- The Cigna Group (Atlanta, GA)
- A member of the Cigna Medicare Business Operational Excellence Process Engineering team. This role will lead, facilitate, and drive business process ... coordinate business projects, including: + Define the business case, guide chartering, apply proper project ...changes into implementation plans (DFSS and DMAIC preferred) + Medicare Operations experience preferred. + Bachelors Degree… more
- Humana (Atlanta, GA)
- …leader ready to support projects and products in support of Humana Government Business (HGB). The Senior Project Manager will manage assignments that involve ... key associates to meet the goals of Humana Government Business . **KEY ACCOUNTABILITIES** 50% ** Project Execution** :...5 or more years' experience in the fields of operations , organizational development or customer service + Lean; Six… more
- Mathematica (Atlanta, GA)
- …with knowledge of key organizations bringing value to the Innovation Center * Project leadership experience with the Center for Medicare and Medicaid Innovation ... a visionary, passionate leader to be the Director for business development and client relationship building for our work...relationship building for our work with the Centers for Medicare & Medicaid Services' (CMS), Center for Medicare… more
- Mathematica (Atlanta, GA)
- …About the opportunity:* We are seeking a Director of Federal Value-Based Care Business to lead the management of Mathematica's Value-Based Payment Design and ... Operations and Technical Assistance for Healthcare Transformation staff communities....of the staff communities within the Federal Value-Based Care business by: o Tracking revenue, backlog, billability, open staffing… more
- Highmark Health (Atlanta, GA)
- …on the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate ... to required standards and all necessary approvals have been obtained throughout the project lifecycle. + Interface with the business areas, customers, partners,… more
- Option Care Health (Atlanta, GA)
- …of the Business Teams. + Interface and collaborate across the business with functions including Operations , Market Access, Internal Audit, Legal, Revenue ... Business Teams other functions. + Collaborates with Compliance Operations on healthcare professional engagement process, Corporate Integrity Agreement… more
- Prime Therapeutics (Atlanta, GA)
- …positions supporting Medicare , requires experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business Analysis Work ... and drives every decision we make. **Job Posting Title** Data & Reporting Business Analyst - Louisiana Medicaid **Job Description Summary** Serves as liaison between… more
- Waystar (Atlanta, GA)
- …contributes to the organization's growth goals + Full accountability for successful project delivery and demonstrated business impact in critical strategic ... field or equivalent experience required. + Five (5) years experience related to business process analysis, business analysis, project management, performance… more
- Humana (Atlanta, GA)
- …Power Point, Teams, SharePoint + Advanced in Microsoft Excel, Monday.com and other project management tools + Through understanding of business concerns to ... of our caring community and help us put health first** The Associate Director, Business Systems Analysis performs analysis of business , process and user needs,… more
- Humana (Atlanta, GA)
- …benefits? Then we have a role for you! Humana is seeking a Senior Business Systems Analysis Professional who is highly skilled in Power Platform development with a ... and detail-oriented to lead process automation and documentation within the MarketPoint Business Insights data management team. The Senior Business Systems… more
- Humana (Atlanta, GA)
- …procedures, processes, productivity targets, and new delivery models. Maintains efficient operations while ensuring attainment of quality of care and financial ... decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. The Behavioral Health… more
- Humana (Atlanta, GA)
- …SNP) who will provide data-based strategic direction to identify and address business issues and opportunities for Fully Integrated Dual Eligible Special Needs Plan ... (FIDE SNP). They will provide business intelligence and strategic planning support for ...Support the Medicaid Virginia market leadership team with specific Medicare operational impacts such as Open Enrollment and Annual… more
- Humana (Atlanta, GA)
- …and help us put health first** Humana Healthy Horizons is seeking a Senior Business Intelligence Engineer who will solve complex business problems and issues ... and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer's work assignments involve moderately complex to complex issues… more
- Abt Global Inc. (Atlanta, GA)
- …Associate) to play a leadership role in our work with the Centers for Medicare and Medicaid Services (CMS). As a member of the Research, Monitoring, and Evaluation ... team, you will lead work in the health care portfolio, including business development efforts. The successful candidate will have extensive experience in Medicaid… more
- Humana (Atlanta, GA)
- …support to the Humana Healthy Horizons in Ohio market relative to Medicare /Medicaid Duals product implementation, operations , contract compliance, and federal ... that assigned health plans are meeting or exceeding corporate Medicare /Medicaid Duals performance benchmarks. + Maintains relationships with regulators within… more
- Mathematica (Atlanta, GA)
- …developing data-driven solutions. This client-facing leadership role involves owning the project delivery and managing the relationship between the customer and ... Mathematica for a given project /engagement. The technology organizations in Health and Human Services...analytics and visualization products; and research and advisory. Includes operations and maintenance as well as innovating and enhancing… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** We are seeking a Project Manager, Data Analytics, to coordinate Business Intelligence projects across various teams. The ideal candidate ... Data Analytics projects across multiple teams, ensuring alignment with business goals. + Develop and manage project ...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Mathematica (Atlanta, GA)
- …pressing problems and improving operations , and a strong interest in our Medicaid project area. Managing consultants often work on more than one project at a ... on complex, fast-paced projects focused on Medicaid policy, oversight, and program operations * Developing and maintaining project schedules, staffing plans, and… more
- Public Consulting Group (Atlanta, GA)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined...with clients, vendors, team members to establish and achieve project goals * Address problems through risk management and… more
- Humana (Atlanta, GA)
- …leadership, and external clinical vendors who aid in managing medical utilization for Medicare , Medicaid, and Commercial lines of business . + Master the ... programs to maximize revenue growth. Coordinates with other analytics, IT, and business areas across the organization to ensure work is completed with insights… more