- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Humana (Atlanta, GA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Atlanta, GA)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Atlanta, GA)
- …diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS Supplemental Data ... metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team lives Humana's… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** As the Meeting Manager on the Waystar Corporate Events team, you will play a vital role in developing and delivering exceptional experiences ... managing audio-visual needs. + Work closely with the Sr. Director of Events to plan the events calendar at...internally. **WHAT YOU'LL NEED** + 5+ years of planning corporate meetings + Bachelor's Degree required + Cvent experience… more
- Fresenius Medical Center (Kennesaw, GA)
- …+ Ensuring appropriate internal controls, timeliness, accuracy, and adherence to Corporate and governmental policy is maintained. + Ensuring that patient accounts ... accuracy. + Overseeing the monthly close process of the Advantx and Medical Manager sub-systems and providing the accounting department with cash deposits, projected… more
- PruittHealth (Blue Ridge, GA)
- …and performance improvement (QAPI) committees. 26. Work closely with Admissions director /Senior Nurse Navigator, Hospital medical records, and physicians to ... annual and significant change assessments as well as any required Medicare assessment. Responsibilities include maintaining accurate and timely assessments, meeting… more
- ChenMed (Atlanta, GA)
- …+ Implements strategic planning for referral coordination that contributes to medical cost reduction and improves organizational performance. + Interviews Referral ... Manager candidates. Maintains and promotes the awareness of the corporate values to help develop Referral Managers for career growth and future success. + Gives… more
- Molina Healthcare (GA)
- …Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including but not ... and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract… more