- Humana (Atlanta, GA)
- …analytics that are meaningful to develop foundational programs for our Medicare population. This role will lead execution of tactics, collaborative development ... or programs and their impact to results on the Medicare Health Outcomes Survey and patient experience. This role...+ Develop and manage HOS call campaigns and ensure compliance with TCPA regulations + Expand and ensure all… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …reporting associated with the governmental reimbursements and required cost reporting compliance . + Responsible for preparing cost reports, monitoring compliance ... to report on all supplemental Federal and State reimbursement matters + Coordinates Medicare and Medicaid audits and assists with preparation of all supporting work… more
- Humana (Atlanta, GA)
- …insights strategy that supports the improvement of health outcomes within our Medicare population. This role will lead and coordinate survey administration strategy ... data insights library and impact to results on the Medicare Health Outcomes Survey. This role will advise executives...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …timely, and complete clinical quality reporting across multiple programs including Medicare CQMs, HEDIS, Stars, and Commercial payer quality initiatives. This role ... documentation in structured data fields within their EMRs to meet Medicare and Commercial payer quality reporting requirements. + Facilitates the generation,… more
- Humana (Atlanta, GA)
- …the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Begins to ... and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. **Required Qualifications** + MD or DO degree + 5+… more
- Humana (Atlanta, GA)
- …the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to millions. By integrating insurance ... a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Atlanta, GA)
- …our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). The CMS Stars quality rating system evaluates ... Medicare Advantage and Prescription Drug Plans using approximately 40...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… 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 ... initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Gentiva (Stockbridge, GA)
- …developing associates and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory agencies. + ... new physicians and facilities, durable medical equipment (DME) pickup, Medicare patient eligibility, obtaining authorization and reauthorization as needed,… more
- Humana (Atlanta, GA)
- …The Senior Agency Management Professional supports data analysis related to compliance and commissions for Humana's external producers. The role involves handling ... provides support for handling and analyzing data that pertains to the compliance and commissions of Humana external producers. The Senior Agency Management… more