• Quality Improvement Specialist

    Centene Corporation (Atlanta, GA)
    …of Georgia.** **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation , clinical ... regional and multi-plan initiatives. Develops programs in compliance with accreditation and regulatory requirements/ standards and monitors ongoing program… more
    Centene Corporation (07/08/25)
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  • Senior Specialist , Delegation…

    Molina Healthcare (Augusta, GA)
    …delegation oversight document evidence for state monitoring visits and NCQA accreditation surveys and participates on Molina's work team. **JOB QUALIFICATIONS** ... **Required Education** Bachelor's Degree or equivalent combination of education and experience. **Required Experience** + 3+ years managed care experience. + Min. 1 year experience completing delegation oversight assessment/ audits. + Data analysis experience.… more
    Molina Healthcare (08/21/25)
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  • Senior Specialist , Provider Network…

    Molina Healthcare (Columbus, GA)
    …quality improvement of the provider database, compliance with regulatory/ accreditation requirements, and Network Management business operations. Report examples ... may include: GeoAccess Availability Reports, Provider Online Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other provider-related reports, such as:… more
    Molina Healthcare (08/02/25)
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  • Senior Outpatient Coder

    Houston Methodist (GA)
    At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and ... **EDUCATION** + Associate's or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional… more
    Houston Methodist (07/31/25)
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  • Senior Workers Comp Case…

    Southern Company (Atlanta, GA)
    …written communication and customer service skills. + Certified Case Management accreditation , and/or Certification as Occupational Health Nurse Specialist ... preferred; Must obtain after 1 year of employment. + Ability to work away from home for extended periods (up to 2 weeks) during emergency storm restoration duty. + Hospital, Medical Practice, or Home Health experience preferred + Available for daily travel… more
    Southern Company (08/27/25)
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  • Tax Senior Consultant- SAP Global Trade…

    Deloitte (Atlanta, GA)
    …above certifications + CUSICO (Certified US Import Compliance Officer) + Professional Accreditation in EU Customs Law (post masters) + Technology Certifications: + ... Certification + Open Group Certified Architect (Open CA) + Open Group Certified IT Specialist (Open CITS) + IASA's Certified IT Architect (CITA) (Level F or A) +… more
    Deloitte (08/23/25)
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  • Field Medical Director, Interventional Cardiology…

    Evolent (Atlanta, GA)
    …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA)… more
    Evolent (07/30/25)
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  • Nurse Manager / Cardiac Device Clinic

    Emory Healthcare/Emory University (Atlanta, GA)
    …previous Cardiac Device Experience.** A CCDS certification (Certified Cardiac Device Specialist ) is highly preferred for this role.** **Description** **8am-5pm / ... Monday-Friday / Full Time** We are seeking a capable ** Senior ** **Nurse Manager** who has acquired broad experience in caring for patients and has developed a sound… more
    Emory Healthcare/Emory University (08/21/25)
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  • Traveling Transition Support Associate - 100%…

    Raymond James Financial, Inc. (Atlanta, GA)
    …internal client organization, delivering high-quality professional services with guidance from senior colleagues. + Act as first-line supervisor of a team providing ... and informal training and coaching; gain or maintain external professional accreditation , where relevant, to improve performance and fulfill personal potential.… more
    Raymond James Financial, Inc. (08/21/25)
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