- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Humana (Cumming, GA)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,...in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and… more
- Humana (Atlanta, GA)
- …are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager , Medicare Sales, motivates and drives a team of ... motivate and train a team of sales individuals. The Senior Manager , Medicare Sales, must...+ This role is part of Humana's Driver safety program and therefore requires an individual to have a… more
- CVS Health (Atlanta, GA)
- …lines of business. Reporting to the Lead Director of Healthcare Quality Management, the Senior Manager will lead a team responsible for measure strategy, roadmap ... leadership role overseeing strategy and implementation of HEDIS and Medicare Stars measures. This position sits within the Aetna...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Danaher Corporation (Atlanta, GA)
- …Business System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) ... customer engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access… more
- CVS Health (Atlanta, GA)
- …all with heart, each and every day. **Position Summary** The Vendor Account Senior Manager role encompasses ownership of managing relationships with third-party ... cost savings, process improvements, or consolidation. + **Project & Program Management:** + Identify project stakeholders, establish effective communication… more
- Cardinal Health (Atlanta, GA)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- Elevance Health (Atlanta, GA)
- …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- CVS Health (Atlanta, GA)
- …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- Humana (Atlanta, GA)
- …interventions and/or care management operations. + Prior experience or exposure to Medicare Stars Program . + Experience leading cross-functional group of ... help us put health first** Join Humana as a Senior Strategy Advancement Professional and play a pivotal role...pivotal role in shaping innovative strategies for our high-needs Medicare Advantage and SNP populations. In this impactful position,… more
- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions to business ... alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve moderately complex to...* Annual Incentive Plan * 401K - * Well-being program * Paid Volunteer Time Off * Student Loan… more
- Humana (Atlanta, GA)
- …on complex and variable issues with minimal supervision. + Advise senior leadership on strategic, segment-specific approaches to program management. ... caring community and help us put health first** The Lead Project Manager -Clinical Operations is essential for ensuring the successful execution of complex… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Waystar is seeking a Senior Product Manager to join the team. Reporting to the Vice President, Product Strategy, you will be responsible ... that ensure marketing leading position. + Operating at a senior level, define product vision and strategy aligned with...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- CenterWell (Atlanta, GA)
- …appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. +… more
- CVS Health (Atlanta, GA)
- …Ensures compliance with contractual requirements. Coordinates and collaborates with program integrity staff, compliance, and senior leadership. Contributes ... A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / ...Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong verbal and… more
- CVS Health (Atlanta, GA)
- …current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.** **Required Qualifications** **3+ year healthcare ... benefit administrators)** **5+ years of experience in government programs (Medicaid, Medicare )** **Adept at problem solving and decision-making skills** **Adept at… more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Atlanta, GA)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- CenterWell (Marietta, GA)
- …services within the Center. . Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. . Assures personal compliance with ... Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 centers across… more
- CenterWell (Atlanta, GA)
- …Geriatric Medicine + This role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program . If selected for this role, ... one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over...of jurisdiction + Graduate of accredited MD or DO program of accredited university + Prefer Internal Medicine specialty… more