- 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
- Elevance Health (Atlanta, GA)
- Provider Relationship Account Manager Sr . (Value-Based Contracts) (JR142924) **Location:** Candidates must reside within 50 miles and 1-hour commute each way of ... being 1 day in an office per week. The **Provider Relationship Account Manager Sr .** is responsible for developing and maintaining positive provider… 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
- Cardinal Health (Atlanta, GA)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... in accordance with the program business rules and HIPAA regulations. This position is...authorizations, and appeals, preferred (2+ years) + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and… more
- Cardinal Health (Atlanta, GA)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement Support Services ... in accordance with the program business rules and HIPAA regulations. This position is...investigations, prior authorizations, and appeals, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and… more
- CVS Health (Atlanta, GA)
- …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . In addition to your compensation, enjoy the rewards… 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 ... **Audit & Reimbursement Senior ** **Location:** This is a virtual position; US...Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare… more
- CVS Health (Atlanta, GA)
- …more compassionate. And we do it all with heart, each and every day. This Senior Manager , Regulatory Affairs position is a crucial contributor to the Medicare ... PBM business. This position reports directly to the Director of Medicare Regulatory Affairs. **Duties and Responsibilities:** *Abiity to provide comprehensive market… more
- Gentiva (Stockbridge, GA)
- …every day. **Overview** MUST BE A REGISTERED NURSE We're looking for a **Patient Care Manager Senior ** to join our team. You will report directly to the ... for assisting branch leadership with maintaining a high performing hospice program including managing, overseeing, and directing patient care activities to ensure… more
- Highmark Health (Atlanta, GA)
- …delivery of data to vendors and internal partners, supporting successful Medicare Advantage and Dual-Special Needs Plan member satisfaction strategies, including ... Medicare CAHPS and the Health Outcomes Survey. Additional responsibilities...Work with business and technical organizations to drive out program strategy and approach. Organize, plan, and maintain … 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
- CVS Health (Atlanta, GA)
- …supporting provider data and inventory management. + Familiarity working in Medicaid, Medicare and Commercial lines of business. + Strong project management skills + ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . In addition to your compensation, enjoy the rewards… more
- Elevance Health (Atlanta, GA)
- …member-centered, lasting pharmacy care. The ** Senior Test Lead (Business Change Manager Senior )** will be responsible for working with management to identify ... ** Senior Test Lead - Pharmacy Benefit Manager...you will make an impact:** + Manage relationships with project/ program stakeholders (IT and business). + Develop and implement… 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
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Manager , Technology Leadership is responsible for all aspects of software or hardware product ... delivery and performance. The Manager , Technology Leadership works within specific guidelines and procedures;...supports one clinical platform for three Medicaid and two Medicare plans; integration between Clinical and 4+ other systems… 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** 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
- Elevance Health (Atlanta, GA)
- **Director Behavioral Health Program and Services** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office). ... health and substance use disorder management, a comprehensive employee assistance program , work/life support, specialty programs for autism and depression, and… more
- CenterWell (Norcross, 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