- CVS Health (Atlanta, GA)
- …with heart, each and every day. **Job Description** + The Sr. Manager, Medicare Sales Strategy develops and executes strategic initiatives to drive sales growth ... Product and Market Leaders to define and develop sales strategies that drive Medicare business objectives and outcomes in support of business plan. + Owns and… more
- Molina Healthcare (Savannah, GA)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... support executive decision-making. + Research and develop reports and analysis for senior management; effectively communicate results. + Assist in the preparation of… more
- Molina Healthcare (Macon, GA)
- …License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration, Public Health, Healthcare ... Administration, etc. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Board Certification (Pediatrics, Family Practice, Ob/Gyn or Internal Medicine). **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate.… more
- Molina Healthcare (Augusta, GA)
- …**Job Summary** Leads business process improvement initiatives that result in operational efficiencies and/or an increase in customer satisfaction. Assists in ... development of MHI's business process improvement methodology and in the implementation of a business process improvement capability. **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for most complex process analysis, design, and simulation. + Requires highest… more
- Humana (Atlanta, GA)
- …that result from the data exchange between Humana and its trading partners, Medicare and Medicaid. The Senior Encounter Data Management Professional will work ... of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission… more
- Molina Healthcare (Augusta, GA)
- …any identified finding; Supports management with presenting results and recommendations to Senior Leadership and department staff. * Recommends new or updated job ... or special projects as required. + Must have experience working in Medicare + Must have experience analyzing claims. **Job Qualifications** **REQUIRED EDUCATION:**… more
- Elevance Health (Columbus, GA)
- …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare... Senior will support contractual workload involving complex Medicare cost reports and Medicare Part A… more
- Molina Healthcare (GA)
- …well as provide oversight, including service level agreements. + Works with senior management to mitigate risk and develop/implement improvements for all operational ... Affairs to assess and provide analyses for proposed changes to Medicare , and other government-sponsored healthcare program contracts, governing regulations and new… more
- Molina Healthcare (Augusta, GA)
- …gains, audit readiness, and measurable member-experience improvements. You'll begin as a senior individual contributor with the charter to build a focused CTM ... related field (advanced degree a plus). **Experience** * 7+ years managing Medicare CTM, appeals & grievances, or related compliance functions-hands-on with CMS CTM… more
- Molina Healthcare (Macon, GA)
- …field of knowledge although they may have technical team members. Senior Program Management professional. Responsible for overall governance across all operational ... gaps and barriers in implementation and compliance to AVP, VP and senior management + Consultative role, develops business case methodologies for programs, develops… more
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