- Molina Healthcare (Atlanta, GA)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... 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
- Elevance Health (Atlanta, GA)
- Value Based Provider Account Manager Sr . (JR150941) **Location:** This role requires associates to be in-office (Atlanta or Columbus/Midland) 1 day per week ... and be willing to visit providers quarterly. The Value Based **Provider Account Manager Sr .** is responsible for developing and maintaining positive provider… more
- Molina Healthcare (Atlanta, GA)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… 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
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are ... closely with User Experience team and Technology teams. The Senior Product Manager will lead cross departmental...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Cardinal Health (Atlanta, GA)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Sr . Solution Adoption Consultant role will act as the primary client contact for Waystar solution-specific set-up and design issues ... Participate in weekly project status meetings with the Project Manager + Serve as a mentor for client adoption...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- CVS Health (Atlanta, GA)
- …compliance, financial viability, performance, and alignment to organizational goals. The Senior Manager will also develop and implement standardized processes ... Primary responsibilities include drafting, managing, and overseeing dental Medicaid and Medicare contracts across existing and new markets. This role involves… 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
- Humana (Atlanta, GA)
- …the sales distribution of Humana's Insurance Products, is currently seeking an experienced Senior Product Manager with technical expertise to join our team ... but not limited to acting as both a Product Manager and a Product Owner at times + Manage...off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… more
- CVS Health (Atlanta, GA)
- …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
- Humana (Atlanta, GA)
- …the IT supply base, alongside run-the-business initiatives). As the IT Procurement Lead ( Senior Category Manager ), you will lead the development of category ... unit project implementations. + Drive corporate compliance to the preferred-supplier program via end-user change management and communications programs. + Work… more
- CVS Health (Atlanta, GA)
- …skills and development needs. + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members. + Develop and ... compliance with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. +… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** As the Meeting Manager on the Waystar Corporate Events team, you will play a vital role in developing and delivering exceptional experiences ... and managing audio-visual needs. + Work closely with the Sr . Director of Events to plan the events calendar...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Prime Therapeutics (Atlanta, GA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely ... Subject Matter Expertise in their areas of focus (Affordable Care Act, Medicare , Medicaid, Corporate Compliance, Compliance Assessment or Services etc.) + Develop… more
- Gentiva (Douglasville, GA)
- …to join our team.You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining a ... high performing hospice program including managing, overseeing, and directing patient care activities to ensure the delivery of quality patient care. This role is… more
- Humana (Atlanta, GA)
- …and help us put health first** The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and ... to drive enterprise-wide value. The IT **Infrastructure** Procurement Category Manager investigates available products, evaluates and recommends products based on… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Senior Campaign Operations Manager will play a critical role on the marketing team to oversee campaign execution to drive performance ... efforts, such as tracking and reporting, landing pages, Marketo program builds, database and program hygiene, and...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Waystar (Atlanta, GA)
- …a team, and demonstrate a keen eye for detail. The position supports Waystar's Tradeshow Manager , Events Manager and Sr . Director, Events. **WHAT YOU'LL DO** ... engage with clients and prospects effectively, utilizing Waystar's trade show certification program . + Lead contract, payment, and registration of all trade shows… more
- CenterWell (Atlanta, GA)
- …Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and ... outcomes **Required Qualifications** + Expertise in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment, and… more