- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Director , Actuarial of Medicaid Pricing provides actuarial support across a broad range ... of actuarial and business needs for specific product lines. The Director , Actuarial requires an...organization capabilities interrelate across the function or segment. The Director , Actuarial of Medicaid Pricing may be… more
- 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 Southeast region's Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within… more
- State of Georgia (Fulton County, GA)
- …Manager Pay Grade: N Position Overview: The OMC/HSI Program Manager reports to the Director of the Office of Medicaid Coordination and Health Systems Innovation. ... for DBHDD programmatic experts and directors in achieving innovation and special Medicaid projects; Using project management skills, convenes team members,… more
- CVS Health (Atlanta, GA)
- … Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and ... Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and… more
- Prime Therapeutics (Atlanta, GA)
- …and Account Management Staff). + Serves as Preferred Drug List product lead for program implementation including developing relationships, RFP support, and other ... drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West...+ 10+ years' professional experience in managed care and/or Medicaid . + 5+ years' experience in account management… more
- HealthEdge Software Inc (Atlanta, GA)
- …(National Committee for Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC (Utilization Review Accreditation Commission) and other State ... support people need, when and where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management solutions for care … more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** Associate Director , Enterprise API Standards and Governance is a pivotal role in leading the technology ... transformation efforts focused on defining the product architecture standards and governance for API development across the enterprise. This role will bring together… 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)
- …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
- 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
- Vatica Health (Alpharetta, GA)
- …ACD, Medicaid , and health plan benefit structures. + Strong management experience or demonstrated ability to lead, prioritize, make decisions, delegate, and ... Manager of Clinical Operations collaborates with and reports to the Senior Director of Clinical Operations on clinical and non-clinical issues (employee relations,… 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