• Medicare Health Plan Operations…

    Prime Therapeutics (Atlanta, GA)
    …decision we make. **Job Posting Title** Medicare Health Plan Operations Specialist - Remote **Job Description** The Associate Functional Business Consultant ... PBM or healthcare experience + Experience using queries + Experience with Medicare Part D **Minimum Physical Job Requirements** + Occasional non-standard hours and… more
    Prime Therapeutics (05/29/24)
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  • Analyst, Case Management Specialist

    CVS Health (Atlanta, GA)
    …make health care more personal, convenient and affordable. This is a full-time remote role open to candidates throughout the United States. Hours for this position ... Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range...+ CRC, CDMS, CRRN, COHN, or CCM certification + Medicare and Medicaid experience + Managed care experience +… more
    CVS Health (05/12/24)
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  • Analyst Case Management, Specialist

    CVS Health (Atlanta, GA)
    …make health care more personal, convenient and affordable. n This is a full-time remote role open to candidates throughout the United States. Hours for this position ... Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range...+ CRC, CDMS, CRRN, COHN, or CCM certification + Medicare and Medicaid experience + Managed care experience +… more
    CVS Health (05/11/24)
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  • Analyst, Case Management Specialist

    CVS Health (Atlanta, GA)
    …health care more personal, convenient and affordable. This is a full-time remote role. Hours for this position are Monday-Friday 8:00a-5:00p CST. Requisition Job ... field Preferred experience: + CRC, CDMS, CRRN, COHN, or CCM certification + Medicare and Medicaid experience + Managed care experience + Experience working with… more
    CVS Health (05/11/24)
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  • Senior Hierarchical Condition Category (HCC)…

    Highmark Health (Atlanta, GA)
    …Plan and its beneficiaries enrolled in risk-adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA) through Hierarchical Condition ... (HCC) coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and support of Risk… more
    Highmark Health (05/31/24)
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  • End User Computing Specialist

    Aveanna (Atlanta, GA)
    End User Computing Specialist ApplyRefer a FriendBack Job Details Requisition #: 196021 Location: Atlanta, GA 30339 Category: IT Salary: $26.00 - $32.00 per hour ... Position Details Position Overview As an End User Computing Specialist , you will play a crucial role in ensuring the seamless operation and high-level support of our… more
    Aveanna (06/04/24)
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  • Quality Assurance Specialist

    Intermountain Health (Atlanta, GA)
    **Job Description:** The Quality Specialist will partner with various departments to ensure the assigned departments and associates meet all pre-determined metrics ... deficiency and providing excellent customer service. **Position Details:** This remote position will work Monday-Friday during regular business hours. There… more
    Intermountain Health (06/02/24)
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  • Inpatient Facility Coder Quality Associate…

    Banner Health (Atlanta, GA)
    …we are proud to offer our team members many career and lifestyle choices including remote work options. If you're looking to leverage your abilities - you belong at ... services in all the communities we serve. We have remote workers in 39 States and continue to grow!...of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG), and Ambulatory Payment Classification… more
    Banner Health (05/31/24)
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  • Medical Coder

    Morehouse School Of Medicine (Atlanta, GA)
    …MHC Revenue Cycle Position Summary Under minimal direction, the Coding Specialist independently and diligently reviews clinical documentation and diagnostic results ... projects as assigned by Manager, Supervisor, or Coordinator. Work Location: Hybrid/ Remote Work (Eligible with Approval) . Minimum Qualifications Education: + High… more
    Morehouse School Of Medicine (05/11/24)
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  • Patient Health Advocate

    Somatus (Atlanta, GA)
    …+ And more! **Somatus offers a Hybrid Telehealth environment with a combination of remote days and visits to members' homes.** This position will be focused on high ... visits on a monthly basis Qualifications Required + Experience working with Medicare , Medicaid or Special Needs populations. + Medical Assistant, Licensed Practical… more
    Somatus (05/05/24)
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