- Humana (Atlanta, GA)
- …own and evolve our enterprise-wide Anaplan platform across both Workforce Planning ( Finance ) and Workforce Management (HR) domains. This role requires a rare blend ... of functional and technical expertise, deep understanding of Finance and HR business processes, and the ability to...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Atlanta, GA)
- …business results across the CenterWell segment, both directly and through the Finance teams of each of the individual CenterWell businesses. This associate will ... to the enterprise. Key Responsibilities + Responsible for managing CenterWell level finance projects and / or deliverables that require input from multiple… more
- Humana (Atlanta, GA)
- …ensure successful submission and reconciliation of encounter submissions to Medicaid /Medicare. Ensures encounter submissions meet or exceed all compliance standards ... and develops tools to enhance the encounter acceptance rate by Medicaid /Medicare. Looks for long term improvements of encounter submission processes. Understands… more
- Molina Healthcare (GA)
- …Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and ... impact of provider reimbursement changes + Provide data driven analytics to Finance , Claims, Medical Management, Network, and other departments to enable critical… more
- Molina Healthcare (Columbus, GA)
- …evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has decision-making accountability for ensuring ... influence across multiple organizational functions - Payment Integrity, Claims, Encounters, Finance , and Actuarial + Proven experience in managing complex projects,… more
- Molina Healthcare (Savannah, GA)
- …analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing health care ... Advantage members, the HHS model for Commercial ACA members, the CDPS model for Medicaid members, and others as needed + Must have a strong attention to detail… more
- Humana (Atlanta, GA)
- …and prepares statutory accounts, financial statements and reports. + Assists in Finance Department special projects, such as FTE trend analysis, payments to ... subcontractors, cost accounting, monitoring third party spend, and supporting monthly finance reviews. + Performs ad hoc requests from Senior Leaders, Operational… more
- Aveanna Healthcare (Atlanta, GA)
- …Job Details Requisition #: 207192 Location: Atlanta, GA 30339 Category: Accounting/ Finance Salary: $95,000.00 - $105,000.00 per year Position Details Join a ... operational efficiency and generate cost savings. Reporting directly to the VP of Finance , the Procurement Manager shall be accountable for cultivating a culture of… more
- Humana (Atlanta, GA)
- …& Clinical Innovation + Corporate Strategy & Transformation Office + Medicare & Medicaid Market Operations + Provider Relations & Network Performance + Marketing & ... Customer Engagement (including MarketPoint) + Finance , Accounting & Risk Management + Human Resources &...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Molina Healthcare (Columbus, GA)
- …objectives. + Collaborate with cross-functional teams including Product, Sales, Compliance, Finance , and Clinical Operations to align strategy with execution. + ... or equivalent combination of relevant education and experience + Medicare and/or Medicaid Managed Care experience + Quantitative aptitude + Strong leadership in a… more
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