- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... an impact** **Required Qualifications:** + **Bachelor's degree or Doctor of Pharmacy (Pharm. D .) from an accredited college of pharmacy** + Active pharmacist license… more
- Elevance Health (Atlanta, GA)
- …PowerPoint preferred. + Project management certification preferred. + Marketing experience preferred. + Medicare Part D experience preferred. + Fraud waste ... + Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs. + Develops...and expectations for time onsite will be discussed as part of the hiring process. The health of our… more
- Aveanna Healthcare (Rincon, GA)
- …Aide training and competency evaluation program pursuant to the requirements of 42 CFR part 483, Subpart D ; or Health Care or Personal Care credentialing program ... Current CPR certification Demonstrated proficiency in clinical assessments, documentation and compliance with aide care and policies and procedures Valid Driver's… more
- Molina Healthcare (Augusta, GA)
- …and team learning. + Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the investigation of data ... + Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage or Medicaid programs + Awareness of CMS audit processes or… more