- Highmark Health (Atlanta, GA)
- …including the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted ... contracts. The position actively manages the day-to-day operations of the Medicaid Compliance Program, and contributes to the operational workflow for … more
- Humana (Atlanta, GA)
- …development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- Prime Therapeutics (Atlanta, GA)
- …Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely with designated business areas, Legal, and other ... Expertise in their areas of focus (Affordable Care Act, Medicare, Medicaid , Corporate Compliance , Compliance Assessment or Services etc.) + Develop and… more
- Prime Therapeutics (Atlanta, GA)
- … with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid ... passion and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides administrative… more
- State of Georgia (Fulton County, GA)
- …care into qualified community-based settings. The MFP Manager ensures compliance with Centers for Medicare & Medicaid Services (CMS) requirements, ... seeking qualified candidates for the Money Follows the Person Manager within the Medical Assistance Plans ( Medicaid )...Person Manager within the Medical Assistance Plans ( Medicaid ) Division. The Money Follows the Person (MFP) … more
- Aveanna Healthcare (Atlanta, GA)
- Manager , Compensation ApplyRefer a FriendBack Job Details Requisition #: 204449 Location: Atlanta, GA 30339 Category: HR Salary: $90,000.00 - $125,000.00 per year ... meaningful impact in the communities we serve. Position Overview The Compensation Manager will implement and manage projects, policies, and processes related to… more
- Humana (Atlanta, GA)
- …health outcomes for our dual members - members that qualify for both Medicare and Medicaid . The Lead Product Manager sits in the center of strategy, design, ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Prime Therapeutics (Atlanta, GA)
- …our passion and drives every decision we make. **Job Posting Title** Client Quality Manager Stars and Quality - Remote **Job Description** The Senior Client Quality ... Manager ensures the successful planning, implementation and execution of...provides leadership and subject matter expertise on Medicare Stars, Medicaid quality and the Commercial/Health Insurance Marketplace Quality Rating… more
- Prime Therapeutics (Atlanta, GA)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay ... our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The Senior … more
- Gentiva (Stockbridge, GA)
- …difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager Senior** to join our team. You will report directly to the Executive ... developing associates and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory agencies. +… more
- Molina Healthcare (Atlanta, GA)
- …contractual requirements related to government programs including, but not limited to, Medicaid , duals (MMP) and Marketplace. * Serves as primary internal contact ... interpretations. * Monitors daily Government Contracts activities to ensure contractual compliance with state and federal requirements for all lines of business… more
- Aveanna Healthcare (Norcross, GA)
- RN Case Manager Supervisor ApplyRefer a FriendBack Job Details Requisition #: 205590 Location: Norcross, GA 30092 Category: Nursing Salary: $75,000.00 - $80,000.00 ... per year Position Details Position: Clinical Supervisor (RN) Clinical Case Manager Join a Company That Puts People First! Aveanna Healthcare is one of the largest… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Internal Audit Sr Manager is a key leadership role responsible for developing, implementing, and overseeing the internal audit function ... The position will be focused on oversight of SOX compliance and may expand to cover risk based operational...of high-quality audit results across the company. The Sr Manager will work closely with executive leadership and the… more
- Humana (Atlanta, GA)
- …of Case Management team on cases with support needs. Ensures regulatory compliance by aligning care management policies, procedures, and processes to maintain ... initiatives to maintain focus on performance goals and standards, quality and compliance measures with development of action plans to improve results. + Ensures… more
- Humana (Atlanta, GA)
- …we expand our cloud capabilities, we are looking for a Principal Product Manager to lead our multi-CSP strategy, drive cross-domain collaboration, and optimize our ... customer onboarding experience. As a Principal Cloud Platform Product Manager , you will own the vision, strategy, and execution for our multi-cloud platform-focusing… more
- Prime Therapeutics (Atlanta, GA)
- …management in the areas of problem identification and resolution, process improvements, compliance with Centers for Medicare & Medicaid Services (CMS) ... passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is responsible for… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Manager , Payment Operations is responsible for ensuring high quality processing related to credit card payment transactions and ... cases, and enforcing policies in adherence to Payment Facilitator requirements. The Manager , Payment Operations is the first point of contact to configure clients… more
- Gentiva (Douglasville, GA)
- …in people's lives every day. **Overview** We're looking for a **Patient Care Manager -Registered Nurse** 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...and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory… more
- Datavant (Atlanta, GA)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep healthcare analytics expertise with… more
- Aveanna Healthcare (Atlanta, GA)
- Manager of Information Technology ApplyRefer a FriendBack Job Details Requisition #: 205756 Location: Atlanta, GA 30301 Category: IT Salary: $65,000.00 - $80,000.00 ... per year Position Details Position Overview The Manager of Information Technology Solutions is responsible for supporting sales reps across the company, through… more