- Molina Healthcare (Atlanta, GA)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (Atlanta, GA)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Elevance Health (Atlanta, GA)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are ... closely with User Experience team and Technology teams. The Senior Product Manager will lead cross departmental...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- CVS Health (Atlanta, GA)
- …more compassionate. And we do it all with heart, each and every day. **Position Summary** Senior Manager - Vendor Data Management is a high impact role, you will ... years of management consulting experience or 5+ years of Medicare or Medicaid benefit and financial analytics experience required....for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Atlanta, GA)
- …compliance, financial viability, performance, and alignment to organizational goals. The Senior Manager will also develop and implement standardized processes ... Primary responsibilities include drafting, managing, and overseeing dental Medicaid and Medicare contracts across existing and new markets. This role involves… more
- Cardinal Health (Atlanta, GA)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- Humana (Atlanta, GA)
- …and help us put health first** Humana's Marketing organization is seeking a Senior Professional experienced in marketing content and campaign planning to join the ... team. The Senior Marketing Campaign Management Professional reports directly to the...off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer… more
- CVS Health (Atlanta, GA)
- …high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business. This position will ... scenario testing, supporting model development and maintenance, and working with manager , peers, and business partners to develop simple explanations for drivers… more
- Humana (Atlanta, GA)
- …first Humana's Enterprise Information Protection department is seeking an experienced IT Program Manager to drive strategic initiatives that safeguard the ... better business outcomes and speed-to-market with consistent data practices. The IT Program Manager will collaborate closely with leaders to develop cohesive,… more