- 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
- Molina Healthcare (Atlanta, GA)
- …**Job Summary** Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
- Humana (Decatur, 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
- Gentiva (Stockbridge, GA)
- **Overview** 7,500 SIGN ON BONUS We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly to the Executive Director or ... for assisting branch leadership with maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure… 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
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- CenterWell (Decatur, GA)
- …community and help us put health first** **Job Description Summary** The ** Manager , Clinic/Center Administration** plans and directs the work of professional and ... care to patients in a clinical setting. The Practice Manager , Clinic/Center Administration works within specific guidelines and procedures;...facing and is part of the Tuberculosis (TB) screening program . If selected for this role, you will be… 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
- Humana (Atlanta, GA)
- …Experience Platform (AEP) and Next Best Action (NBA) execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities **Our… more
- CenterWell (Atlanta, 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 (Decatur, GA)
- …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 ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in...Center. . Participates in the local primary care "on-call" program of CenterWell as needed. . Assures personal compliance… more
- CenterWell (Atlanta, GA)
- …responsible for the medical direction, clinical oversight, and advancement of CenterWell Senior Primary Care's (and Conviva Senior Primary Care's) Home-Based ... Care portfolio, serving the highest-need and most complex senior patients. This role will lead clinical strategy, quality improvement, and care delivery innovation… more
- CenterWell (Atlanta, GA)
- …. Successful completion of a Nurse Practitioner or Physician Assistant program with Board Certification . Active, unrestricted Nurse Practitioner or Physician ... and is a part of our Tuberculosis (TB) screening program . If selected for this role, you will be...**Preferred Qualifications:** . Active and unrestricted DEA license . Medicare Provider Number/ Medicaid Provider Number . Experience managing… more
- CenterWell (Atlanta, GA)
- …within the Center. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance with licensing, certification, ... as required + Graduate of accredited MD or DO program of accredited university + Excellent verbal and written...Medicine preferr + Active and unrestricted DEA license + Medicare Provider Number + Minimum of two to five… more
- CenterWell (Decatur, GA)
- …problems of diverse scope and complexity ranging from moderate to substantial. CenterWell Senior Primary Care is one of the largest and fastest growing value-based ... in state of practice; + Graduate of accredited APRN program of an accredited university + Excellent verbal and...pump + Work experience in electrophysiology + Experience managing Medicare Advantage panel of patients with understanding of Best… more
- CenterWell (Atlanta, GA)
- …(ASA) designation + Meets eligibility requirements for Humana's Actuarial Professional Development Program (APDP) + Member of the American Academy of Actuaries + ... Experience working in coding languages such as SAS and SQL + Prior Medicare Advantage or health insurance background + Additional skills developing reports and… more
- CenterWell (Decatur, GA)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of ... our senior primary care centers and upholds our model of...facing and is part of Humana's Tuberculosis (TB) screening program . Candidates selected for this job will be required… more
- Waystar (Atlanta, GA)
- …**WHAT YOU'LL DO** + Proposes technical solutions to the Manager , Application Engineering + Designs/develops/tests/implements improvements or new features into ... requirements + Communicates the development progress daily to the senior -level team members + Attends to any work items...various stages to production + Identifies and informs the Manager , Application Engineering of areas of the application that… more
- Molina Healthcare (Atlanta, GA)
- …skills. * Microsoft Office suite (including Excel), and applicable software program (s) proficiency. **Preferred Qualifications** * Medicare Part D and/or ... care team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...pharmacy call center team under the direction of pharmacy senior leadership. * Identifies and implements programs to improve… more