- HHS Technology Group, Inc. (Atlanta, GA)
- …experience on IT Projects in health and human services programs (such as Medicaid , MMIS, claims processing, eligibility, HHS analytics, data warehouse, etc.) ... Certification reimbursement Open PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER - PMP - Remote POSITION DESCRIPTION: HHS Technology Group is excited about… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …delivery experience HIGHLY DESIRED. Experience in State Government Health and Human Services, Medicaid , and Provider Enrollment or Provider Relations IDEAL. ... across teams. Partner with other teams to gain and provide support for automated regression testing practices. Use Java,...coverage. At least three (3) years of experience performing data validation activities (writing SQL queries to validate … more
- Reach Out and Read (Atlanta, GA)
- …program among medical providers and staff. This role reports to the Northeast Program Manager . The Regional Program Specialist serves as a member of the Reach Out ... and Read champions and advocates from each clinic's medical providers and staff. Provide regular and ongoing technical assistance and support to all programs to… more
- CVS Health (Atlanta, GA)
- …goals._** **Position Summary** This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project ... on coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments. Will be lead for… more
- 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 ... the needs of Humana's customers while aligning with its business objectives. The ** Medicaid Senior Insurance Product Manager ** plays a critical role in… more
- Elevance Health (Atlanta, GA)
- …care contracts to ensure data accuracy. + Experience working with claims and provider contracts for the Medicaid line of business. Please be advised that ... ** Provider Contract Analyst Senior** **Location:** This position will...SQL, SAS, Excel, or equivalent. + Proficiency in analyzing Medicaid claims data . + Experience analyzing and… more
- Elevance Health (Atlanta, GA)
- …and application of business rules as they apply to each database. + Validates the data to be housed on provider databases and ensures adherence to business and ... **SCA Provider Enrollment Representative I** **Locations:** This is a...Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. **Pay: The… more
- Elevance Health (Atlanta, GA)
- …Health office locations. **Open to any Elevance Health office**_ The ** Provider Reimburse Admin** ensures accurate adjudication of claims, by translating medical ... policies, and editing rules, as well as conducts clinical research, data analysis, and identification of legislative mandates to support draft development… more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** The senior product manager will play critical role in defining and executing Integrated Health data ... strategy and oversee the creation of trusted, cross-domain data assets that power the next generation of recommendation...that enhances omni channel patient experiences. The Senior Product Manager Leads all phases of the product life cycle,… more
- Humana (Atlanta, GA)
- …Science, Data Consulting, Data Visualization and Reporting. The Senior Data Manager acquires, cleans and develops datasets from internal and external ... cause analysis + Demonstrated ability to problem solve and provide solutions for business or data issues...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Vatica Health (Alpharetta, GA)
- …and quality against required standards. + Regularly consult with team members and the Manager of Clinical Training & Development to provide support and improve ... The Manager of Clinical Operations leads and manages the...Regularly assess and communicate the performance of staff members; provide ongoing feedback and coaching and work with Human… more
- HealthEdge Software Inc (Atlanta, GA)
- …functionality related toclaims adjudication,benefitsconfiguration,interfaces to third-partyclaims editors,and Provider data maintenance processes. You willdefine ... **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system… more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** Join our team as a Data Visualization Engineer 2 and revolutionize how we interact with data ! As a pivotal ... member, you'll leverage cutting-edge tools and techniques to translate complex data into captivating visual stories. Harness your creativity to design intuitive… more
- Elevance Health (Atlanta, GA)
- **SCA Data Technician** **Locations:** This position is virtual. Ideal candidates will live within 50 miles of one of the following PulsePoint locations; Hingham, ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Pay: the...PA - $18.54 Denison, TX - $18.17 The **SCA Data Technician** is responsible for conducting research and collecting… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Waystar is seeking a smart and creative Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are looking for ... work closely with User Experience team and Technology teams. The Product Manager will lead cross departmental strategic product initiatives coordinating with key… more
- Public Partnerships LLC (Alpharetta, GA)
- …care. Our role as the nation's largest and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and ... critical analysis of operational metrics to identify the root cause, and provide lean and quality-driven process and resource recommendations to upper management. +… more
- Prime Therapeutics (Atlanta, GA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Data & Reporting Business Analyst - Remote **Job Description** The Business Analyst (BA) ... Senior will support the Colorado Medicaid Pharmacy Benefits Business and will execute on medium...**Reporting Structure** + Could report to Business Analyst Lead, Manager , Director, Sr Director, or AVP in various departments… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Manager - Remote **Job Description** The Pharmacy Network Manager is ... projects simultaneously + Demonstrated ability to problem solve and interpret complex data ; ability to analyze network information and synthesize it into meaningful… more
- Elevance Health (Atlanta, GA)
- …supervisory review of work completed by other associates. + Analyze and interpret data per a provider 's trial balance, financial statements, financial documents, ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit...but are not limited to: + Analyzes and interprets data and makes recommendations for change based on judgment… more
- Elevance Health (Atlanta, GA)
- …supervisory review of work completed by other associates + Analyze and interpret data per a provider 's trial balance, financial statements, financial documents ... Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit...you will make an impact:** + Analyzes and interprets data and makes recommendations for change based on judgment… more
