- Elevance Health (Atlanta, GA)
- …organization. + Strong leadership/managerial skills and the ability to motivate/coach staff . + Experience managing multi-state compliance programs including ... Plan, design, develop and lead activities to ensure an effective Compliance program. + Oversees programs for multiple departments/functions with numerous… more
- Elevance Health (Atlanta, GA)
- **Title:** Staff VP , Accreditation & Quality Programs **Location:** Within 50 miles of a PulsePoint office with strong preference given to Washington DC, ... across multiple lines of business and applicable entities. The Staff VP works with business leaders and...multiple quality programs including the EQOC, supports business lines compliance , provides value assessment to support business growth. +… more
- Molina Healthcare (GA)
- …and local regulatory requirements. **Job Duties** + Under the leadership of the VP Medicare Segment Lead, this role will facilitate transparent and compliant ... execution of Medicare performance objectives. + Coordinates accountabilities between segment and...between segment, health plans, and shared services to drive compliance and performance objectives as well as provide oversight,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and communicates any new requirement concerns to ETCs Executive Director(s) and Sr. Vice President . + Collaborates with ETC and program leadership and quality ... faculty and staff to implement policies and procedures to ensure compliance with regulations. + Collaborates with clinical managers to oversee accuracy of… more
- Morehouse School Of Medicine (Atlanta, GA)
- …Department Operations and Business Affairs Position Summary The Office of the Executive Vice President for Operations and Business Affairs is seeking a Manager ... join their team. This position reports to the Executive Vice President for Operations and Business Affairs...to supplier, vendor, client, and landlord agreements to ensure compliance with the corporate insurance program as well as… more
- PruittHealth (Gainesville, GA)
- …nursing homes, and other community facilities. 15. Communicates written plan to Vice President of Program Development and Community Relations Development ... and levels of care. 2. Must be knowledgeable of private insurance, Medicare and Medicaid coverage criteria, rules and regulations and reimbursement methodologies. 3.… more
- Prime Therapeutics (Atlanta, GA)
- …medical necessity guidelines. Routinely interacts with physicians, leadership and management staff , other Physician Clinical Reviewers (PCR), and health plan members ... and staff whenever a physician`s input is needed or required....review process so as to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as URAC and… more