• Northeast Georgia Health System, Inc (Gainesville, GA)
    …organization expert on CMS regulatory changes and will make recommendations to senior management related to proposed changes. Takes the lead for the organization's ... Job Specific and Unique Knowledge, Skills and AbilitiesAbility to research complex coding, reimbursement and regulatory requirementsKnowledge of clinical settings… more
    JobGet (09/08/24)
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  • Medicaid Payment & Financing…

    Mathematica (Atlanta, GA)
    …of Medicaid , payment and financing at the state or federal level * Senior Researcher candidates should have 10/+ years of experience working in health policy ... teams, drawing on your knowledge and past experience with Medicaid programs * Help conduct research and...anticipated base salary of $100,000 - $130,000 annually. The Senior Researcher position offers an anticipated base… more
    Mathematica (08/25/24)
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  • Medicaid Senior Insurance Product…

    Humana (Atlanta, GA)
    …capable of providing frameworks to maximize available resources to achieve growth The Medicaid Senior Insurance Product Manager plays a critical role in ... talent with the following attributes Creative - Adept at research to determine the opportunity and a structured yet...Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager** plays a… more
    Humana (09/06/24)
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  • Senior Medicare Strategy Consultant

    Humana (Atlanta, GA)
    …**Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises the majority ... of the company's total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout the… more
    Humana (08/31/24)
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  • Senior Stars Improvement Professional

    Humana (Atlanta, GA)
    …implements, and manages processes as part of the Southeast Region Medicare/ Medicaid Stars Improvement Program. The Senior Stars Improvement Professional ... + 3+ years of healthcare or quality experience + Prior Medicare/ Medicaid experience + Provider engagement/education experience + Comprehensive knowledge of all… more
    Humana (09/07/24)
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  • Cost Allocation Senior Consultant

    Public Consulting Group (Atlanta, GA)
    …allocation for public assistance programs including but not limited to Medicaid , the Supplemental Nutrition Assistance Program (SNAP), and Temporary Assistance for ... effectively facilitate client discussions. + Effectively communicate with clients at senior leadership levels. + Identify and elicit requirements from key… more
    Public Consulting Group (07/17/24)
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  • Senior Financial Planning & Analysis…

    Humana (Atlanta, GA)
    …part of our caring community and help us put health first** The Senior Financial Planning and Analysis Professional analyzes and forecasts financial, economic, and ... entries, account analysis, reconciliations, staffing models, vendor management and AP research . + Manages the budgeting and forecasting processes including the… more
    Humana (08/31/24)
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  • Senior Financial Planning & Analysis…

    Humana (Atlanta, GA)
    …part of our caring community and help us put health first** The Senior Financial Planning and Analysis Professional analyzes and forecasts financial, economic, and ... entries, account analysis, reconciliations, staffing models, vendor management and AP research . + Manages the budgeting and forecasting processes including the… more
    Humana (08/06/24)
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  • Senior Manager, Product Management

    HealthEdge Software Inc (Atlanta, GA)
    …and enterprise level. Our Reimbursement Transformation features Medicare and Medicaid content coupled with flexible contract configuration capabilities for ... aligns with Source's goals and market needs. Conduct thorough market research and competitive analysis toidentifyopportunities and threats. Define product roadmaps… more
    HealthEdge Software Inc (08/21/24)
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  • Senior Associate - CRT - Emergency Medicine…

    Emory Healthcare/Emory University (Atlanta, GA)
    **Discover Your Career at Emory University** Emory University is a leading research university that fosters excellence and attracts world-class talent to innovate ... Grady Health System. Fellows must be eligible at participants in Medicare, Medicaid and other third-party payers contracted with Emory Healthcare and Grady Health… more
    Emory Healthcare/Emory University (07/06/24)
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  • Medical Director - Medical Affairs (Oncology)

    CVS Health (Atlanta, GA)
    …-In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These ... -In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These… more
    CVS Health (08/31/24)
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  • Medicare Strategy Lead

    Humana (Atlanta, GA)
    …Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid business unit. This business unit, Humana's largest, comprises the majority ... of the company's total revenue and earnings. Team members partner with the senior leaders of the business unit, and more broadly with leaders throughout the… more
    Humana (09/06/24)
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  • Strategy Advancement, Principal (Fide-SNP/PACE)

    Humana (Atlanta, GA)
    …people with complex health and social needs. They will work with senior executives to develop and drive segment or enterprise-wide functional strategies. They ... more areas, programs, or functions and provides recommendations to senior executives on matters of significance, and as an...talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet… more
    Humana (07/25/24)
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  • Data Platform Engineer - Remote Eligible

    Mathematica (Atlanta, GA)
    …part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services, members of this team developed a cloud data pipeline and machine ... analytics involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data...sources such as EHRs and HIEs, to effectively answer research questions about health care policy. * Incorporate client… more
    Mathematica (06/15/24)
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  • Principal Actuary - Medicare Part D - Remote

    Prime Therapeutics (Atlanta, GA)
    …and potential owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of ... a subject matter expert (SME) with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the Request For Proposal… more
    Prime Therapeutics (07/17/24)
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  • Sr. Product Manager

    Waystar (Atlanta, GA)
    **ABOUT THIS POSITION** Waystar is seeking a smart and creative Senior Product Manager with firsthand experience in business intelligence, analytics, and healthcare ... work closely with the User Experience team and Technology teams. The Senior Product Manager will lead cross departmental strategic product initiatives coordinating… more
    Waystar (08/30/24)
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  • Resource Manager (Remote eligible)

    Mathematica (Atlanta, GA)
    …on the job learning. * Along with the Director of Resource Management, support senior directors in identifying needed skills and capabilities to carry out work. * ... complex staffing or performance problems. * Work collaboratively across technology and research and advisory services teams. * Actively support the advancement of… more
    Mathematica (08/09/24)
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  • Business Development Intern (Fall) (Commercial…

    Mathematica (Atlanta, GA)
    …as pricing sheets and marketing materials. * Participate in meetings with senior management and leading scholars throughout Mathematica's offerings. * Work with ... One Note or other collaboration tools * Conducting independent research on topics related to strategic goals including new...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on… more
    Mathematica (08/30/24)
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  • Principal Client Solution Architect (Remote…

    Mathematica (Atlanta, GA)
    …warehouses, interactive dashboards, data analytics, and visualization products; and research and advisory. * Accountability for all project deliverables alongside ... analytics involving large primary and secondary data sources to effectively answer research questions and guide decision-making about health care policy. * Ensure… more
    Mathematica (08/11/24)
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  • Behavioral Economics Professional, Healthcare…

    Humana (Atlanta, GA)
    …as appropriate; overseeing implementation; analyzing data; and interpreting results for senior executives and other key decision-makers. Our services are flexible, ... with teams whose expertise is outside of behavioral science or quantitative research , eg product managers and market leaders. Success for the BEP means… more
    Humana (09/07/24)
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