- 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
- CVS Health (Atlanta, GA)
- …We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner ... closely with the Executive Director of Aetna STARS Analytics to drive hands on...business strategies and products + Experience in large, matrixed corporate environment + Experience working with end-users **Education:** +… 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
- 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
- Gentiva (Augusta, GA)
- …diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician. **As a Nurse Practitioner, ... tests within the scope of professional practice. Order treatments and durable medical equipment as indicated. + Communicate clinical findings to the PSC Physician… more
- PruittHealth (Cordele, GA)
- …financial needs and services including providing written explanation of Medicare , Medicaid and Insurance benefits to prospective patients/families when necessary, ... approaching death of the patient. * Documents in the medical record all services. * Provides bereavement services to...to patients and families under the direction of the Director of Health Services. * Other duties as assigned… more
- Waystar (Atlanta, GA)
- …Graphic Designer to join Waystar's Brand Marketing team, reporting to the Creative Director . This role will play a critical part in driving lead generation and ... of professional experience in graphic design, preferably within a corporate , B2B, or agency setting. + Expertise in Adobe...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more