- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... 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)
- …largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business support for the FEP Account ... team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,...the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects… more
- Gilead Sciences, Inc. (Atlanta, GA)
- …that will improve the lives of patients with life-threatening illnesses worldwide. The ** Sr .** **Field Reimbursement Manager - HIV Prevention (** ** Sr . ... in navigating the complexities of the healthcare system. The Sr . FRM HIV Prevention will provide in-person and virtual...and reimbursement outcomes. + Assist the internal patient support program team in enhancing hub and FRM processes, such… 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
- 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
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is ... years of comprehensive experience working with Rebate contracts, or within Medicare /Medicaid (eg insurance, government program operations, managed care… more
- CVS Health (Atlanta, GA)
- …deliver solutions to make health care more personal, convenient and affordable. This Senior Manager , Regulatory Affairs position is a crucial contributor to the ... Medicare regulatory and operations agenda of the Government Services...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Molina Healthcare (Atlanta, GA)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Prime Therapeutics (Atlanta, GA)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job Description** The… more
- Prime Therapeutics (Atlanta, GA)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist (VSP/PT) integrates programs developed to improve overall ... health outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist(VSP/PT) work assignments involve moderately complex to complex issues… more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- CenterWell (Atlanta, GA)
- …business needs. + This role is considered patient facing and is part of Humana/ Senior Bridge's Tuberculosis (TB) screening program . If selected for this role, ... Anywhere, which provides in-home primary care services to our patients. The Manager , Clinic/Center Administration plans and directs the work of professional and… more
- CenterWell (Atlanta, GA)
- …record of meeting and exceeding sales targets. + Strong understanding of the senior healthcare industry, particularly Medicare Advantage and value-based care. + ... and help us put health first** The Community Engagement Manager will play a pivotal role in expanding our...+ This role is part of Humana's Driver safety program and, therefore, requires an individual to have a… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Corporate Development Manager will play a key role in the execution of potential mergers & acquisitions for Waystar. M&A has and ... equity, or investment banking. This position reports to the Senior Vice President of Strategy & Corporate Development. **WHAT...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Elevance Health (Atlanta, GA)
- …or related Medicare experience which includes previous experience at a Senior Auditor level in health care, public accounting, or a government agency; or ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
- Gentiva (Alpharetta, 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
- 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)
- …of our caring community and help us put health first** The Program Delivery Lead strategically identifies, develops, and implements programs that influence ... or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity… more