- Molina Healthcare (Macon, GA)
- Molina Healthcare is hiring a Program Manager , Medicaid Growth & Retention This role will be responsible for understanding and tracking all activity in the field ... understanding and, in consequence, enrollment. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May… more
- Molina Healthcare (Atlanta, GA)
- …objectives and initiatives across platforms. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May ... business development solutioning activities. + Plans and directs schedules as well as project budgets. + Monitors the product from inception through operations + May… more
- Elevance Health (Atlanta, GA)
- **Director Medicaid Plan Marketing** **Location:** 2505 N HWY 360, Grand Prairie TX. Relocation assistance offered. This role requires associates to be in-office 3 ... accommodation is granted as required by law_ The **Director Medicaid Plan Marketing** is responsible for the planning and...limited to STAR, CHIP, STAR+PLUS, STAR Kids, ACA, and D -SNP preferred. * Managed Care Health Plan experience preferred.… more
- Molina Healthcare (Savannah, GA)
- …reporting, process improvement, and implores continuous quality improvement. Monitors the project from inception through delivery. May engage and oversee the work ... system analysis and program staff. These positions' primary focus is project /program management. **Job Duties** **Program Oversight & Project Management**… more
- Molina Healthcare (GA)
- …the root cause of challenges. + Works with the business and project development teams to assess and recommend the appropriate configuration design, solutions, ... procedures and guidelines for the Configuration team. + Provides status reports and project updates to management and stakeholders. + Ensure staff have all the… more
- Molina Healthcare (Macon, GA)
- …and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and ... adjudication, QNXT system navigation, and strong analytical acumen. Experience in Medicaid managed care is required, and a background in payment integrity-either… more
- Molina Healthcare (Augusta, GA)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- CenterWell (Savannah, GA)
- …and areas of opportunity in pharmacy utilization (pharmacy management) to impact Part D per Member per Month (PMPM) costs while maintaining high quality care + ... of technical experience + 2 or more years of project leadership experience + Licensure requirements of the state...and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to five… more