• Director, Provider Relations (Must reside…

    Molina Healthcare (GA)
    …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations ... internal staff, external providers, and other stakeholders. * Ensures compliance with applicable company/plan business requirements including state/federal statutes,… more
    Molina Healthcare (09/17/25)
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  • Acute Access APP (temporary): Remote

    CenterWell (Atlanta, GA)
    …care "on-call" program of CenterWell Senior Primary Care. + Assures personal compliance with licensing, certification, and accrediting bodies. + Use your skills to ... director. Preferred Qualifications: + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare more
    CenterWell (09/13/25)
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  • Provider Engagement Executive

    Humana (Atlanta, GA)
    …+ Experience in managing and interpreting relevant survey data to support compliance and performance goals + Proficiency in analyzing and interpreting financial ... / HIPAA information **Preferred Qualifications** + Bachelor's Degree + Experience with Medicare and Medicaid + Comprehensive knowledge of Medicare policies,… more
    Humana (09/12/25)
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  • Nurse Practitioner/Physician Assistant

    CenterWell (Atlanta, GA)
    …care "on-call" program of CenterWell Senior Primary Care. . Assures personal compliance with licensing, certification, and accrediting bodies. **Use your skills to ... for TB. **Preferred Qualifications:** + Active and unrestricted DEA license + Medicare Provider Number/ Medicaid Provider Number + Experience managing Medicare more
    CenterWell (09/06/25)
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  • Agency Broker Relationship Manager

    Humana (Atlanta, GA)
    …the sales process in all sales-oriented activities, including marketing, advertising, compliance , sales promotions, and training to achieve revenue targets. Begins ... Bachelor's degree and 5+ years of experience in the Medicare industry with a focus on management/leadership + Experience...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (08/13/25)
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  • Primary Care Physician

    CenterWell (Scottdale, GA)
    …primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, and accrediting bodies. + Spend 100% of your ... Medicine preferr + Active and unrestricted DEA license + Medicare Provider Number + Minimum of two to five...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    CenterWell (08/09/25)
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  • Primary Care Physician Lead

    CenterWell (Savannah, GA)
    …to individual clinicians about patient terminations, in + collaboration with Compliance + Supporting clinicians with schedule templates, coverage, daily issues + ... **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    CenterWell (06/27/25)
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  • Home Health Nurse Consultant RN or PT

    PruittHealth (Norcross, GA)
    …the Home Health Agencies by evaluating and educating agencies/facility staff for compliance with all regulatory groups by making recommendations and suggestions for ... improvement. Track, trends and reports data needed to monitor compliance and agency standing in relation to national benchmarks, outcomes, policy implementation and… more
    PruittHealth (09/20/25)
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  • Telehealth Physician (Full-time, No On Call, M-F)

    Belle (Atlanta, GA)
    …(medical, dental, vision, 401k) + Be part of a mission-driven team helping Medicare seniors live healthier, longer lives What You'll Do + Provide routine telehealth ... visits with Medicare patients (E/M and Chronic Care Management) + Create...CHWs) + Ensure thorough documentation in our EHR and compliance with quality measures + Engage patients in preventive… more
    Belle (09/25/25)
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  • Manager, Fraud and Waste

    Humana (Atlanta, GA)
    …to Succeed** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with Fraud, Waste, and Abuse in ... a group of seasoned professionals. + Proven knowledge in Medicare regulations + Excellent PC skills MS Excel and...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/24/25)
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