- Elevance Health (Columbus, GA)
- …responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse . **How you will make an impact:** + Examines ... relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. +...next step in the claims lifecycle. + Researches new healthcare related questions as necessary to aid in investigations… more
- Cardinal Health (Atlanta, GA)
- …firm or in-house healthcare experience preferred, including commercial transactions and fraud and abuse compliance expertise + Experience working with Group ... to pharmaceutical distribution and services and group purchasing organizations, specifically AKS/ Fraud & Abuse + Identify opportunities for process improvements… more
- Cardinal Health (Atlanta, GA)
- …patients and prescribers and by federal and state government programs, for example, fraud and abuse (Anti-Kickback Statute, False Claims Act, Civil Monetary ... Health is seeking a driven and skilled attorney with expertise in healthcare regulatory compliance, including third party billing and reimbursement. The Assistant… more
- ZOLL Medical Corporation (Atlanta, GA)
- …of healthcare compliance regulations (eg, state and federal anti-corruption, fraud , waste and abuse , anti-kickback, corporate practice of medicine, Sunshine ... for a talented commercial transactions attorney with extensive experience in the healthcare industry to serve in an impactful, business-oriented in-house legal role… more
- Cardinal Health (Atlanta, GA)
- …firm or in-house healthcare experience preferred, including commercial transactions and fraud and abuse compliance expertise + Experience working with Group ... and Compliance teams + Demonstrate knowledge of general commercial and healthcare law; specifically, regulations related to pharmaceutical distribution and services… more
- PruittHealth (Norcross, GA)
- …effectively to providers, potential members and key decisions makers. * Complete annual Medicare Fraud , Waste and Abuse Training and Model of Care Training * ... strong preference for candidates with previous experience in Medicare or healthcare sales and engagement. **MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:** * Life… more
- CVS Health (Atlanta, GA)
- …to coding questions, state and federal policies, and identify potential billing errors, abuse , and fraud . + Identify opportunities for savings related to ... through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the… more