- Baylor Scott & White Health (Atlanta, GA)
- **JOB SUMMARY** 100% remote position** The Medical Trend Analytics Manager 1 is responsible for leading the design, execution, and communication of analytical ... with excellent healthcare business acumen and communication skills. The Medical Trend Analytics Manager 1 manages a team that provides advanced medical cost… more
- Elevance Health (Atlanta, GA)
- **Director Pharmacy Account - Medicaid** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while ... technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care CarelonRx's Medicaid Sales and Account Management organization is… more
- Elevance Health (Atlanta, GA)
- …10+ direct reports / 20+ total FTE's **Position Responsibilities** + Complete pharmacy trend and rebate analytics for Medicaid, Medicare and/or Commercial ... **Staff Vice President (VP) Pharmacy Actuary** **Location** May be located in any...**Summary** Provide support for CarelonRx including trend and rebate analytics and delivering a clear linkage from Cost of… more
- Oracle (Atlanta, GA)
- …informatics + 3+ years of experience developing products or workflows in pharmacy , medication management, or related healthcare domains + Familiarity with ... support, and medication safety best practices + Familiarity with data analytics , AI/ML-enabled decision support, and healthcare interoperability standards (ex.… more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Lead Product Manager Conceives of, develops, delivers, and manages products for customer use. The Lead ... Product Manager works on problems of diverse scope and complexity...defining and executing integrated solutions that connect care delivery, pharmacy , home health, and insurance into a cohesive ecosystem,… more
- Molina Healthcare (Augusta, GA)
- …providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. * Assumes leadership ... of care. * Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical… more
- CVS Health (Atlanta, GA)
- …do it all with heart, each and every day. **Position Summary** As a **Project Manager ** , you will play a pivotal role in translating complex business needs into ... _Information Technology_ ), BI ( _Business Intelligence_ ) development, and Automation/ Analytics team members to define requirements and ensure a seamless… more
- CenterWell (Atlanta, GA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... in-depth statistical analysis, continuously refining forecasting methodologies and predictive analytics to optimize resource planning accuracy. + Provide strategic… more
- CenterWell (Atlanta, GA)
- …cross-functional initiatives and continuous improvement efforts in large, matrixed healthcare organizations + Experience collaborating with analytics , training, ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Elevance Health (Atlanta, GA)
- …Society of Actuaries (SOA). **Preferred Skills, Capabilities and Experiences:** + Previous Pharmacy related experience in trend analytics is preferred. For ... health insurance products. Specifically, this role will focus on Pharmacy . **How you will make an impact:** + Prepares...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- CenterWell (Atlanta, GA)
- …A minimum of five years of experience in operational consulting, business operations, analytics , or a similar role + Prior healthcare industry experience, ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- CenterWell (Atlanta, GA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... Team. This position supports the operational infrastructure for virtual healthcare services, contributing to process improvement, business performance optimization,… more
- CenterWell (Atlanta, GA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements,… more
- CenterWell (Atlanta, GA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... enforcing accuracy and integrity in order to support ongoing reporting and analytics efforts. The Senior Data and Reporting Professional work assignments involve… more
- CenterWell (Savannah, GA)
- …one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing ... a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support… more