- CVS Health (Atlanta, GA)
- … business. Support CVS Health's financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs ... issues. **A Brief Overview** The primary responsibility of this director role will be leading Actuarial market support for...be leading Actuarial market support for the Central region's Medicaid contracts (IL, KS, MI, OK). Within this role,… more
- Prime Therapeutics (Atlanta, GA)
- …Clinical Program Development Director contributes to the development of drug management strategy for the designated clinical product domain (ie Utilization ... and clients within designated clinical product domain; may oversee clinical product management processes to ensure compliance with client delegation or… more
- CVS Health (Atlanta, GA)
- …transformation, and administrative support. CVS Accountable Care is seeking an Executive Director , Payor Medical Economics to join our growing organization. In this ... financial performance across payor programs including MA, Commercial, Exchange and Medicaid , interface with senior leaders within CVS Accountable Care and the… more
- Elevance Health (Atlanta, GA)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... This high-performing individual contributor will be responsible for working with management to identify and implement varied projects, programs and plans that… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** ... Medical Pharmacy Strategy. + Job Description + Supports overall Medical Pharmacy Product line for health plans through validated program enhancements, creation of… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** As the Director of pricing strategy and effectiveness, you will be a key member of the commercial operations management team. In this ... role, you will partner with executive leadership and peers in product , finance, sales, and product marketing to provide pricing strategies that support Waystar's… more
- Brookdale Senior Living (Atlanta, GA)
- …Medicare and Medicaid regulations to include applicable processes for the product line(s) being sold. Knowledge of state regulations impacting or directing the ... associates and provides coaching related to selling skills, pipeline management and sales execution. Fosters a strong sales performance...on a scheduled basis and as approved by Division Director of Sales or VP Sales. Partners with on-site… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** This role reports to a Director , Product Management and work closely with User Experience team and Technology teams. The Product ... interaction in their natural environment + Assisting your Director of Product Management in...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Waystar (Atlanta, GA)
- …that lead to highly useable software. This professional self-starter will report to a Director , Product Management and work closely with User Experience team ... satisfaction and product quality + Assisting your Director of Product Management in...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Waystar (Atlanta, GA)
- …that lead to highly useable software. This professional initiative-taker will report to the Director of Product Management and work closely with the User ... satisfaction and product quality + Assisting your Director of Product Management in...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more
- Public Consulting Group (Atlanta, GA)
- …the important points of intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly ... to efficiently and effectively implement, support, and optimize clients.Collaborate with Product to identify system improvements and opportunities for automation +… more
- Prime Therapeutics (Atlanta, GA)
- …Plan Account Dir Sr - Remote **Job Description** The Sr Health Plan Account Director leads the development and execution of strategic plans for health plans or ... exceptional service. As necessary, this position will oversee a cross-functional account management team, with representation across all lines of business, and key… more
- Public Consulting Group (Atlanta, GA)
- …must effectively integrate capabilities in client management and project management , collaborating with Operations, Product , Program Integrity, and other ... support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the… more
- Prime Therapeutics (Atlanta, GA)
- …within strict timelines, under pressure. + Working knowledge of Medicare Part D, Medicaid , state healthcare product or program related regulations and/or Health ... and leadership expectations. + Serves as a consultant to management on major matters pertaining to laws and regulations,...within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
- United Musculoskeletal Partners (Kennesaw, GA)
- **DESCRIPTION** + Provide on-site management of the Resurgens Orthopaedics Durable Medical Equipment ("DME") Program. + Under the direct supervision and orders of ... level of customer service to patients and their family members, physicians, clinic management , and all other employees. + Assist with education of clinical employees… more
- Humana (Atlanta, GA)
- …solutions for one of the leading healthcare organizations. Reporting to the Associate Director of our Experience Team and partnering with Architecture and Product ... front-end development, back-end development, database integrations, network and hosting management , user interface, user experience, and back-end server … more