- CVS Health (Atlanta, GA)
- …member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly ... to thoroughly learn the role of care management within Medicare and Medicaid managed care. + **Community Resources:** Familiarity with community resources and… more
- Prime Therapeutics (Atlanta, GA)
- …decision we make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** The Senior Medication Therapy Management (MTM) ... Service Specialist will act as a Subject Matter Expert for...targeted population; for Medicare, is Centers for Medicare & Medicaid Services (CMS) compliant + Act as a Subject… more
- Intermountain Health (Atlanta, GA)
- …and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health Statistics (NCHS), US Federal ... Demonstrated knowledge of government benefits and regulations related to Medicare, Medicaid or the ACA. AND Demonstrated knowledge of queries. _Preferred… more
- Molina Healthcare (GA)
- …and administration of contracts with State and/or Federal governments for Medicaid , Medicare, Marketplace, and other government-sponsored programs to provide health ... Experience** * 2+ years experience in a managed care environment, preferably in Medicaid environment. * Knowledge of state Medicaid Policies and Programs.… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Medical Records Retrieval Specialist / Risk Adjustment Representative 2 travels to provider offices within the region ... records into a secure system. Georgia The Medical Records Retrieval Specialist ensures accurate and properly supported clinical documentation within the health… more
- State of Georgia (GA)
- … Specialist 2: Zone 10 Georgia (https://ga.referrals.selectminds.com/jobs/63852/other-jobs-matching/location-only) Regulatory ... job posting and apply: If interested, please apply to: https://www.governmentjobs.com/careers/dchga/jobs/3205874/compliance- specialist -2-zone-10?pagetype=jobOpportunitiesJobs Applicants who do not apply using the dchjobs… more
- State of Georgia (Rockdale County, GA)
- Behavioral Intervention Specialist (BIS) FT/PRN - Autism CSU - Conyers, Ga Georgia - Rockdale - Conyers ... developmental disabilities. View Point Health serves uninsured, underinsured, low-income Medicaid , Medicare, war veterans and some private insurance across multiple… more
- State of Georgia (Gwinnett County, GA)
- Vocational Rehabilitation Specialist - ACT - G/R/N Georgia - Gwinnett - Lawrenceville ... developmental disabilities. View Point Health serves uninsured, underinsured, low-income Medicaid , Medicare, war veterans and some private insurance across multiple… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Payer Relations Specialist is responsible for initiatives to identify and build contractual relationships with payers for direct data ... of the Waystar payer relations team, the Payer Relations Specialist will drive new value for Waystar's clients by...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Aveanna Healthcare (Atlanta, GA)
- Clinical Solutions Service Specialist II ApplyRefer a FriendBack Job Details Requisition #: 200140 Location: Atlanta, GA 30339 Category: IT Salary: $25.00 - $30.00 ... per hour Position Details Position Overview: The Clinical Solutions Service Specialist II is proficient in clinical applications, such as Electronic Medical Records… more