- Humana (Atlanta, GA)
- …industry + Knowledge of the Medicare and Medicaid programs + Experience in data analysis + Must be passionate about contributing to an organization focused on ... Medical and Pharmacy Claims Processing Systems + Experience with data query/ data programming applications (ie SQL, Python)...upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and… more
- Humana (Atlanta, GA)
- …involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Product Manager ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The...upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular… more
- Humana (Atlanta, GA)
- …oversight of Risk Adjustment Operations, including the areas of Provider Data Validation, Provider Support, Provider Reporting, Quality Audit, and risk adjustment ... collaboratively with internal and external auditors + Evaluate Provider Data Validation, Provider Reporting, Quality Audit, and core risk...have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors… more
- Humana (Atlanta, GA)
- …and executing the risk adjustment strategy for each provider groups. + Analyzes data and reporting and provides educational sessions with providers aimed at quality ... + Collaboration with relationship owners and HQRI + Research data and workflow processes and arranges educational sessions with...upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular… more
- Meta (Atlanta, GA)
- …is continuously expanding our network infrastructure around the Globe to support our data centers, our fast growing user community and the new and innovative ... environmental due diligence, permitting, and compliance for our fiber optic cable infrastructure portfolio. This position will primarily support the NORAM region… more
- Humana (Atlanta, GA)
- …moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Position Overview** The Senior ... & Continuous Improvement** + Analyze course evaluations, learner satisfaction data , and post-training performance metrics to assess training effectiveness. +… more
- Humana (Atlanta, GA)
- …of scalable IT solutions to support provider enablement, ensuring interoperability, data integrity, and regulatory compliance. + Evaluate and enhance system ... in a leadership role overseeing diverse technical platforms (eg, Data Service Layer, API Management, Databases like Oracle RDBMS,...upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular… more
- Humana (Atlanta, GA)
- …of health-tech platforms, regulatory considerations, clinical integration models, and patient data requirements. The IT Vendor Management Lead partners closely with ... navigating interoperability requirements, and supporting environments where uptime and data integrity are mission critical. **Managed Supplier Portfolio** This… more
- Humana (Atlanta, GA)
- …Management (UM) function. This role is responsible for leveraging data -driven insights, industry best practices, and cross-functional collaboration to optimize ... in alignment with organizational goals and regulatory requirements. Analyze UM data , identify trends, and recommend actionable solutions to address opportunities for… more
- CenterWell (Atlanta, GA)
- …solutions, ensuring seamless integration across platforms such as EHRs, telephony, data systems, and enterprise architecture. The Principal will serve as a ... Drive end-to-end delivery of business capabilities across telephony, EHR, and data platforms. Manage dependencies, milestones, and inter-team coordination to ensure… more