- 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
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Sr Specialist , Provider Engagement role implements Health Plan provider engagement strategy to achieve positive quality ... meetings and action plans. Addresses practice environment challenges to achieve program goals and improve health outcomes. Tracks engagement activities using… more
- CenterWell (Atlanta, GA)
- …of our caring community and help us put health first** The Eligibility Specialist role reviews insurance eligibility for patients referred for Home Health services. ... The role is fast-paced, requires attention to detail, and knowledge of Medicare , Medicare Advantage, Medicaid, and Commercial insurances. As a **Healthcare… more
- Waystar (Atlanta, GA)
- …handling. Right now, we are looking for an outstanding, brilliant, and driven Specialist Application Engineer to join our growing team. While our Specialist ... department in resolving issues relating to production processes. The Specialist Application Engineer is responsible for troubleshooting and resolving technical… 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 ... support agency personnel encompassing all aspects of insurance and non- Medicare claims processing. + Prepare input data forms to...Paid time off, holidays, and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… more
- CenterWell (Atlanta, GA)
- …Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and ... Identify and act on opportunities to better manage & coordinate with high-quality specialist , hospital, and community partners to serve patient needs and deepen our… 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