- 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
- Aveanna Healthcare (Norcross, GA)
- …+ Strong understanding of regulatory compliance and Medicaid waiver program standards + Compassionate, professional demeanor when working with families ... the implementation and operation of the NOW and COMP Medicaid waiver programs across all GA locations. These programs...support requests. + Help develop measurable outcomes to monitor program effectiveness and service delivery . + Represent… 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
- State of Georgia (Fulton County, GA)
- …across the state. The Department of Community Health is seeking qualified Candidates for a Program Consultant 3 with the Service and Delivery Unit of the Medical ... million people. DCH serves as the lead agency for Medicaid , oversees the State Health Benefit Plan (SHBP) and...integrity. This position will report to the Performance Management Program Manager within Medical Assistant Plans, Service Delivery… 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
- United Musculoskeletal Partners (Lawrenceville, GA)
- …Provide on-site management of the Resurgens Orthopaedics Durable Medical Equipment ("DME") Program . . Under the direct supervision and orders of the physicians, ... of clinical employees on all aspects of the DME Program to cover patient volumes and days off. Meet...scheduling for DME product pick-up, fitting, education, order processing, delivery (if applicable), and courtesy call back. . Participate… 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