• Manager , Process Improvement

    Molina Healthcare (Atlanta, GA)
    …* Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and manages ... the activities of the department and the process improvement process . * Assesses...**Preferred Experience** * State QI experience * Medicaid and/or Medicare QI + **Databricks** + **Development leading indicators and… more
    Molina Healthcare (01/21/25)
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  • Sr Program Manager , Medicare Stars

    Molina Healthcare (Atlanta, GA)
    **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... * Leads and collaborates with teams & health plans impacted by Medicare Quality Improvement programs involving enterprise, department or cross-functional teams… more
    Molina Healthcare (01/21/25)
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  • Group Medicare Insurance Product…

    Humana (Atlanta, GA)
    …part of our caring community and help us put health first** The Insurance Product Manager manages the end-to-end process of product design for a portfolio of ... bid filings, new product implementation, and product change management. The Insurance Product Manager manages the end-to-end process of product design for a… more
    Humana (02/21/25)
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  • Program Manager ( Medicare

    Molina Healthcare (Atlanta, GA)
    …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft… more
    Molina Healthcare (02/06/25)
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  • Technical Project Manager - Infrastructure…

    Elevance Health (Atlanta, GA)
    **Technical Project Manager - Infrastructure Scrum Master** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal ... member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services… more
    Elevance Health (02/18/25)
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  • Senior Project Manager - Member…

    Highmark Health (Atlanta, GA)
    …delivery of data to vendors and internal partners, supporting successful Medicare Advantage and Dual-Special Needs Plan member satisfaction strategies, including ... Medicare CAHPS and the Health Outcomes Survey. Additional responsibilities...and analyzing member feedback to identify trends, insights, and improvement opportunities. **ESSENTIAL RESPONSIBILITIES** + Work with business and… more
    Highmark Health (02/13/25)
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  • Clin Qual Prog Manager - Enterprise HEDIS

    Elevance Health (Atlanta, GA)
    …Role is aimed to improve HEDIS performance for provider populations in Medicare Star measures.** PRIMARY DUTIES: + Leads state level quality strategy meetings, ... and ensures integration of quality into the overall business process . + Works with the clinical intervention team to...and appropriate reporting is in place. + Develops performance improvement plans and oversees the clinical quality improvement more
    Elevance Health (02/18/25)
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  • Program Manager , HCS

    Molina Healthcare (Atlanta, GA)
    …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... + Works with operational leaders within the business to provide recommendations for process improvement opportunities. + Conducts quality audits to assess Molina… more
    Molina Healthcare (02/19/25)
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  • Program Manager - Enrollment

    Molina Healthcare (Atlanta, GA)
    …May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes ... : + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with Microsoft… more
    Molina Healthcare (02/06/25)
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  • PBM Contract Representative Sr - LA Medicaid

    Prime Therapeutics (Atlanta, GA)
    …Senior Contract Representative is responsible for contract administration and ensuring process adherence in support of Prime's contracting efforts with Louisiana ... Desktop Procedures for assigned tasks and identify opportunities for improvement within contract document development, implementation, and maintenance processes +… more
    Prime Therapeutics (12/19/24)
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