- Molina Healthcare (Atlanta, GA)
- …compliance by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and ... related field (advanced degree a plus). **Experience** * 7+ years managing Medicare CTM, appeals & grievances, or related compliance functions-hands-on with CMS CTM… more
- CenterWell (Atlanta, GA)
- …and communicate remediation plan to IPA Dyad partners. + Partners with market operational leaders to identify operational issues that impact clinician and coder ... staff workload and redistribute resources as needed to meet market operational demands. + Monitor coding processes, identify inefficiency, and develop… more
- Elevance Health (Atlanta, GA)
- ** Director II Provider Economics - Value-Based Specialty Care** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Director II, Provider Economics** , will lead strategic analytics and payment design… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Director , Clinical and Revenue Integrity Operations is responsible for the oversight and management of our team of Revenue Integrity ... to be an integral part of ongoing product and operational strategy. Technical and process aptitude is a must....systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- CenterWell (Atlanta, GA)
- …Director , the Senior Strategy Advancement Professional will bring a combination of operational support, analyst skills, and strategy oversight to the role. ... (ACO) business. This role will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid… more
- Molina Healthcare (Atlanta, GA)
- …in collaboration with the Manager or Director . * Keeps Manager or Director apprised of operational issues, including staffing resources, program and system ... drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics with regard to patient… more
- City of Alpharetta, Georgia (Alpharetta, GA)
- …Starting salary $81,350 to $91,350. Under administrative direction of the Director of Economic Development, performs a variety of professional-level duties in ... development programs, incentives, and special projects as assigned by the Director of Economic Development; including participating in the development and… more
- State of Georgia (Gwinnett County, GA)
- …the Director . Manages the planning, development, and implementation of operational support services for a facility. Develops and implements policies and ... disabilities. View Point Health serves uninsured, underinsured, low-income Medicaid, Medicare , war veterans and some private insurance across multiple locations… more