- Molina Healthcare (Augusta, GA)
- …Enrollment activities (along with other Core Ops areas of responsibilities) within Medicare and Medicaid. Role is predicated on building relationships with vendors, ... the Service Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including… more
- Elevance Health (Columbus, GA)
- …but are not limited to: + Provides analytical insights to support business solution development for Medicare and ACA risk adjustment initiatives. + Analyzes and ... ** Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site Requirement:...or customer segmentation based on analytical insights, clinical inputs, product design and operations considerations. + Develops predictive models… more
- Datavant (Atlanta, GA)
- …experiences to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the ... requirements, working closely with Engineering, Data, and Clinical stakeholders. + Lead product development cycles from ideation to release, ensuring delivery of… more
- Humana (Atlanta, GA)
- …and help us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve ... such as: user research and concept testing, opportunity sizing and business case development , product blueprints, training development and ability to de-risk… more
- CVS Health (Atlanta, GA)
- …of high quality care to the Medicare population. As a Senior Technical Product Manager , you will be responsible for driving the strategic direction of our ... planning, execution and on time delivery of multiple individual product initiatives within a single agile team. + Partner...Someone who actively seeks out new opportunities for knowledge development and growth, and knows how to ask the… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on reimbursement, access, and coverage issues for our products, ... and coding requirements + Analyze payer criteria and provide product access expertise to healthcare offices + Coordinate with...in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially… more
- Humana (Atlanta, GA)
- …Platform (AEP) and Next Best Action (NBA) execution to join the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, ... Optimizer (AJO). You will Lead all phases of the product life cycle, from inception to introduction into the...matching program + Network Resource Groups (NRGs) + Career development opportunities **Our Hiring Process** As part of our… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** A Waystar Client Success Manager (CSM) must effectively deliver and advise on best practice workflow and provide proactive service that ... plans + Effective demonstration of Waystar's RCM technologies + Identify and quantify product feedback (enhancements and areas for improvement) to assist in driving … more
- CVS Health (Atlanta, GA)
- …we do it all with heart, each and every day. **Position Summary** The Sr Manager , Behavioral Health Partner Innovation Strategy will report to strategy & product ... of new and existing strategic partnerships. This includes supporting the development of partnership strategy and evaluation of new partnership opportunities to… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Manager , Application Engineering is responsible for managing a team of brilliant Application Engineers and QA resources who are focused ... teams across multiple disciplines + Works with the Business Product Owners to identify priorities for projects in areas...in areas including (but not limited to): rapid application development and process efficiency + Works closely and cohesively… more