- Elevance Health (Atlanta, GA)
- …Services to transform federal health programs. The **Director I Medicare Operations ** is responsible for directing multiple business function operations ... **Director I Medicare Operations ** **Location:** This position will...will make an impact:** + Responsible for directing multiple business function operations teams on Tier I… more
- Humana (Atlanta, GA)
- …focused on continuously improving consumer experiences **Preferred Qualifications** + Project Management Certification + Experience in business consulting ... community and help us put health first** The Senior Project Manager manages all aspects of a project...experience + 5 or more years of experience managing business projects + Highly self-motivated and proactive with a… more
- Elevance Health (Atlanta, GA)
- …priorities; must be comfortable interfacing with senior leadership. + Partner with business operations to understand operational metrics and reporting; assist ... Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare...quality and other operational issues. + Assists in managing project scope to ensure business needs are… more
- Evolent Health (Atlanta, GA)
- …with Clinical Operations , Medical Leadership, IT, Provider Relations, and other business groups. **What You Will Be Doing:** + Support team responsibilities and ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...for the culture. **What You'll Be Doing:** As a Project Manager on the Medical Policy team, you will… more
- Waystar (Atlanta, GA)
- …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 ... increase strategy, and maintaining competitive list price as well as executing operations that will be critical to price book accuracy. The successful candidate… more
- Elevance Health (Atlanta, GA)
- …+ Ability to analyze and manipulate large and complex datasets. + Background in Medicare operations and/or financial reporting. + Exposure to provider or health ... + Requires a BA/BS and minimum of 10 years business analysis experience, which should include analysis, project...risk adjustment and/or health insurance industry. + Experience in Medicare Advantage and Medicaid in a provider based or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …study which might generate a CPT code. + Applies the Centers for Medicare & Medicaid National Coverage Determination (NCD) 310.1, Routine Costs in Clinical Trials, ... study is a qualifying clinical trial with therapeutic intent, diagnosed disease, Medicare benefit category, and deemed status or seven desirable characteristics. +… more
- Humana (Atlanta, GA)
- …products. + 5+ years of experience supporting Medicaid managed care health services operations and the Medicaid managed care business development lifecycle. + ... work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize,...and growth of the Medicaid and Duals lines of business . This is a unique opportunity for a motivated… more
- Elevance Health (Atlanta, GA)
- …provide an equivalent background. + Knowledge of systems capabilities and business operations is strongly preferred. **Preferred Qualifications:** + Background ... business analysis experience, which should include analysis and project management; or any combination of education and experience...with Prior Authorization, Medicare line of business is also preferred.… 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 ... . **Job-Specific Responsibilities** + Provide strong leadership on all Medicare /Medicaid cost settlement and supplemental payment projects, effectively supervising… more
- CVS Health (Atlanta, GA)
- …personal, convenient and affordable. **Position Summary** At CVS Accountable Care our business analysts are key drivers of our continued growth and success. With ... in a value-based care environment. We're currently searching for an experienced business analyst who is highly detail-oriented, an expert communicator, and top-notch… more
- Humana (Atlanta, GA)
- …Qualifications** + Master's Degree + Certification with Six Sigma and/or the Project Management Institute + Knowledge of Medicare Advantage **Scheduled Weekly ... Professional will work as liaison between vendors and Humana supporting internal business areas while helping ensure vendors meet contractual obligations as part of… more
- Humana (Atlanta, GA)
- …from across the enterprise (clinical, quality, operations , analytics, and business ) and leading the end-to-end project of strategy development for ... and address business issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from payer… more
- Public Consulting Group (Atlanta, GA)
- …+ Strategy, Architecture, Planning, and Procurement + Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and ... (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and...as well as experience working with the Centers for Medicare and Medicaid Services (CMS) and the new streamlined… 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 experiences and health outcomes to Humana's… more
- Public Consulting Group (Atlanta, GA)
- …federal and state law and regulation. + Reviews and is an expert in business operations for service and efficiency improvements. + Develops and executes new ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies… more
- Aveanna (Atlanta, GA)
- …position. Position Overview Under direct supervision of the Sr. Director, IT Operations and Logistics, responsible for overseeing and managing all network, voice ... state(s) regulations. Operating within agreed upon budgets with all business lines and remote locations. Network Infrastructure Management:Design, implement, manage… more
- Aveanna (Atlanta, GA)
- …people in the decision-making process + Ability to manage both day to day operations and project work + Ability to exercise discretion with highly confidential ... reports + Design, implement and oversee the administration of business processes within Workday + Responsible for managing/developing and...Implement and update, on an annual basis, a multi-year project plan, for the effective use of the Workday… more
- Aveanna (Atlanta, GA)
- …a FriendBack Job Details Requisition #: 196863 Location: Atlanta, GA 30339 Category: Business Operations Salary: $65,000.00 per year Position Details Are you ... Results Expected (Essential Job Duties): + Prepare template contracts to support business operations . Review and finalize any revisions to templates requested… more
- Humana (Atlanta, GA)
- …with a focus on strategic planning + 6+ years of experience in operations /product owner development experience. ( project management) + 3+ years' experience in ... innovation opportunities, and translates ideas into actionable and profitable business . The Director, Innovation Portfolio Strategy requires an in-depth… more