- Baylor Scott & White Health (Atlanta, GA)
- …dashboards and reports for senior leadership, hospital senior leadership, and senior medical staff including denials from all payers, Medicare /Medicaid audit ... **Job Summary** The Director , Denial Resource Center is responsible for the...improved utilization of appropriate patient care services. Collaborates with medical , clinical, HIM and other BSWH departments to ensure… more
- Elevance Health (Atlanta, GA)
- **Account Services/Client Management Director CareBridge - CareBridge Growth and Client Success** **Location:** Alternate locations may be considered. This position ... home-care and community based services. The **Account Services/Client Management Director ** is responsible for establishing relationships across a portfolio of… more
- Elevance Health (Atlanta, GA)
- **Actuarial Director - Level Funding Pricing** _Location: This role requires associates to be_ **_in-office 3 days per week_** _, fostering collaboration and ... unless an accommodation is granted as required by law._ The **Actuarial Director - Level Funding Pricing** is responsible for identifying, evaluating and responding… more
- CVS Health (Atlanta, GA)
- …it all with heart, each and every day. **Position Summary** The Lead Director , Provider Portal Strategy & Operations is responsible for the strategic leadership and ... oversight of Aetna's three primary provider portal solutions: Availity Commercial/ Medicare Portal, Availity Medicaid Portal, and DentalXchange Dental Portal. This… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Director of Security Operations is a security leadership position that will manage the Joint Security Operations and Identity Management ... systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out...+ bonus, if applicable) + Customizable benefits package (3 medical plans with Health Saving Account company match) +… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** We are seeking an experienced and strategic Director of Accounting - Billing & Collections to lead our billing operations and receivables ... systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out...+ bonus, if applicable) + Customizable benefits package (3 medical plans with Health Saving Account company match) +… more
- CenterWell (Marietta, GA)
- …participant and lead with the care team through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of ... + Appropriate certification to write prescriptions under the authority of a collaborating physician/ medical director + This role is considered patient facing and… more
- Genesis Healthcare (Savannah, GA)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... program. Responsibilities The Senior Therapist is responsible for assisting the Director of Rehab in the efficient Clinical management of rehabilitation services… more
- Humana (Atlanta, GA)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare… more
- STG International (Milledgeville, GA)
- …Coordinate Pre-certification sand recertification in accordance with facility policies for Medicare Advantage and + commercial insurance payers. + Interpret the ... coding for accuracy. + Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. + Periodically… more