- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to ... of promotional investments across various channels (HCP, DTC, digital, non-personal promotion , etc.). + Develop and refine multi-touch attribution models and other… more
- CenterWell (Atlanta, GA)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- CenterWell (Atlanta, GA)
- …our caring community and help us put health first** The Divisional Director is responsible for building a strong partnership with clinical-operational divisional ... and coordinating care to reduce acute and post-acute care utilization. The Divisional Director role is a hybrid with travel requirements to facilitate and liaise… more
- Humana (Atlanta, GA)
- …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 problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Atlanta, GA)
- …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... and/or other end compliant inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and… more
- Humana (Atlanta, GA)
- …us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and ... Operations, this role will be pivotal in ensuring operational efficiency, effectiveness, compliance , and the achievement of key business objectives. The Director … more
- Humana (Atlanta, GA)
- …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 problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
- Gentiva (Columbus, GA)
- …lasting difference in people's lives every day. **Overview** Due to an internal promotion , we have an exciting and rewarding opening for a **RN A** **dministrator** ... quality improvement principles in day-to-day activities. + Promotes and monitors compliance with requirements and standards established by accrediting or licensing… more
- CenterWell (Decatur, GA)
- …part of our caring community and help us put health first** Reports To: Associate Director , Home Health Branch Administrator FLSA: Exempt **Work Schedule** : ... of Care (POC). + Monitors cases to ensure documentation is following compliance with regulatory agencies and requirements of third-party payers. Ensures final… more
- AdventHealth (Rome, GA)
- …patient care programs consistent with the hospital mission. + Assists the Manager/ Director to monitor/maintain unit compliance with regulatory, accrediting and ... to manage resources to achieve quality performance, positive employee relations, and compliance with hospital guidelines. The Assistant Nurse Manager is skilled in… more
- Community Health Systems (Statesboro, GA)
- …**_relocation outside of Statesboro, GA within an acceptable timeframe for promotion / transfer._** **Essential Functions** + Assists the Chief Nursing Officer ... non-value costs. + Assist the CNO in maintaining necessary regulatory and compliance approvals and quality accreditations. + Analyzes clinical areas in planning,… more
- CenterWell (Atlanta, GA)
- …professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their ... and lead with the care team through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Key Relationships: + Chief Medical Officer/Chief Quality Officer + Director , Physician Practice Operations + Practice Manager, Physician Practice Operations ... with other clinicians including community and referring providers. + Assure compliance with all relevant Department, clinic, and hospital policies and procedures.… more
- AdventHealth (Dalton, GA)
- …office staff in assisting with safe and effective patient care in compliance with established standards and protocols of Gordon Physicians Group, Gordon Hospital, ... by the physician and/or provider. Additional responsibilities include clinical compliance in sterilization techniques, sample medication oversight and compliance… more