- 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
- Elevance Health (Atlanta, GA)
- …for IM function at the business unit level and ensures operations ' effective achievement of objectives. . Coordinates project management across department ... **Director of Medicare Risk Adjustment Analytics and Reporting** **Location:** This...through training and effective organizational development practices. . Reports project status and progress to business unit… 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)
- …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
- 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)
- … + Investigative and problem solving skills **Preferred Qualifications** + Background in Medicare , Medicaid and Commercial Group Business + Deep understanding of ... The Senior Vendor Management Professional (SVMP) is responsible for day-to-day operations and performance of Humana's vendor partnerships with a specific emphasis… more
- Humana (Atlanta, GA)
- …complete and also work closely with the Integrated Health Patient Experience operations team. The Senior Business Intelligence Engineer's assignments involve ... part of our caring community and help us put health first** The Senior Business Intelligence Engineer solves complex business problems and issues using data from… 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
- Humana (Atlanta, GA)
- …and acquisition activities. + Responsible for the management of multiple MSP operations supporting Humana business segments + Partner with Contingent Labor ... to the Associate Vice President of Source to Pay Operations you will manage a team of associates and...varying levels of the organization + Experience in developing project plans and presenting business cases to… 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
- Mathematica (Atlanta, GA)
- …workforce, and quality monitoring is also preferred. Understanding of dual Medicare -Medicaid eligibility and coordination is preferred, but not required. * Duties ... * Master's degree in public policy, public administration, public health, healthcare administration, business , or a related field; and 5 or more years of experience… more
- Waystar (Duluth, GA)
- …Oversee and manage efforts to increase revenue realization from stalled Ambulatory project implementations. + Understand and support the project success criteria ... communication as needed to encourage adoption of contracted services + Communicate project status updates for each assigned opportunity to all stakeholders + Track… more