• Sr. Product Manager - Claims Management

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** This role reports to a Director , Product Management and work closely with User Experience team and Technology teams. The Sr. Product Manager ... will coordinate with key stakeholders in sales, marketing, design, development, and operations . This role will be charged with leading game changing efforts at… more
    Waystar (08/08/25)
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  • Senior Field Reimbursement Manager - South East

    Danaher Corporation (Atlanta, GA)
    …engagement and responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of the Value and Access team. ... Communicate regional and local coverage and reimbursement issues for Medicare, Medicaid and Commercial payers through internal meetings, payer research, and customer… more
    Danaher Corporation (10/15/25)
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  • Manager, Provider Network Relations (Must reside…

    Molina Healthcare (GA)
    …education, outreach and resolving provider inquiries. + In conjunction with the Director , Provider Network Management & Operations , develops health plan-specific ... DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and… more
    Molina Healthcare (09/17/25)
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  • Beautician HCC

    PruittHealth (Macon, GA)
    …assigns and checks work of Beauty Salon staff. 9. Ensure compliance with all State , Federal, and Medicare and Medicaid regulations for the successful operation ... **JOB PURPOSE:** Responsible for performing beautician services and the daily operations of the Beauty Shop. **KEY RESPONSIBILITIES:** 1. Maintains appointment… more
    PruittHealth (10/14/25)
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  • Analyst, Enrollment (Remote)

    Molina Healthcare (Macon, GA)
    …review and submission of deliverables to Molina Healthcare Government Contract and to State Medicaid Agencies. + Tracking all contractual related tasks to ... + Manages the daily process of member exceptions from state eligibility file and takes appropriate action to ensure...coordination of meeting materials with Health Plan Compliance and Operations VPs for multiple states. + Subject Matter Expert… more
    Molina Healthcare (09/26/25)
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  • Hospice Patient Care RN Manager

    Gentiva (Athens, GA)
    …Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery ... high-quality, compliant hospice services. This leadership role involves managing clinical operations , coordinating care, and developing staff to uphold the highest… more
    Gentiva (10/24/25)
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  • Hospice Patient Care RN Manager

    Gentiva (Bainbridge, GA)
    …Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery ... high-quality, compliant hospice services. This leadership role involves managing clinical operations , coordinating care, and developing staff to uphold the highest… more
    Gentiva (09/17/25)
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  • Payer Relations Specialist

    Waystar (Atlanta, GA)
    …and innovative payer strategies. This role will report to the Sr Director of Product Operations . **WHAT YOU'LL DO** **Payer Relationship Management:** ... and understanding of the driving forces in the local, state , and national healthcare markets and the ability to...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
    Waystar (09/29/25)
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  • Procurement Process Excellence Lead

    Humana (Atlanta, GA)
    …and deliver value through enhanced procurement practices. Reporting to the Director of the Procurement Center for Enablement (C4E"), the Procurement Process ... such as Lean, Six Sigma, or Agile within procurement operations . Lead process assessment, redesign, and standardization initiatives to...Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will… more
    Humana (10/30/25)
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