- Molina Healthcare (Augusta, GA)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... Strategic Leadership * Proven deployment of pragmatic automation or analytics (AI-ready triage, auto-letter generation) that accelerated resolution without… more
- WTW (Atlanta, GA)
- **Description** As a Health and Benefits Financial/Actuarial Director , you will serve as the financial lead for large, complex client assignments. You'll leverage ... innovative financial solutions. You will apply your financial management and data analytics expertise to solve complex client problems and to lead the development… more
- Highmark Health (Atlanta, GA)
- …data scientists within the AI Platforms and Services team. Reporting directly to the Director of AI Platforms and Services, this pivotal role focuses on research and ... AI to solve complex business problems and pioneer new solutions in the healthcare technology space. In your role, research involves identifying innovative ways to… more
- NASCO (Atlanta, GA)
- …data architectures for SaaS products and platform models + Familiarity with US Healthcare payer analytics use cases (eg, risk stratification, claims analytics ... **Overview** Under general direction, the Director of Data and AI Architecture will drive...and AI architecture to enhance our industry leading SaaS healthcare payer products and corporate data management products. This… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …accounting, financial reporting, balance sheet management and income statement variance analytics . + Ensures an accurate and timely monthly, quarterly, and year ... end close. + Ensures the timely reporting of all monthly financial information. + Is accountable for ensuring that policies and procedures (internal controls) are in place to provide reasonable assurance that the institutional assets are protected. +… more
- Humana (Atlanta, GA)
- …improving consumer experiences **Preferred Qualifications** + Medicaid experience + Trend / healthcare analytics experience + Proficiency in data analysis in one ... our caring community and help us put health first** The Associate Director , Actuarial Analytics /Forecasting analyzes and forecasts financial, economic, and other… more
- Humana (Atlanta, GA)
- …on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review ... community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …than they thought was possible each and every day. **Position Overview:** The Director of Field Strategy and Operations serves as the orchestrator of field strategy, ... data-driven insights, supporting execution excellence and performance tracking. The Director will be the point of contacts for ad...will be the point of contacts for ad hoc analytics requests, ensuring field teams have the right data… more