- Molina Healthcare (GA)
- …Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as specialties in: surgical, ... Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in Healthcare… more
- Molina Healthcare (GA)
- …site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from ... Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If you are interested… more
- Molina Healthcare (GA)
- …and/or member appeals and grievance processing/resolution, including 3 years in a manager role. * Experience with Medicare Regulations, Medicare Duals, Appeals & ... Grievances, Provider Disputes (Par and Non-Par) and overall Medicare program knowledge. * Experience reviewing all types of medical claims (eg HCFA 1500,… more
- CDM Smith (Columbus, GA)
- …applicants to prioritize their projects, facilitates applicant meetings throughout the program delivery and recovery stages, and communicates the final determination ... Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or...for Public Assistance Technical Assistance Contractors - PA TAC V in the West Zone. The West Zone includes… more
- Molina Healthcare (Macon, GA)
- …performance indicators (KPI's) with multiple targets depending on Medicare Program and State requirements. **Job Qualifications** **Required Education** Associate's ... review and/or Provider appeals and grievance processing/resolution, including 2 years in a manager role. * Experience reviewing all types of medical claims (eg CMS… more
- CDM Smith (Macon, GA)
- …Smith is seeking an experience Coordinator to support our FEMA Public Assistance Program (CCPRS JV). The ideal candidate: * Assists with the scheduling of deployed ... Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or...for Public Assistance Technical Assistance Contractors - PA TAC V in the West Zone. The West Zone includes… more
- Veterans Affairs, Veterans Health Administration (Dublin, GA)
- …All qualified applications received by the cut-off date and/or when the hiring manager requests for candidates will be notified at that time. Those candidates that ... form of identification for employment. Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health… more