- Molina Healthcare (GA)
- …identified, mitigated, monitored, and reported. Responsible for managing the program governance, strategy, tool(s), policy, standards, and procedures. Responsible ... and vendors are effectively and robustly managed. + Ensures the appropriate governance program and relevant training programs are in place and maintained. + Drive… more
- CVS Health (Atlanta, GA)
- …Ensures compliance with contractual requirements. Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes ... A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / ...Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and… more
- CVS Health (Atlanta, GA)
- …current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.** **Preferred Qualifications** **3+ year vendor ... benefit administrators)** **5+ years of experience in government programs (Medicaid, Medicare )** **Adept at problem solving and decision-making skills** **Adept at… more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Atlanta, GA)
- …Geriatric Medicine + This role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program . If selected for this role, ... one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over...of jurisdiction + Graduate of accredited MD or DO program of accredited university + Prefer Internal Medicine specialty… more
- CenterWell (Atlanta, GA)
- …services within the Center. . Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. . Assures personal compliance with ... 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… more
- CenterWell (Atlanta, GA)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 350 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...Center. . Participates in the local primary care "on-call" program of CenterWell as needed. . Assures personal compliance… more
- CVS Health (Atlanta, GA)
- …is an integral part of the Medicare Stars business. We are seeking a ** Senior Manager , Business Analysis** , to join our team. This team manages data ... environments, reporting and web applications that support Medicare and Stars-specific initiatives. **This position will include:** +...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CenterWell (Atlanta, GA)
- …within the Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, ... as required + Graduate of accredited MD or DO program of accredited university + Excellent verbal and written...Medicine preferr + Active and unrestricted DEA license + Medicare Provider Number + Minimum of two to five… more
- CenterWell (Decatur, GA)
- …problems of diverse scope and complexity ranging from moderate to substantial. CenterWell Senior Primary Care is one of the largest and fastest growing value-based ... in state of practice; + Graduate of accredited APRN program of an accredited university + Excellent verbal and...pump + Work experience in electrophysiology + Experience managing Medicare Advantage panel of patients with understanding of Best… more