- Humana (Atlanta, GA)
- …custom-built platforms. You will partner across IT, analytics, marketing, legal, and compliance to ensure innovation is both effective and ethical. You'll also ... + Experience leading cross-functional teams-including data science, engineering, and compliance stakeholders-to integrate personalization engines with enterprise communication platforms… more
- CenterWell (Decatur, GA)
- …conditions. This role involves working closely with cardiologist and other healthcare providers to deliver accurate imaging, maintain patient comfort and safety, ... and ensure compliance with professional and institutional standards **Job Hours &...effectively - both orally and in writing - with healthcare providers, including other Sonographers, Physicians, and Nurses +… more
- Datavant (Atlanta, GA)
- …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 right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- IQVIA (Marietta, GA)
- …treatments to patients faster._ **Job Overview** We are seeking a dedicated Clinical Research Associate (CRA) to join our team and play a key role in ensuring the ... be responsible for monitoring and managing clinical sites to ensure compliance with study protocols, regulatory requirements, and sponsor expectations. Your work… more
- Humana (Atlanta, GA)
- …interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and ... experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. + Internal Medicine, Family Practice,… more
- Humana (Atlanta, GA)
- …regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and ... experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure… more
- Humana (Atlanta, GA)
- …on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. ... expert on NCQA Health Plan Accreditation UM requirements, advising stakeholders on compliance , and facilitating NCQA UM survey activities. + Works closely with… more
- Humana (Atlanta, GA)
- …tax provisions under ASC 740 and SSAP 101, ensuring accuracy and compliance with US GAAP and statutory accounting principles. + Oversee tax-related disclosures ... appropriate internal controls over tax accounting and reporting, including compliance with SOX 404 requirements. + Collaborate cross-functionally with Finance,… more
- Humana (Atlanta, GA)
- …responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new ... comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root causes driving issues and developing solutions +… more
- Humana (Atlanta, GA)
- …community and help us put health first** Humana's Stars CAHPS (Consumer Assessment of Healthcare Providers & Systems) team is looking for a Program Delivery Lead to ... + Familiarity with behavioral / experience design frameworks and their application in healthcare programs + Working knowledge of healthcare or clinical concepts… more