- Centers for Medicare & Medicaid Services (Atlanta, GA)
- …is located in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Center for Medicare and Medicaid Innovation ... GS-2210-13, you will provide analysis for decisions implementing Medicaid and Medicare health programs to guide healthcare financing, delivery, and costs, to… more
- Humana (Atlanta, GA)
- …environment affecting food intake and eating behavior. + Focus on the Medicare population with chronic conditions such diabetes, COPD, heart failure, etc. **Use ... + Experience in the health insurance + Experience with Medicare population + Experience working with Special Needs Plan...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Atlanta, GA)
- …This position utilizes financial projection and analytics skills while working in Medicare risk adjustment. Additionally, you will work to build consensus with ... techniques like regression analysis, time series modeling, and causal inference + Medicare Risk Adjustment Experience + Financial or actuarial background + Masters… more
- Gentiva (Macon, GA)
- …and notify appropriate staff upon patient discharge or death + Verify Medicare eligibility and obtain required authorizations and reauthorizations + Process patient ... facilities to the system as needed + Administer satisfaction surveys and support compliance with company policies and training + Maintain adherence to managed care… more
- Belle (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
- CenterWell (Atlanta, GA)
- …Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and ... role provides a unique opportunity to get hands on Medicare Advantage experience in a rapidly growing area outside...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Humana (Atlanta, GA)
- …and plays a critical part in forecasting risk scores and revenue for the Medicare Advantage Part D business. The successful candidate will lead efforts to model ... FSA or plus relevant advanced degree + Experience with Medicare Part D + Familiarity with Risk Score Data...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Aveanna Healthcare (Atlanta, GA)
- …compensation practices and policies, and make recommendations to improve compliance , efficiencies, and competitive advantage + Administer all compensation components ... system, oversight and approval of compensation changes, maintenance of minimum wage compliance and FLSA compliance related to compensation, execution of annual… more
- Molina Healthcare (GA)
- …overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. **Knowledge/Skills/Abilities** ... plan for the Medicaid , CHIP, Marketplace, MMP and Medicare lines of business. * Works with staff and...* Oversees Enrollment and Contact Center Operations to ensure compliance with health plan requirements. Works collaboratively with Corporate… more
- State of Georgia (Fulton County, GA)
- …Georgia Medicaid Program. + Demonstrates thorough knowledge of and insures compliance with departmental policies and procedures governing the Georgia Medicaid ... Program; state and federal laws and policies governing Medicare and Medicaid. + Applies appropriate regulations, policies, and procedures to accurately determine… more