- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Under direct supervision interprets and applies Centers for Medicare and Medicaid Services regulations/guidelines related to transplant services . + ... correspondence and forms to ensure accurate authorization for transplant services . + Serves as a patient advocate ...setting required. + Knowledge of Centers for Medicare and Medicaid Services regulations related to transplant … more
- Humana (Atlanta, GA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... system architects across Humana. + Serve as a strong advocate for the business within IT and ensure that...+ Enable continued innovation and evolution of the cloud everything-as-a- service including IaaS, PaaS, SaaS platforms in collaboration with… more
- HealthEdge Software Inc (Atlanta, GA)
- …NCQA (National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services ), URAC (Utilization Review Accreditation Commission) and other ... believe health plans are in the best position to advocate for their members as they navigate their health...healthcare industry experts ensure our patented technology works in service of the person-to-person connections that make healthcare work… more
- Humana (Atlanta, GA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... current state security implementation versus future state architecture and advocate for gaps to be filled. * Implement complex...10mpbs upload) is required. + Satellite and Wireless Internet service is NOT allowed for this role. + A… more
- The Cigna Group (Atlanta, GA)
- …Stars department. The Star rating system was developed by the Centers for Medicare & Medicaid Services (CMS) to measure the quality of care delivered by a health ... queue where productivity and quality are monitored. + Meet service level goals (ie, call quality, daily/weekly call performance...Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.… more
- CVS Health (Atlanta, GA)
- …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... Plan (D-SNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex...Benefit education + Provides clinical assistance to determine appropriate services and supports due to member's health needs (including… more