- Humana (Atlanta, GA)
- …and external partners to complete fast paced and time sensitive projects. The Quality Program Delivery Professional 2 work assignments are varied and ... Horizons is seeking a Quality Programs Delivery Professional 2 who will support quality program ...of action. Works collaboratively with members of the National Medicaid Quality team, state health plan quality teams, and… more
- Elevance Health (Atlanta, GA)
- The Medicaid Growth Office is looking to hire a **Request for Proposal (RFP) Development Director to align to our Clinical Strategies and Solutions** for all new and ... renewing Medicaid state RFPs. This RFP Development Director is a...exceptional and tailored responses that address state-specific priorities and program goals. Working closely with the Business Development Lead,… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional ... an in-depth evaluation of variable factors. The Senior Compliance Professional develops and implements compliance policies and procedures. Researches compliance… more
- International Rescue Committee (Atlanta, GA)
- …to become self-sufficient in navigating and utilizing transportation resources such as Medicaid taxi and Marta bus system. + Assistance with data entry, analysis, ... administrative tasks relevant to health services provided. + Assist the Health Program Coordinator in scheduling and coordinating medical and health appointments for… more
- CVS Health (Atlanta, GA)
- …Responsibilities:** Support team objectives, enhance operational efficiency, and ensure delivery of high-quality care to members. This may include participating ... volume, successful member engagement, and state/federal regulatory requirements. + ** Professional Conduct:** Conduct oneself with integrity, professionalism, and self-direction.… more
- CVS Health (Atlanta, GA)
- …for supporting complex capitation analyses that support our strategic goals for Medicaid , Medicare and IFP, and working collaboratively with the Network to determine ... + 3+ years of experience with model development + Adept at execution and delivery (planning, delivering, and supporting) skills + Ability to pull data using SAS, SQL… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …area and the organization overall + Participates in activities that enhance professional development + Participates in program development activities for the ... (1 is board certified), four psychometrists, and an accredited training program . The Comprehensive Inpatient Rehabilitation Unit (CIRU) is a CARF-accredited, 28-bed… more
- Gentiva (Douglasville, GA)
- …Fleet Program + Competitive Salaries + Mileage Reimbursement + Professional Growth and Development Opportunities **Legalese** + This is a safety-sensitive ... clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible… more
- Aveanna Healthcare (Douglasville, GA)
- …of care defining physical therapy needs, goals, progress and expected outcomes. + Delivery of physical therapy services to comply with prescribed physician orders. + ... (PTA, HHA) as applicable. + Completes OASIS assessments where allowed by state professional practice and regulation. + Follow policies and procedures and conforms to… more
- Molina Healthcare (Atlanta, GA)
- …checks, data analytics to identify outlier billing behavior, contract and program regulation research, provider and member education, findings identification and ... fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. +...claim billing codes, medical terminology, anatomy, and health care delivery systems. + Understanding of datamining and use of… more