- CVS Health (Atlanta, GA)
- …the operational and financial performance evaluation across Aetna's Commercial and Medicaid Care Management programs to optimize the programs' performance, identify ... for building and maintaining staffing models that support the Commercial and Medicaid Care Management programs. Key responsibilities of this role include: + Build… more
- Elevance Health (Columbus, GA)
- …Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** fostering collaboration and connectivity, while providing flexibility to ... performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an… more
- Waystar (Atlanta, GA)
- …software. This role will be responsible for working with the Systems Engineering Manager to design, develop, configure, and document existing, as well as new, ... SaaS datacenter environment + Works with the Systems Engineering Manager on new projects that arise from business needs...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- State of Georgia (Chatham County, GA)
- …not limited to the following: The SOAR Benefits Specialist will report to the SOAR Program Manager . The SOAR Disability Benefits Specialist must be able to work ... days in office Travel: Roughly 75% travel throughout Region 2 and 5 catchment areas This is a grant...of the application. This position reports to the SOAR Program Manager . Note: This position is community… more
- Waystar (Atlanta, GA)
- …**WHAT YOU'LL DO** + Proposes technical solutions to the Manager , Application Engineering + Designs/develops/tests/implements improvements or new features into ... various stages to production + Identifies and informs the Manager , Application Engineering of areas of the application that...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Molina Healthcare (Columbus, GA)
- …National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS) guidelines. * Recruits and onboards new behavioral health ... Qualifications * At least 5 years of relevant experience, including at least 2 years of medical practice experience in psychiatry/behavioral health, and at least … more
- Waystar (Atlanta, GA)
- …**Collaboration & Cross-Functional Coordination** + Serve as the central project manager for assigned proposals, coordinating efforts across multiple departments and ... in Communications, English, Marketing, Business Administration, or related field. + 2 + years' experience in proposal management, marketing writing, or related role.… more
- Molina Healthcare (Augusta, GA)
- …with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). * Assists with the recruitment and orientation of new ... line with industry standards and best practices. * Assists with new program implementation and supports for health plan in-source behavioral health services.… more
- Molina Healthcare (GA)
- …management, care management, utilization management, behavioral health and other program activities in accordance with regulatory, contract standards and ... and training staff to ensure maximum efficiency and productivity, program implementation, and service excellence. + Trains and supports...5 years of health care experience, and at least 2 years of managed care experience in one or… more
- CenterWell (Savannah, GA)
- …**Required Qualifications** + MD/DO + 8 or more years of technical experience + 2 or more years of project leadership experience + Licensure requirements of the ... of jurisdiction + Graduate of accredited MD or DO program of accredited university + Prefer Internal Medicine specialty...and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to five… more
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