- HHS Technology Group, Inc. (Atlanta, GA)
- …amounts of Medicaid provider enrollment applications. Assess provider 's requirements, clarify information, and provide solutions and/or alternatives. As ... setting and/or Medicaid State Agency, physician office, or Medical Provider Credentialing Experience Desired skills: Data Entry Experience Basic Computer… more
- MultiPlan (Atlanta, GA)
- Provider Contract Specialist - Medicare Advantage and Managed Care (Network Development Specialist) Remote At MultiPlan, we pride ourselves on being a dynamic team ... cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders -...we optimize the opportunity towards becoming a leading technology, data , and innovation voice in healthcare. Onward and upward… more
- Reach Out and Read (Atlanta, GA)
- …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 ... in place for their providers, so that existing and new providers can provide a high-quality program. Develop and implement efforts to prioritize and expand programs… more
- MultiPlan (Atlanta, GA)
- …we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all our stakeholders - internal and external - driving us to ... journey as we optimize the opportunity towards becoming a leading technology, data , and innovation voice in healthcare. Onward and Upward JOB SUMMARY: This… 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
- CVS Health (Atlanta, GA)
- … provider relationships. **What you will do** + Coordinates the provider data management process by collecting, organizing, and maintaining accurate ... networks or panels. + Ensures compliance with regulatory requirements related to provider data , as outlined by government agencies, accrediting bodies, or… more
- Humana (Atlanta, GA)
- …Horizon's ( Medicaid ) network development market entry strategy for its Medicaid growth markets. This strategist will lead data -driven research oriented ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Mathematica (Atlanta, GA)
- …related to monitoring and improving the following Medicaid programs: Medicaid payment and financing policies (fee-for- service base and supplemental payments, ... rigorous analytic thinking to the collection and interpretation of quantitative and qualitative data , including analysis of Medicaid administrative data and… more
- Humana (Atlanta, GA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our ...federal and state government to define health plan covered service packages and eligible cohorts. + Communicate covered services… more
- Humana (Atlanta, GA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize,… more
- Public Consulting Group (Atlanta, GA)
- …new streamlined modular certification (SMC) and outcomes-based certification (OBC). Our ideal Medicaid Consultant will provide oversight and direction for scope, ... achieve strategic goals to serve the public better. We provide the full spectrum of technology consulting services to...Business Enablement + Business Solutions + Project Assurance The Medicaid marketplace is changing, and PCG is at the… more
- Prime Therapeutics (Atlanta, GA)
- …the implementation and support of all activities related to developing and maintaining service provider contracts. Interacts with all areas of the Prime ... empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Highmark Health (Atlanta, GA)
- …to evaluate the medical necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic peer to peer discussions ... as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA,… more
- Humana (Atlanta, GA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers… more
- Humana (Atlanta, GA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and… more
- Prime Therapeutics (Atlanta, GA)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... drives every decision we make. **Job Posting Title** Health Data Analyst - Remote **Job Description** The Health ...new products + May be responsible for Centers for Medicaid /Medicare Services reporting and analysis, including the management of… more
- Humana (Atlanta, GA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... us put health first** Join our team as a Data Visualization Engineer 2 and revolutionize how we interact...the US without Humana sponsorship as Humana does not provide work visa sponsorship for this role._** **Location/Work Style:**… more
- Humana (Atlanta, GA)
- …is an Enterprise Shared Services team focused on data , reporting and data science supporting Humana's Service Operations. The team is focused on converting ... 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… more
- Humana (Atlanta, GA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... services using technology and analytics. We are looking for a Senior Data Scientist who will utilize cutting-edge AI, NLP, GenAI techniques, build predictive… more
- CenterWell (Atlanta, GA)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... play critical role in defining and executing Integrated Health data strategy and oversee the creation of trusted, cross-domain...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
