- CenterWell (Thomasville, GA)
- …professional nursing services under the direction of a RN in compliance with the state's Nurse Practice Act, any applicable licensure/certification requirement, ... applicable healthcare standards, governmental laws and regulations, and CenterWell Home...(collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and… more
- Grifols Shared Services North America, Inc (Norcross, GA)
- Would you like to join an international team working to improve the future of healthcare ? Do you want to enhance the lives of millions of people? Grifols is a global ... healthcare company that since 1909 has been working to...teams of needed updates/changes **Additional responsibilities:** + Represent R&D Compliance in professional and industry organizations. **Knowledge, skills, &… more
- State of Georgia (Dekalb County, GA)
- …Clarkston (https://ga.referrals.selectminds.com/jobs/70528/other-jobs-matching/location-only) Healthcare (https://ga.referrals.selectminds.com/landingpages/ ... demonstrates a commitment to multiculturalism; Support program outcomes, assuring compliance with program expectations; Perform student evaluations and use… more
- Highmark Health (Atlanta, GA)
- …with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts ... and modifier systems, missed secondary diagnoses and procedures and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim… more
- Humana (Atlanta, GA)
- …time with demonstrated advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The nature of the work ... concurrently navigating multiple computer applications. Due to the auto dialer process and compliance needs of the business there is limited day to day flexibility… more
- Humana (Atlanta, GA)
- …pillars, including continuous integration (CI), continuous delivery (CD), quality, security, compliance , metrics, and reporting. + Ensure compliance with ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Universal Engineering Sciences (Kennesaw, GA)
- …and inspection, we collaborate on transformative projects across transportation, energy, water, healthcare , and more. Learn more about the benefits of joining Team ... experience in geotechnical engineering, construction materials testing, building code compliance , threshold inspections and environmental consulting. With more than… more
- Humana (Atlanta, GA)
- …skills to make an impact** **Required Qualifications** + Bachelor's degree in business, healthcare studies, or related field or equivalent experience. + 3+ years of ... experience. + Ability to travel 10-15%. **Preferred Qualifications** + Experience in healthcare services **Additional Information** As part of our hiring process for… more
- Elevance Health (Atlanta, GA)
- …investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to identify opportunities ... analysis of claims and medical records prior to payment. + Researches new healthcare related questions as necessary to aid in investigations. + Collaborates with the… more
- Humana (Atlanta, GA)
- …the enterprise + Proven success delivering large, multi-workstream programs in healthcare , insurance, or similarly complex environments + Exceptional verbal and ... management field + Experience with member onboarding, lifecycle programs, or healthcare transformation initiatives + Familiarity with CMS regulations, digital health… more