- PruittHealth (Norcross, GA)
- …enrollments. 5. Ability to learn and carry out Centers for Medicare & Medicaid Services rules and regulations. 6. Meet with potential members/responsible party to ... Office Suite products; * Substantial sales experience; * Knowledge of Medicare/ Medicaid and/or nursing community dynamics. * Demonstrate compliance with CMS… more
- Grant Thornton (Atlanta, GA)
- …for business and IT process optimization, profit improvement, cost reduction, fraud prevention, internal control, and compliance. + Perform engagement management ... the Office of Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS). + Experience with Sarbanes-Oxley Section 404 compliance. + Proven… more
- CVS Health (Atlanta, GA)
- …review findings. - Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state regulators, etc. ... state and federal policies. - Identify potential billing errors, abuse, and fraud . - Identify opportunities for savings related to potential cases which may… more
- CVS Health (Atlanta, GA)
- …findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state ... state and federal policies, and identify potential billing errors, abuse, and fraud . + Identify opportunities for savings related to potential cases that may… more