- Humana (Atlanta, GA)
- …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy ... to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a...with the following attributes: * Creative - Adept at research to determine the opportunity and a structured yet… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy ... to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a...talent with the following attributes Creative - Adept at research to determine the opportunity and a structured yet… more
- Humana (Atlanta, GA)
- …help us put health first** Humana's Clinical Analytics Team is seeking a Research Scientist 2 (Remote). Healthcare is rapidly changing, and our members are living ... to shape Humana's future enterprise clinical strategies and initiatives. The Research Scientist 2 applies mathematical, statistical, epidemiologic and data science… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Associate Actuary role is a role within the Insurance Products Actuarial Medicare Advantage ... ad hoc projects and analysis to help enhance Part D accuracy. The Associate Actuary, Pricing work assignments involve moderately complex to complex issues where the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Discover Your Career at Emory University** Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate ... Grady Health System. Fellows must be eligible at participants in Medicare, Medicaid and other third-party payers contracted with Emory Healthcare and Grady Health… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the ... diverse scope and complexity ranging from moderate to substantial. The LTSS Medicaid Process Improvement Lead researches best business practices within and outside… more
- Humana (Atlanta, GA)
- …our goals, we seek talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem ... to maximize available resources to achieve growth. + Leads National Medicaid Strategic Priorities, effectively develops LTSS-based strategic goals and turns them… more
- Humana (Atlanta, GA)
- …**Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises the majority ... prior management consulting experience to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare… more
- Humana (Atlanta, GA)
- …Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises the majority ... management consulting experience to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare… more
- Humana (Atlanta, GA)
- …+ Engage with the producers and the Center for Medicare and Medicaid Services/Department of Insurance regulations specific to them if there are concerns ... the general ledger. + Analyze and interpret Center for Medicare and Medicaid Services and Department of Insurance regulations to establish required appointment fees… more
- Humana (Atlanta, GA)
- …for a Senior Product Marketer that has prior experience focused on Medicare, Medicaid and/or DSNP Members around Health and Well-being initiatives to join the ... and evaluate business opportunities using historical campaign performance, consumer research and competitive intelligence + Utilize problem-solving and organization… more
- Humana (Atlanta, GA)
- …survey preparation, committee preparation, presentation, documentation. HEDIS: + Collects, research , reviews during annual HEDIS Chart Review season. + Participates ... be sure to provide the requisition number so we may be able to research your request quicker. \#LI-BB1 **Scheduled Weekly Hours** 40 **Pay Range** The compensation… more
- Elevance Health (Atlanta, GA)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement Lead** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division within the Department of Health and Human Services).… more
- Waystar (Atlanta, GA)
- …Act as communication liaison between Waystar and lockbox key operating stakeholders + Research , review, and associate patient checks and other scanned items ... operations or customer support + Attention to detail and research skills + Ability to manage competing priorities +...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Morehouse School Of Medicine (Atlanta, GA)
- …and scientific workforce; * Address primary health care through programs in education, research and service; With emphasis on people of color and the under-served ... Minimum of two (2) years of college education or Associate 's Degree. Experience: + Minimum of two (2) years...Healthcare) database and Pecos CMS (Centers for Medicare and Medicaid Services) database systems. + Experience with provider enrollment… more
- Morehouse School Of Medicine (Atlanta, GA)
- …and scientific workforce; * Address primary health care through programs in education, research and service; With emphasis on people of color and the under-served ... of two (2) years of college education or an Associate 's Degree required. EXPERIENCE : Minimum of three (3)..., and Indemnity. + Knowledge of the Medicare and Medicaid Programs ( CMS ) particularly as it relates… more
- Humana (Atlanta, GA)
- …and feature prioritization to meet project timelines.*Skilled in conducting market research and user feedback analysis to inform product enhancements and strategic ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Trinity Health (Atlanta, GA)
- …additional duties as assigned by the Manager. **Minimum Qualifications:** + Associate Degree in Accounting, Finance, or Business Administration. + Minimum of ... billing. + Strong communication and customer service skills. + Ability to research and resolve payment discrepancies. + Experience in physician offices with… more
- Humana (Atlanta, GA)
- …the best care based on quality ratings, reviews, and outcomes + Conduct user research and usability studies to gather insights and identify pain points in the ... (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more