• Manager , Clinical Data Acquisition…

    Molina Healthcare (Savannah, GA)
    …**PREFERRED EXPERIENCE:** * STARS improvement experience * CAHPS improvement experience * 3+ years health care information systems experience or in a role as an ... the performance measurement data collection, reporting and monitoring process, including HEDIS , state-based measure reporting and medical record review. + Manages… more
    Molina Healthcare (08/31/25)
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  • Provider Engagement Account Manager

    Centene Corporation (Augusta, GA)
    …performance + Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS /quality, cost and utilization, etc. + ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS /Quality measures,… more
    Centene Corporation (08/28/25)
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  • Principal Product Manager , Integrated…

    Vatica Health (Alpharetta, GA)
    …close care gaps, improve risk adjustment accuracy, and deliver higher quality care . As our Principal Product Manager , Integrated Solutions, you will guide ... At Vatica Health , we are reimagining how payers and providers...teams + Strong understanding of risk adjustment (HCC coding), HEDIS /Stars measures, and quality improvement programs Competencies: Business Insight… more
    Vatica Health (08/23/25)
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  • Risk & Quality Performance Manager (Remote)

    Molina Healthcare (Atlanta, GA)
    **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... in alignment with RQS's strategic objectives. **Job Duties** * Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality… more
    Molina Healthcare (07/31/25)
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  • Care Support Specialist I

    Elevance Health (Atlanta, GA)
    …Support the transition of care process. + Assist providers and patients with HEDIS gap closures and HRA compliance. + Associates in this role are expected to ... ** Care Support Specialist I** **Location:** This role enables...Experience with scheduling, especially using Epic + Background in home- health scheduling or route mapping + Familiarity with Microsoft… more
    Elevance Health (08/29/25)
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  • Manager , Medical Economics (Medicaid)…

    Molina Healthcare (Atlanta, GA)
    …industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to..., Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business… more
    Molina Healthcare (08/27/25)
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  • Senior Client Coding Project Manager

    Datavant (Atlanta, GA)
    … health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. ... a data platform company and the world's leader in health data exchange. Our vision is that every healthcare...government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a… more
    Datavant (06/28/25)
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  • Primary Care Physician

    CenterWell (Stone Mountain, GA)
    …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... hospital and SNF coordination, durable medical equipment and home health care . . Acts as an active...coverage . Bilingual is a plus . Knowledge of HEDIS quality indicators **Additional Information:** . Total compensation package… more
    CenterWell (08/29/25)
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  • Primary Care Physician

    CenterWell (Scottdale, GA)
    …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... hospital and SNF coordination, durable medical equipment and home health care . + Acts as anactive participant...coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators + Guaranteed base salary + quarterly… more
    CenterWell (08/09/25)
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  • Primary Care Physician Lead

    CenterWell (Savannah, GA)
    …of senior-focused primary care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on ... part of our caring community and help us put health first** Humana's Primary Care Organization is...Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice… more
    CenterWell (06/27/25)
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