- Humana (Atlanta, GA)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities....EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- Molina Healthcare (Atlanta, GA)
- …as subject matter expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, ... **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to...utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance… more
- Humana (Atlanta, GA)
- …providers, with full accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...-friendly insights. + Lead the design and refinement of provider -facing data views (dashboards, insights, performance summaries)… more
- Elevance Health (Atlanta, GA)
- …is not eligible for employment based sponsorship. **Develops the provider network through contract negotiations, relationship development, and servicing. Primary ... + Ensure that network composition includes an appropriate distribution of provider specialties. + Conducts more complex negotiations and drafts documents. **Minimum… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Data Manager 2 supports implementation of government and industry policies for requirements ... processes required data to ensure the accessibility, reliability, and timeliness of the data for its users. Data Manager 2 develops and executes… more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the ... improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership,… more
- Waystar (Atlanta, GA)
- …closely with User Experience team and Technology teams. The Sr. Product Manager will coordinate with key stakeholders in sales, marketing, design, development, and ... of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either through direct experience in a healthcare… more
- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Manager , Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. ... The Manager , Fraud and Waste works within specific guidelines and...support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex… more
- Humana (Atlanta, GA)
- …telephony, data systems, and enterprise architecture. The Senior Product Manager will serve as a key interface between business and technology, driving ... and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for...to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Senior… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Waystar is seeking a smart and creative Product Manager with hands on experience in the financial and operational challenges facing the ... healthcare provider market. We are looking for someone who can...decisions that lead to highly useable software. As Product Manager , you will be responsible for the complete product… more
- Waystar (Atlanta, GA)
- …THIS POSITION** Waystar is seeking a smart and creative Principal Product Manager with hands-on experience in Healthcare Revenue Cycle Management. We are looking ... with User Experience team and Technology teams. The Principal Product Manager will lead large-scale, cross departmental strategic product initiatives coordinating… more
- Cardinal Health (Atlanta, GA)
- …conducts investigations to resolve ethics and compliance issues. **Compliance Audit Manager ** Reporting to the Compliance Director, this position supervises and ... annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **Responsibilities** +… more
- Aveanna Healthcare (Atlanta, GA)
- …workflow coordination, training and ongoing system optimization. + Collaborate with the CRM Product Manager to provide support and training for the sales team on ... Manager of Sales Support Operations ApplyRefer a FriendBack...Advantage and SkillSurvey), onboarding task initiation, progress monitoring, and data transfer to Workday. + Ensure new hires receive… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** Waystar is seeking a manager to lead the Enterprise Client Support team focused on our Presumptive Charity (PARO), Propensity to Pay, and ... Agency Manager (AM) products. This role is critical in driving...and professional development of team members. + Analyze client data and support trends to identify opportunities for proactive… more
- Humana (Atlanta, GA)
- …healthcare through AI excellence. We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead, IT Product Management) to ... our customers. Join our rapidly expanding team of dedicated product managers, data scientists, engineers, policy experts, and business leaders as we work together… more
- Elevance Health (Atlanta, GA)
- **Technical Project Manager ** **CareBridge** Health is a proud member of the Elevance Health family of companies, within our Carelon business. CareBridge Health ... not eligible for current or future visa sponsorship._ The **Technical Project Manager ** works with business partners to identify and implement multiple technical… more
- Cardinal Health (Atlanta, GA)
- ** Manager , Revenue Cycle Manager , Collections** **About Navista** We believe in the power of community oncology to support patients through their cancer ... with a strong emphasis on oncology practice needs. **_Job Purpose:_** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection… more
- Waystar (Atlanta, GA)
- …further align results + Consistently identify opportunities to improve processes and conduct data analysis to identify root cause + Provide ongoing training and ... **ABOUT THIS POSITION** A Waystar Client Success Manager (CSM) must effectively deliver and advise on...effectively deliver and advise on best practice workflow and provide proactive service that measurably simplify and unify our… more
- Datavant (Atlanta, GA)
- …needs, and determine the right methodology for analysis and assumptions to provide data -driven insights into program performance and partnerships + Create ... + Run various risk adjustment models for Medicare Advantage, Medicaid or ACA to forecast patient risk scores and...problem-solving skills with the ability to think critically and provide data -driven solutions + Expertise in the… more
- Humana (Atlanta, GA)
- …organization, and will be critical in our growth plans. The Lead Product Manager - Growth & Operations will champion the customer lifecycle, drive growth ... across all stages of the customer journey and agent workflow. + Analyze data and key performance indicators to inform continuous improvement for both customer… more