- Molina Healthcare (Atlanta, GA)
- …the benefits, operations, communication, reporting, and data exchange of the Medicare /MMP product in support of strategic and corporate business objectives. Manage ... for all Medicare lines of business the annual Medicare and Medicare -Medicaid Plan Applications and Plan Benefit Package design, as well as provide… more
- Centene Corporation (Atlanta, GA)
- …flexibility. **Must reside in the state of Georgia.** **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned ... compliance with accreditation and regulatory requirements/ standards and monitors ongoing program performance to maintain compliance. Acts as a resource for… more
- CenterWell (Atlanta, GA)
- …and help us put health first** As an **RCM Healthcare Claims Denials Specialist /Accounts Receivable Specialist ** , you will: + Ensure the coordination of ... Guide/instruct and support agency personnel encompassing all aspects of insurance and non- Medicare claims processing. + Prepare input data forms to update computer… more
- CVS Health (Atlanta, GA)
- …and more compassionate. And we do it all with heart, each and every day. ** Program Overview** Help us elevate our patient care to a whole new level! Join our ... Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range...it is needed most. **Position Summary** The Health Survey Specialist plays a critical role within the DSNP team.… more
- CenterWell (Morrow, 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
- Evolent (Atlanta, GA)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded ... Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the… more
- Evolent (Atlanta, GA)
- …your passion where it meets purpose! We are looking for a Medical Policy Writer/ Senior Policy Specialist who will be responsible for the development, approval, ... roles and responsibilities as outlined in the National Utilization Program Description. **Collaboration Opportunities:** Support and Development + Research, write,… more