- 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
- CVS Health (Atlanta, GA)
- …and more compassionate. And we do it all with heart, each and every day. As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a ... critical role in shaping and executing the organization's Medicare Part D formulary and product strategy. Leveraging your...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… 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
- 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
- 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 (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
- 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
- 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.** **Preferred Qualifications** **3+ year vendor ... 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 (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
- CenterWell (Stone Mountain, GA)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 250 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
- CVS Health (Atlanta, GA)
- …is an integral part of the Medicare Stars business. We are seeking a ** Senior Manager , Business Analysis** , to join our team. This team manages data ... environments, reporting and web applications that support Medicare and Stars-specific initiatives. **This position will include:** +...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CenterWell (Roswell, 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)
- …. 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 (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)
- …in field sales or grassroots marketing; ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of ... of industry trends, competitor activities, and emerging opportunities within the senior healthcare market adjusting sales strategies and identify new growth avenues.… 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