Healthcare Sourcing Specialist Jobs in North Atlanta, Georgia | HealthcareCrossing.com


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38

Healthcare Sourcing Specialist Jobs in North Atlanta





Job info
 
Company
**********
Location
Alpharetta, GA
Posted Date
Mar 03, 2022
Info Source
Employer  - Full-Time  90  

Job Summary The Healthcare Quality Assurance (QA) Validation Specialist is responsible for assisting with ... in UPS Supply Chain Solutions healthcare computer systems. He/She assists QA ... validation projects that..

 
Company
**********
Location
Atlanta, GA
Posted Date
Mar 22, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Medicare Appeals and Grievance Medical Director in Atlanta Georgia Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Physician - CenterWell - Grove Park in Atlanta Georgia Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers ..

 
Company
**********
Location
Atlanta, GA
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

 
Company
Humana Inc.
Location
Atlanta, GA
Posted Date
May 19, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Apr 14, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
Humana Inc.
Location
Atlanta, GA
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Sep 30, 2022
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Sep 05, 2022
Info Source
Employer  - Full-Time  90  

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

 
Company
**********
Location
Atlanta, GA
Posted Date
May 13, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

 
Company
**********
Location
Atlanta, GA
Posted Date
Apr 10, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Jun 13, 2023
Info Source
Employer  - Full-Time  90  

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Oct 07, 2022
Info Source
Employer  - Full-Time  90  

Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that will ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Jun 13, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Home Health LPN/LVN in Atlanta Georgia Description Responsibilities The Home Health Nursing, LPN/LVN enables patients to stay in their homes by providing health and personal services; supporting patients ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

 
Company
**********
Location
Atlanta, GA
Posted Date
Sep 07, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Atlanta Georgia Description Responsibilities The position will provide corporate support to the Director of Provider Contracting and is responsible ..

 
Company
Humana Inc.
Location
Atlanta, GA
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Stockbridge, GA
Posted Date
Aug 27, 2022
Info Source
Employer  - Full-Time  90  

Job Information Centerwell Home Health Admissions RN in Stockbridge Georgia The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, performs ongoing evaluation ..

 
Company
**********
Location
Morrow, GA
Posted Date
Sep 01, 2022
Info Source
Employer  - Full-Time  90  

Job Information Centerwell Physician - CenterWell - Morrow, GA in Morrow Georgia Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers ..

 
Company
**********
Location
Atlanta, GA
Posted Date
May 13, 2023
Info Source
Employer  - Full-Time  90  

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

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