- Elevance Health (Columbus, GA)
- ** Director I Medicare Operations ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of ... and Medicaid Services to transform federal health programs. The ** Director I Medicare Operations ** is responsible for directing multiple business function… more
- Humana (Atlanta, GA)
- … Director is responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve moderately ... requires an in-depth evaluation of variable factors. The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make… more
- The Cigna Group (Atlanta, GA)
- …Provider Relations, and Network Development & Solutions). Reporting to the Network Operations Senior Manager or Director , this individual ensures the effective ... collaborative organization (which includes Market Provider Performance, Sales, Clinical Operations , Stars & Risk Adjustment, Finance , Cross-Segment Contracting,… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** As the Director of pricing strategy and effectiveness, you will be a key member of the commercial operations management team. In this ... and maintaining competitive list price as well as executing operations that will be critical to price book accuracy....systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- CenterWell (Stone Mountain, GA)
- …of our caring community and help us put health first** The Associate Medical Director serves as a health-care professional and capable of handling a variety of ... health-related problems. The Associate Medical Director requires a solid understanding of how organization capabilities...state of desired employment + Experience leading clinical practice operations . + Demonstrate a high level of skill with… more
- Cardinal Health (Atlanta, GA)
- …team is passionate about helping oncology practices navigate the future. The Director , Managed Care is responsible for strategy and management of managed care ... responsible to implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing… more
- Highmark Health (Atlanta, GA)
- …and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across footprint. Designs, implements and executes strategies and works ... Organization are met and to optimize outcomes. Collaborates with the company's Medicare Advantage matrixed teams to improve processes, procedures and best practices.… more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Director , Broker Digital Sales (Innovation Portfolio Strategy) utilizes ideas, identifies innovation ... opportunities, and translates ideas into actionable and profitable business. The Director , Innovation Portfolio Strategy requires an in-depth understanding of how… more
- Humana (Atlanta, GA)
- …Medical Director responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve ... Reporting Relationship: This position reports directly to the Cluster Lead Medical Director . **Use your skills to make an impact** **REQUIREMENTS:** + Doctor of… more
- State of Georgia (Gwinnett County, GA)
- Director - Adult Crisis Stabilization Unit (CSU) Lawrenceville, GA. Georgia - Gwinnett - Lawrenceville ... (https://careers.georgia.gov/jobs/57420/other-jobs-matching/location-only) Administrative & Operations Support (https://careers.georgia.gov/landingpages/administrative- operations -support-opportunities-at-team-georgia-16) View Point Health Sep… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Director , Actuarial of Medicaid Pricing provides actuarial support across a broad range of ... actuarial and business needs for specific product lines. The Director , Actuarial requires an in-depth understanding of how organization capabilities interrelate… more
- Humana (Atlanta, GA)
- …Best Places to Work, and be a part of our dynamic team as the Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship ... your chance to make a substantial impact! As the Director of Technology Solutions, you will spearhead the strategy...of IT initiatives that are vital to our business operations . Your deep understanding of organizational capabilities and your… more
- Aveanna (Atlanta, GA)
- Director , HRIS ApplyRefer a FriendBack Job Details Requisition #: 195833 Location: Atlanta, GA 30339 Category: HR Salary: Starting at $160,000.00 per year Position ... the lives of the individuals we serve. Current Opportunities:The Director of HRIS is responsible for all phases of...process + Ability to manage both day to day operations and project work + Ability to exercise discretion… more
- Brookdale Senior Living (Atlanta, GA)
- …communities. Actively partners with Training and Development, Human Resources, and Operations in the recruitment, hiring, evaluating, and disciplining of all sales ... on a scheduled basis and as approved by Division Director of Sales or VP Sales. Partners with on-site...achieve and maintain full occupancy. + Interacts with Clinical Operations and other home office associates. Educates and supports… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Center (ETC) and its programs remain compliant with Centers for Medicare and Medicaid Services (CMS), Organ Procurement and Transplantation Network (OPTN)/United ... regulatory changes and communicates any new requirement concerns to ETCs Executive Director (s) and Sr. Vice President. + Collaborates with ETC and program leadership… more
- Gentiva (Augusta, GA)
- …**Can be based in FL, GA, or SC** We are looking for an **RN Executive Director Specialist** . You will serve as the administrator on call and are responsible for ... all federal and state guidelines. + Knowledge of hospice operations , state and federal regulations and compliance + Strong...time throughout the region + Experience with Medicaid and Medicare reimbursement + Experience in health care sales and/or… more
- HealthEdge Software Inc (Atlanta, GA)
- …them: NCQA (National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other ... particularly in the Payer space, with a perspective on how health plan operations impact willingness to adopt digital transformation and innovation + 7+ years'… more
- Vatica Health (Alpharetta, GA)
- …of Clinical Operations collaborates with and reports to the Senior Director of Clinical Operations on clinical and non-clinical issues (employee relations, ... in assigned territory. + Work proactively and collaboratively with Senior Director of Clinical Operations , Provider Engagement Representatives, and other… more
- Prime Therapeutics (Atlanta, GA)
- …a thorough understanding of operating infrastructure of Strategic Business Unit(s) (SBUs) operations to be able to proactively analyze and identify opportunities for ... and resolving complex problems and issues. + If supporting Medicare Part D, will be responsible for implementing CMS...focus **Reporting Structure** + Reports to Manager or Sr Director in the Finance department **Responsibilities** + 3+ years… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Location:** REMOTE **Description** **RESPONSIBILITIES:** + This position reports to the Director , Reimbursements and Net Patient Service Revenue (NPSR), and oversees ... for Emory Healthcare. + The manager will work closely with hospital operations , clinical departments, and the finance team to support the financial reporting… more