ensure compliance with health plan requirements. Works collaboratively with Corporate… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** We are seeking an experienced and strategic Director of Accounting - Billing & Collections to lead our billing operations and receivables ... accurate issuance of customer invoices across all business units. + Ensure compliance with contract terms, pricing structures, and regulatory requirements. + Work… more
- Molina Healthcare (Savannah, GA)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Plans, organizes, ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- Molina Healthcare (Savannah, GA)
- …successful launches of new processes, systems, and operational models across Medicaid, Medicare , and Marketplace lines of business. We are seeking a leader with ... + Monitoring performance and resolving operational issues to ensure continuity and compliance + Partnering with the broader corporate ecosystem to ensure strategic… more
- Cardinal Health (Atlanta, GA)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance , this position supervises and manages audits ... **_What Ethics & Compliance contributes to Cardinal Health_** Ethics & ...other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as… more
- Gentiva (Martinez, GA)
- …ensuring compliance with state, federal, and accreditation standards (CMS, Medicare , Joint Commission, etc.) + Provide clinical oversight and ensure timely and ... health, or healthcare operations leadership + Strong understanding of hospice regulations, compliance , and Medicare conditions of participation + Proven ability… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …programs + And more **Description** **Overview:** This position reports to the Director , Reimbursements and Net Patient Service Revenue (NPSR), and oversees analysis ... reporting associated with the governmental reimbursements and required cost reporting compliance . + Responsible for preparing cost reports, monitoring compliance … more