- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Senior Inpatient Medical Coding Professional extracts clinical information from a variety of ... data requires an in-depth evaluation of variable factors. **Responsibilities** The Senior Inpatient Medical Coding Professional confirms appropriate diagnosis… more
- Prime Therapeutics (Atlanta, GA)
- …every decision we make. **Job Posting Title** Clinical Pharmacist (Algo), Professional - Senior - REMOTE **Job Description** Maintains the inventory of clinical ... based upon relevant source data (eg clinical criteria, client criteria, Medicare LCD). Provides support for clinical client inquiries and internal partners.… more
- Highmark Health (Atlanta, GA)
- …relevant audiences. + High-level of skill in leading interdepartmental and cross-functional strategy development. + Experience with managed care, Medicare and ... have the highest level of integrity and ethics and demonstrate professional representation of the company. **ESSENTIAL RESPONSIBILITIES** + Matrixed working… more
- CenterWell (Atlanta, GA)
- …The Senior RX Clinical Programs Pharmacist oversees medication therapy, strategy on comprehensive medication reviews, and prescription drug optimization in cases ... part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health… more
- Datavant (Atlanta, GA)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... work environment. + Keep up to date with current coding policies for ICD-10, Medicare Advantage, HHS (ACA), and other markets. + Provide guidance and make strategic… more
- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Senior Program Delivery Professional strategically identifies, develops, and implements programs ... market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately… more
- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Learning Design Professional II supports Humana Military's provider engagement strategy by assisting in ... understanding of services across the East region. The Learning Design Professional II applies foundational instructional design principles and adult learning theory… more
- CenterWell (Savannah, GA)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across ... care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care we want to help those in the communities we… more
- Elevance Health (Atlanta, GA)
- …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... end-to-end claims/ encounter processing, as well as ensuring compliance with Medicare / Medicaid regulatory policies regarding FFS and zero-dollar claims. **How you… more
- Elevance Health (Atlanta, GA)
- …designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. ... on data related to Pharmacy cost of care, pharmacy trends, and other Medicare book of business' related issues/metrics. **How you will make an impact:** +… more