- CenterWell (Atlanta, GA)
- …a part of our caring community and help us put health first** The Project Management Lead manages all aspects of a project, from start to finish, so that it is ... completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Project… more
- Humana (Atlanta, GA)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. +… more
- Humana (Atlanta, GA)
- …rules, regulations and sub-regulatory guidance that apply to Insurance Products (ie, Medicare Advantage, Part D, Group Specialty, and Individual Specialty), ... your skills to make an impact** **Required Qualifications** + Experience with Medicare Advantage and/or Medicaid + Comprehensive knowledge of Microsoft Office… more
- Humana (Atlanta, GA)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage, and Medicaid requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- Humana (Atlanta, GA)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid , and Medicare Advantage requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- CenterWell (Atlanta, GA)
- …records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program ... a part of our caring community and help us put health first** The Program Management Lead , Offshore Coding Operations conducts quality assurance audits of medical… more
- Humana (Atlanta, GA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... The Enterprise Observability Engineering team is a high-impact, high-autonomy group focused on building intelligent, scalable, and resilient observability solutions.… more
- Cardinal Health (Atlanta, GA)
- …chargebacks and vendor invoices and developing and negotiating customer and group purchasing contracts. + Demonstrates knowledge of financial processes, systems, ... getting the right things done. The Accounts Receivable Team Lead performs day-to-day AR functions with the goal of...company when necessary. + Bills supplemental insurances including all Medicaid states on paper and online. + Oversees appeals… more
- Humana (Atlanta, GA)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Lead Solutions Architect provides architecture leadership for CenterWell Home Health programs and… more
- Humana (Atlanta, GA)
- …project leadership and consulting. + Knowledge of healthcare business domains, including Medicare , Medicaid , Group , Specialty, etc. + Development level ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Molina Healthcare (Atlanta, GA)
- … providers, hospitals, integrated delivery systems, and ancillary providers with Medicaid , Medicare , and or Marketplace products, or equivalent combination ... with various managed health care provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including: fee-for service… more
- Prime Therapeutics (Atlanta, GA)
- …account management experience + Knowledge of the applicable line of business (eg, Medicare , Medicaid , Exchange, Commercial, Employer Group ) Every employee ... all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to… more
- Gentiva (Alpharetta, GA)
- …accountability + Support adherence to local, state, and federal regulatory requirements ( Medicare , Medicaid , ACHC, JCAHO, etc.) **About You** **Qualifications - ... **Overview** ** Lead Compassion. Inspire Excellence. Elevate Hospice Care.** We...medical concerns within scope of practice + Facilitate Interdisciplinary Group (IDG) meetings, review patient conditions, and ensure accurate… more
- Oracle (Atlanta, GA)
- …one visualization tool like BO or Tableau + Healthcare experience with Medicaid / Medicare Claims Reporting **Expectations** + Perform other responsibilities as ... needs. Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients… more
- Waystar (Atlanta, GA)
- …1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid / Medicare payers. We are deeply committed to living out our organizational ... of the job, equally important is the ability to lead a team to convert product vision to software...Finally, this is an opportunity to work with a group of other passionate software professionals in an engineering-led… more