- State of Georgia (Fulton County, GA)
- …Fraud Division. Job Summary Under the direction of the Fraud Unit Director , assists in healthcare investigations by: reviewing provider and recipient records, by ... Georgia Medicaid Program. + Demonstrates thorough knowledge of and insures compliance with departmental policies and procedures governing the Georgia Medicaid… more
- Gentiva (Lexington, GA)
- …Care RN Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will play a vital role in maintaining a high-performing ... program by managing patient care activities, supervising clinical staff, and ensuring compliance with all company policies and regulatory standards. **As a Senior… more
- Molina Healthcare (Columbus, GA)
- …oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... decision-making accountability for ensuring compliance with complex regulatory requirements, protecting the integrity of...experience in related job. + 2 years minimum in Director level role or above. + Extensive understanding of… more
- STG International (Milledgeville, GA)
- …and procedures at least annually and make changes to ensure continued compliance with current regulations as necessary. *Ensure the development, implementation and ... the effectiveness of those interventions when necessary. *Assist the Medical Director in the development and implementation of medical and nursing services… more
- Bristol Myers Squibb (Atlanta, GA)
- …will have no direct reports and report into the Regional NPPA CS Director . The Dermatology Clinical Specialist will have materials created to support them in ... + The NPPA CS role reports to a Regional Director and works with their team of peers and...our short and long-term goals, ensuring all legal and compliance regulations are adhered to + Serve as a… more
- Help at Home (Columbus, GA)
- …maintenance and compliance + Coordination of client benefits including Medicaid, Medicare , SSI, SSA, and Food Stamps + Securing community resources for clients + ... Assist the Director with teaching the training classes and with on-site...and support staff within all communications + Assist the Director with other duties, as assigned and with approval… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and Grady Health System. Fellows must be eligible at participants in Medicare , Medicaid and other third-party payers contracted with Emory Healthcare and Grady ... at one of the programs affiliated hospitals under the direction of the ED director of that hospital + May supervise medical students, house staff, and other trainees… more
- Molina Healthcare (GA)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Network staff ... contracting, provider training, network management and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the… more
- Gentiva (Bainbridge, GA)
- …+ Demonstrated ability to apply hospice principles, industry standards, and regulatory compliance ( Medicare , Medicaid, JCAHO, ACHC) + Knowledge and compassion ... Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery… more
- Gentiva (Savannah, GA)
- …Care Manager** to join our team.You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for ... developing associates and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory agencies. +… more