• Enterprise Edit Consultant

    Waystar (Atlanta, GA)
    …rapidly adapt to changing situations and inputs * Medical claims coding certification preferred **ABOUT WAYSTAR** Through a smart platform and better experience, ... hospitals and health systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out our organizational values:… more
    Waystar (03/04/25)
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  • Enrollment Solution Train Engineer

    Humana (Atlanta, GA)
    …roles such as Release Train Engineer, Scrum Master, or equivalent. + SAFe certification (s): RTE and/or SAFe Program Consultant (SPC). + Advanced knowledge of ... seek a Solution Train Engineer in the Medicare & Medicaid Enrollment delivery space! We're looking for a driven...(eg, Azure DevOps, JIRA Align). + Advanced Scrum Master certification (CSP-SM, A-CSM, or PSM III). + Agile Coaching… more
    Humana (03/11/25)
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  • RN Medicare Compliance

    Sedgwick (Atlanta, GA)
    …in a state or territory of the United States required. **Medicare Set-Aside Consultant Certified (MSCC) certification required or actively enrolled in the MSCC ... nurses who have their MSCC certifidation or are enrolled in the MSCC certification program--if this is you please apply!** **PRIMARY PURPOSE** **:** To provide… more
    Sedgwick (02/14/25)
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  • Clinical Pharmacist, Population Health

    ChenMed (Decatur, GA)
    …needed. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Acts as a national pharmacy consultant for our physicians regarding patient case inquiries, drug interactions, ... state and federal insurance programs formulary inclusions, programs for Medicare/ Medicaid . + Familiarity with appropriate local, state, and federal pharmacy-related… more
    ChenMed (03/11/25)
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  • Manager, Provider Engagement Team (Remote)

    Molina Healthcare (Atlanta, GA)
    …in support of business objectives. * Serves as a Provider Engagement internal consultant and subject matter expert; works collaboratively to ensure the PETs and ... familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited… more
    Molina Healthcare (03/16/25)
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