- Abt Global Inc. (Atlanta, GA)
- …Capability team, you will lead work in the health care portfolio, including business development efforts. The successful candidate will have extensive experience ... in Medicaid program operations , data, and policies. You...subject matter expertise to support health care projects and business development efforts. + Lead the technical… more
- Humana (Atlanta, GA)
- …will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new states. The business … more
- State of Georgia (Fulton County, GA)
- Investigator - Medicaid Fraud Division Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/37043/other-jobs-matching/location-only) Hot ... into the Executive Office, five legal divisions, four specialty units and an operations division. The position filled through this announcement will serve in the… more
- Highmark Health (Atlanta, GA)
- …on cross-functional efforts, in this role the incumbent should also act as a business data subject matter expert hands on where possible, and guide, lead and educate ... to: involved in hiring and termination decisions, coaching and development , rewards and recognition, performance management and staff productivity.Plan, organize,… more
- Aveanna (Atlanta, GA)
- RVP of Business Development - South Central (Hybrid) ApplyRefer a FriendBack Job Details Requisition #: 195373 Location: Atlanta, GA 30339 Category: Sales ... - $185,000 per year Position Details Position Overview The Regional Vice President, Business Development is instrumental in driving revenue growth and admissions… more
- Humana (Atlanta, GA)
- …value propositions, white papers and other advocacy materials which support state business development opportunities and operations . + Under direction ... to analyze public policy, develop positions, and draft deliverables supporting Humana business strategy. + Monitor and analyze state Medicaid trends. Contribute… more
- Humana (Atlanta, GA)
- …will be responsible for leading the beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment with segment strategy ... will be responsible for leading the beginning-to-end operational support of specialty Medicaid value based payment (VBP) models in alignment with segment strategy… more
- Prime Therapeutics (Atlanta, GA)
- …overall administration of the programs. Activities address impact on customers, operations , program integrity, pricing, quality and satisfaction. Develops and tracks ... expertise with data management and overall healthcare trends specific to the Medicaid population. **Job Description** + Partners with appropriate staff in the… more
- Pearson (Atlanta, GA)
- … outcomes. The OT Supervisor supports a variety of tasks to enable business operations across service lines. Projects and responsibilities are determined by ... And as a result, our category has seen explosive growth, and our business has experienced enormous increases in awareness and enrollments. This presents an… more
- Waystar (Atlanta, GA)
- …The Product Manager will coordinate with key stakeholders in sales, marketing, design, development , and operations . This role will be charged with leading game ... various product inputs, customer requirements, designing solution architectures and developing the business case for new product development + Preparing software… more
- Humana (Atlanta, GA)
- …+ Advanced certifications in software and/or process improvement + Experience with Medicaid + Experience in provider networks/provider operations + Advanced ... Adequacy tests the overall network in each county of operations to ensure the network is strong enough to...matching program + Network Resource Groups (NRGs) + Career development opportunities **Use your skills to make an impact**… more
- BrightSpring Health Services (Smyrna, GA)
- …technician, data entry , billing and IV technician functions to support clinical and business operations for the assigned region . Responsible for coordinating , ... med. or der system + Perform s computer system operations which may include order entry, billing, crediting, and...follow-up of claims , by maintaining current knowledge of Medicaid claim regulations and processes + Participates in orientation,… more
- Sevita (Atlanta, GA)
- …assigned Operating Group's Management team during audits to discuss identified issues affecting the business and operations and to act as a resource for the ... Ethics and Compliance Officer(s) and respective Operating Group management team(s) in the development and review of new business activities and programs as the… more
- Abt Global Inc. (Atlanta, GA)
- …Capability team, you will lead work in the health care portfolio, including business development efforts. The successful candidate will have extensive experience ... programs, + Contribute subject matter expertise to support health care projects and business development efforts. + Lead the technical writing for project… more
- Humana (Atlanta, GA)
- …on continuously improving consumer experiences. **Critical Skills** + Strong inclination to business operations and strategy with an ability to envision how ... The Senior Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals.… more
- Sevita (Atlanta, GA)
- …Operating Group's Management team during audits to discuss identified issues affecting the business and operations and acts as a resource on audit observations. ... Ethics and Compliance Officer(s) and respective Operating Group management team(s) in the development and review of new business activities and programs as the… more
- Humana (Atlanta, GA)
- …with corporate development , IMO, and senior executives from IT and business . * Drive day-to-day execution of the cybersecurity remediation process within the ... diligence through integration efforts to Humana's IT M&A team, corporate development team and integration management office (IMO) on all growth opportunities… more
- Cardinal Health (Atlanta, GA)
- …legal advice and services in order to protect the organization's assets, operations and image. This function provides legal counsel related to commercial, corporate ... all company legal matters, manages outside counsel and manages legal operations . Commercial Transaction provides legal advice, counsel and services to domestic… more
- Humana (Atlanta, GA)
- …managing supplier performance and relationships and driving additional value for the business . This leader is also responsible for becoming a trusted advisor to ... stakeholders, ensuring strong alignment. Finally, this leader will partner with business leadership in Humana's segments to drive enterprise-wide value. + Develop… more
- Humana (Atlanta, GA)
- …and development of operational KPIs and metrics; + Disaster recovery/ business continuity integration; + Continuous knowledge and skills improvement; + WAN ... growth studies to determine impact on cloud network capacity and development plan projections. Begins to influence department's strategy. Makes decisions on… more