- Humana (Atlanta, GA)
- …our caring community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Provider Materials Lead who is responsible for leading ... training materials for new state contracts. The Medicaid Provider Materials Lead...bi-weekly payment for their internet expense + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (Atlanta, GA)
- …courage to innovate + **Resides in VA** **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical Director ... Utilization Management of the care received by members in the KY, OH and IN Medicaid market populations. May provide cross-coverage for other state Medicaid … more
- Prime Therapeutics (Atlanta, GA)
- …publications, oversight of formulary information in all provider and member materials and communications, and product ownership for Medicaid formularies + ... plan + Provide clinical guidance and support for the client's Medicaid pharmacy benefit configuration in the claims adjudication Point-of-Sale (POS) system. +… more
- Humana (Atlanta, GA)
- …guidelines, state policies, CMS policies and determinations, clinical reference materials , internal teaching conferences, and other reference sources + Learns ... Medicaid requirements and understands how to operationalize this knowledge...coverage Reporting Relationship: This position reports directly to the Lead Behavioral Health Medical Director. **Use your skills to… more
- Humana (Atlanta, GA)
- …teams, on opportunities for process improvement. + Oversees development of provider bulletins/communications or other educational materials , such as billing ... in Oklahoma is seeking a Claims Research & Resolution Lead to lead a team that focuses...market on claims submission and billing practices, oversees related provider communications or training material development, and collaborates with… more
- Humana (Atlanta, GA)
- …national clinical guidelines, CMS policies and determinations, clinical reference materials , internal teaching conferences, and other sources of expertise. Medical ... of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/… more
- Prime Therapeutics (Atlanta, GA)
- …assigned accounts; identify, establish, expand and maintain strategic relationships and lead the implementation and execution of strategic plans and initiatives; ... a coordinated, consistent, and strategic client experience across all interactions + Lead client meetings as aligned to the account management principles, including… more
- Waystar (Atlanta, GA)
- …inbound lead lists + Assist with creating Sales outreach materials and content, supporting external webinar performance, and managing product launch/update ... organized and focused on our team's goals. This person will regularly lead projects spanning multiple Marketing teams, so excellent interpersonal and communication… more
- Waystar (Atlanta, GA)
- …this team should be a team player, with the ability to independently lead projects. **WHAT YOU'LL DO** + Develop and implement a comprehensive events strategy ... goals. Identify key industry events, trade shows, and conferences that provide brand visibility, revenue growth, and networking opportunities. + Propel results… more
- Waystar (Atlanta, GA)
- …apparent, and challenging assumptions to drive deeper understanding and better outcomes. + Lead the development of presentation materials for key external and ... on patient payments and changes in cost structures, to provide context and forecasting accuracy. + Develop actionable insights...systems, and is connected to over 5K commercial and Medicaid /Medicare payers. We are deeply committed to living out… more