- Humana (Atlanta, GA)
- …following areas: + Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer internship ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Healthfirst (GA)
- …advocate and liaison with various governmental and private agencies such as Medicaid, Medicare , and Social Security to maximize network of support and secure needed ... as needed. + Keeps up to date on federal ( Medicare ) and state (Medicaid) regulations. + Interacts with community...skills **License or Certification:** LMSW or LCSW **Regulatory or Compliance activities:** N/A WE ARE AN EQUAL OPPORTUNITY EMPLOYER.… more
- CenterWell (Atlanta, GA)
- …innovation for chronically and temporarily homebound, polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director ... with clinicians, executives, and operational leaders. + Advanced knowledge of Medicare regulations, value-based care principles, and best practices for complex care… more
- Humana (Atlanta, GA)
- …states: California, Hawaii, Nevada, Oregon + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage experience + Bilingual ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Atlanta, GA)
- …administrative expenses and quality/bonus performance + Comprehensive knowledge of Medicare policies, processes and procedures **Additional Information** To ensure ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Atlanta, GA)
- …to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Aveanna Healthcare (Duluth, GA)
- …at all times. Essential Job Functions + Deliver quality patient care in compliance with physician orders under direction of their Registered Nurse teammate. * Perfom ... Drivers license in the state of application Preferred: + Medicare Skilled Nursing experience + Basic understanding of Oasis...Home Base exp a plus As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- CVS Health (Atlanta, GA)
- …for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC), by ensuring that VBC arrangements ... partners + Educates internal and external parties as needed to ensure compliance with contract terms and expectations + Assists with workflow development and… more
- Highmark Health (Atlanta, GA)
- …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- Morehouse School Of Medicine (Atlanta, GA)
- …must possess a high level of expertise and understanding of the Federal Medicare GME financing, CMS regulations, and ACGME program requirements. The individual must ... distribution of allocations and assures accurate documentation for reimbursement from Medicare . + Works with local Associate Designated Institutional Officers ( DIO… more