- 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
- 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)
- …with heart, each and every day. **Position Summary** Aetna is recruiting for a Senior Manager , Value Based Contractor who will partner with business development ... support segment leaders with growing focus on our Specialty Medicare Advantage and Medicaid VBC portfolio. **You will make...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… 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)
- …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
- 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
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Manager , Application Engineering is responsible for managing a team of brilliant Application Engineers and QA resources to build the ... + Coaches team members, helping them develop into more senior /experienced resources + Works with the Business Product Owners...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… 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 (Atlanta, GA)
- …caring community and help us put health first** Join a Team That's Redefining Senior Primary Care Humana's Primary Care Organization is one of the largest and ... fastest-growing senior -focused, value-based care providers in the country. With over...Master's Degree in Nursing or completion of a PA program with board certification. + Active, unrestricted NP or… 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)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 350 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)
- …CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group will provide ... , a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group...the state. . Graduate of accredited MD or DO program of accredited university . Board certification or eligible… more
- CenterWell (Atlanta, GA)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel:… more
- ChenMed (Decatur, GA)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... position towards becoming a center clinical P&L leader (ie, Senior Medical Director [SMD]) in the organization. The incumbent...(TCM) weekly care meetings, as well as support Center Manager /Center General Manager . The goal is for… 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
- CVS Health (Atlanta, GA)
- …improve outcomes, manage costs, and offer an unmatched experience for our patients. As a Senior Product Manager , you will be a key leader in our organization, ... have the needed support from specialist. You'll work with senior business and engineering leaders to lead a product...digital health solutions + 4+ years as a Product Manager + Experience with data analytics and core healthcare… more
- CenterWell (Atlanta, GA)
- …+ Coordinate, review, and analyze documentation and data entry supporting Medicare , Medicaid, and commercial payer requirements to ensure accurate and timely ... requested. + Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures. + Participate in… more
- CenterWell (Atlanta, GA)
- …+ Coordinate, review, and analyze documentation and data entry supporting Medicare , Medicaid, and commercial payer requirements to ensure accurate and timely ... requested. + Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures + Participate in special… more
- CenterWell (Atlanta, GA)
- …Center Administration is a healthcare professional who leads the daily operations of our senior primary care centers and upholds our model of care that puts patients ... Job is considered patient facing and is part of Humana's Tuberculosis (TB) screening program . Candidates selected for this job will be required to be screened for… more