- Mathematica (Atlanta, GA)
- …searching for several seasoned professional who are recognized experts with experience leading Medicaid and programs at the state level to join our growing state ... focused on one or several of the following areas: Medicaid , CHIP, Home- and community-based services, Medicaid ...work. Position Requirements: * 10/+ years of experience (Principal Researcher ) or 15/+ years of experience (Senior Fellow) in… more
- Humana (Atlanta, GA)
- …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… more
- 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 (Atlanta, GA)
- …warehouses, interactive dashboards, data analytics, and visualization products; and research and advisory. * Accountability for all project deliverables alongside ... large primary and secondary data sources to effectively answer research questions and guide decision-making about health care policy....salary range of $145,000 - $185,000. This position is eligible for a discretionary bonus based on company and… more
- Mathematica (Atlanta, GA)
- …complex staffing or performance problems. * Work collaboratively across technology and research and advisory services teams. * Actively support the advancement of ... salary range of $100,000 - $135,000. This position is eligible for a discretionary bonus based on company and...will eventually work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on… more
- 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 ... of our academic community. **Description** Under minimal supervision, the Assistant Academic Research Scientist performs a wide range of highly technical and complex… more
- Prime Therapeutics (Atlanta, GA)
- …every decision we make. **Job Posting Title** Health Data Analyst - Remote **Job Description** The Health Data Analyst provides information, analyses, and ... new products + May be responsible for Centers for Medicaid /Medicare Services reporting and analysis, including the management of...healthcare, financial services or related field + Must be eligible to work in the United States without need… more
- Prime Therapeutics (Atlanta, GA)
- …we make. **Job Posting Title** Principal Actuary - Medicare Part D - Remote **Job Description** The Principal Actuary is responsible for supporting the development ... strategic pricing advice on structures and methodology using market research , financial projections, and complex actuarial modeling + Present...+ Actuarial designation (ASA or FSA) + Must be eligible to work in the United States without need… more
- Humana (Atlanta, GA)
- …our goals, we seek talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem ... to maximize available resources to achieve growth. + Leads National Medicaid Strategic Priorities, effectively develops LTSS-based strategic goals and turns them… more
- Humana (Atlanta, GA)
- …is one of the largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid ... management consulting experience to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare… more
- Humana (Atlanta, GA)
- …accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and ... + Strong written and verbal communication skills in a remote work environment + Highly motivated, and a self-starter...the requisition number so we may be able to research your request quicker. \#LI-LM1 **Scheduled Weekly Hours** 40… more
- CenterWell (Atlanta, GA)
- …Risk Professional develops and implements compliance policies and procedures. Research compliance issues and recommends changes that assure compliance with ... and regulations as it relates to healthcare compliance in Medicare, Medicaid , and/or clinical industries (includes anti-kickback and Stark statutes, government… more
- Cardinal Health (Atlanta, GA)
- …specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized ... agreed upon by the client + As needed conduct research associated with issues regarding the payer, physician's office,...+ Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,… more
- Cardinal Health (Atlanta, GA)
- …Service experience, preferred * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines for coverage, preferred * Knowledge ... team with call overflow and intake when needed * As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve… more
- Cardinal Health (Atlanta, GA)
- …payer issues by region with the appropriate team + As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve ... + Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,...our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will… more
- Morehouse School Of Medicine (Atlanta, GA)
- …projects as assigned by Manager, Supervisor, or Coordinator. Work Location: Hybrid/ Remote Work ( Eligible with Approval) . Minimum Qualifications Education: ... * Address primary health care through programs in education, research and service; With emphasis on people of color...What is your knowledge and experience with Medicare and Medicaid Programs (CMS) particularly as it relates to CPT… more
- Humana (Atlanta, GA)
- …or Tableau + Medicare Advantage experience **Additional Information** Work at Home/ Remote Requirements **Work-At-Home Requirements** + To ensure Home or Hybrid ... be sure to provide the requisition number so we may be able to research your request quicker. \#LI-LM1 **Scheduled Weekly Hours** 40 **Pay Range** The compensation… more
- Humana (Atlanta, GA)
- …deadlines and coordinate with others + Experience with computerized tax software and research programs + Knowledge of federal and state tax law and current ... to the Louisville office, the workstyle will be fully remote , however the candidate must be able to work...education, certifications, etc.$69,800 - $96,200 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity… more