- Centene Corporation (Atlanta, 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
- Molina Healthcare (Savannah, 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
- Evolent (Atlanta, GA)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... results, and collaborating with others. **Collaboration Opportunities:** + The Manager , Client Services oversees daily utilization management and directs...care of our members on behalf of our health plans and serves in a supporting role to… more
- 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
- 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 (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 (Atlanta, 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 (Atlanta, 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** The Care Management Support Professional...Microsoft Access and Microsoft Teams experience. + Knowledge of HEDIS measures. + Knowledge of value-based care … more
- CenterWell (Atlanta, 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 ... years MA experience in PCO center + Value Based Care experience including knowledge of HEDIS , CPT/ICD...address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health… more
- Elevance Health (Atlanta, GA)
- …+ Patient care experience preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement ... A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages...a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care . **Title:** Pharmacy Technician II **Hours:** 12pm - 8:30pm… more