- Molina Healthcare (Savannah, GA)
- …delivering on NCQA accreditation requirements. Plans and directs schedules, reporting, process improvement , and implores continuous quality improvement . ... : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft… more
- Molina Healthcare (GA)
- …leading a continuous process of innovation to identify new initiatives which lead to the overall improvement of population health management, reduction of ... IT and analytics tools to support current and new value based programs. Lead identification of target providers and payment innovation models for VBP, creates models… more
- Waystar (Atlanta, GA)
- …in business process management (BPM), Lean, Six Sigma, or similar process improvement methodologies. + Exceptional ability to bridge the communication gap ... Overview We are seeking a highly strategic and results-oriented Program Manager to lead the coordination and execution of our AI initiatives focused on process… more
- Molina Healthcare (Columbus, GA)
- …improve upon performance results, to identify potential risks to the organization and to lead the needed changes within the encounters process to support the ... evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has decision-making accountability for ensuring… more
- CVS Health (Bowdon, GA)
- …heart, each and every day. **Program Overview** Join our Aetna team as we lead the way in providing exceptional care to dual eligible populations! This role involves ... (DSNP) members, who are enrolled in both Medicare and Medicaid and face a variety of complex health and...play a vital role in the member-centered care planning process alongside the other core care team members. Your… more
- Waystar (Atlanta, GA)
- …automation technology to improve content quality, speed, and consistency. **Technology & Process Improvement ** + Assist in the build, configuration, and adoption ... **WHAT YOU'LL DO** + **RFP & Proposal Management** + Lead and coordinate the end-to-end lifecycle of RFP, RFI,...Stakeholder collaboration + Database management + Branding compliance + Process improvement + Problem solving + Project… more
- Waystar (Atlanta, GA)
- …Maintain effective communication with customers regarding payment status and issues. ** Process Improvement & Automation:** + Identify opportunities for ... automation and process enhancements within billing and collections. + ...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Humana (Atlanta, GA)
- …interrelate across department(s). The Associate Director; Software Renewals will lead the strategic oversight and execution of software renewal activities ... renewal strategies with business and IT priorities. **Key Responsibilities** + Lead the end-to-end software renewal lifecycle for enterprise applications and… more
- Evolent (Atlanta, GA)
- …executive responsible for leading oncology-related utilization management, quality improvement , and clinical operations across Evolent's value-based care platform. ... excellence, product innovation, clinical partnerships, and financial impact assessment + Lead provider and member engagement strategies to improve the quality of… more
- Cardinal Health (Atlanta, GA)
- …insurance claims. This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow, reduce aging ... accounts, and ensure compliance with payer and regulatory requirements. **Responsibilities:** + Lead and manage the daily operations of the insurance follow-up team,… more