- 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
- HealthEdge Software Inc (Atlanta, GA)
- …issues and client impacts. + Partner withappropriate Source Teams(BA, PM, Development , Account Management, Sales/ Business Development , Product, Content, ... Medicaid , and commercial), payment integrity, and healthcare plan operations (eg, claim life cycle/workflow, network contracting, payment/policy configuration,… more
- Humana (Atlanta, GA)
- …to value. + Align scope of work with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments. + ... financial terms, which align with segment goals. + Design and contribute to development of provider reporting packages to help providers understand their overall and… more
- Mathematica (Atlanta, GA)
- …and family support to nutrition, employment, disability, and international development . Mathematica offers our employees competitive salaries, and a comprehensive ... improving state Home- and community-based services within the state's Medicaid or HCBS administrative agencies such as health, human...consulting services to state and local clients, support the development of new health policies, assist with the … more
- Humana (Atlanta, GA)
- …priorities on a regular basis. + Embrace a service mentality to collaborate with Operations , Business Intelligence teams, Database teams, and IT to assure data ... our caring community and help us put health first** The Associate Director, Business Intelligence for CPSS Data and Analytics will support the account services,… 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
- Mathematica (Atlanta, GA)
- …to the collection and interpretation of quantitative and qualitative data * Direct business development efforts and lead proposals for new projects * Author ... and family support to nutrition, employment, disability, and international development . Mathematica offers our employees competitive salaries, and a comprehensive… 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 ... + Analyze utilization data to reconcile provider disputes + Contribute to development and support of provider reporting packages to help providers understand their… more
- Mathematica (Atlanta, GA)
- …and family support to nutrition, employment, disability, and international development . Mathematica offers our employees competitive salaries, and a comprehensive ... improving state behavioral health programs within or in conjunction with Medicaid programs and state, local, and private providers. Experience managing public… more
- Option Care Health (Atlanta, GA)
- …action policies and procedures. Reporting to the VP, Compliance & Privacy Operations , this individual will also assist Compliance leadership with: * Developing and ... and adhere to legal and regulatory requirements, the Company's Code of Business Conduct and Company policies and procedures. * Assessing the effectiveness of… more
- Humana (Atlanta, GA)
- …+ 2+ years of project leadership and consulting experience. + Health Care Business Domains - Medicare, Medicaid , Group, Specialty etc. **Additional Information** ... help us put health first** Are you interested in leveraging technology and business strategy to deliver improved member experiences and health outcomes to Humana's… more
- Humana (Atlanta, GA)
- …**Preferred Qualifications** + Medicaid knowledge, including experience with interpreting Medicaid contracts. + Operations content design and facilitation + ... work experience. + 3+ years of instructional design, training and learning development experience + Expert level experience with the Articulate 360 suite +… 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
- Elevance Health (Atlanta, GA)
- …VP CareMore Stars acts as the driving force behind the development , coordination, communication, and strategic execution of top-tier clinical quality management ... programs for multi-state Medicare and Medicaid markets within Carelon Health. As a pivotal role within our organization, you'll have the chance to spearhead… 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