- 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
- Banner Health (Atlanta, GA)
- …Plans & Networks Team, where your data analysis skills, quality assurance, and Medicare Advantage experience will be vital. You will use your background in ... and report building to help us excel in our Medicare reporting and performance objectives. You will lead projects...Your work shift will be Monday-Friday, Arizona time zone business hours. Your pay and benefits are important components… 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)
- …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
- 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
- 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)
- …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 & patient experiences and health outcomes?… 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)
- …of technical experience + Minimum 6 years of health care operations , project /program management, implementation and/or consulting, corporate strategy, ... help us put health first** The Associate Director, Acquisition Integration performs project -oriented duties related to the integration of an acquired entity into the… more
- State of Georgia (Fulton County, GA)
- …relevant experience clearly indicated in their work history. Bachelor's degree in operations management, business administration, or a related field which ... Fulton - Atlanta (https://careers.georgia.gov/jobs/53515/other-jobs-matching/location-only) Administrative & Operations Support (https://careers.georgia.gov/landingpages/administrative- operations -support-opportunities-at-team-georgia-16) Behavioral… 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
- Prime Therapeutics (Atlanta, GA)
- …PBM rules and regulations + Proficiency in Microsoft Office Suite and relevant business unit systems (eg RxClaims in Clinical Operations ) + Ability to ... Coordinator Lead - Remote **Job Description** The Audit Coordinator Lead has business unit responsibility for the management of all external audit activities and… 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
- City of Alpharetta, Georgia (Alpharetta, GA)
- …+ Five years of progressively responsible leadership experience in economic or business development, including two years of project management. Experience must ... City Administrator, directs, manages, supervises, and coordinates the activities and operations of the City's Economic Development Department and represents the… more