184 jobs found in atlanta

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Facilitate end to end management of external and internal client audits of pharmacy benefits and pricing Gather PBM plan documentation from internal teams to provide to external audit firm  Read and interpret plan design documents and PBM service agreements  Research...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)   Join the Claims team as a Software Engineer focusing on Backend. The team is responsible for developing, maintaining, enhancing and setting a high-quality bar for web and mobile apps which assists end users in taking control of their healthcare claims and benefits. The team has a strong and integrated relationship with the product team based on strong collaboration, trust and partnership.  Goals for the team are focused on creating meaningful positive impact for our customers through clear and measurable metrics analysis. As a Backend...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) The role is key to speed to value development based on human centered design principles before promoting reports to a product licensed version. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Responsible for custom development for new client implementations, client data migrations, as well as support of Pre-Sales data acquisition for analysis in support of Sales operations Support the Optum Insight Payer Analytic solutions as other...

At EY, you’ll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. GRC Technology - Oracle - Manager In today's business landscape organizations are continuously transforming and evolving to keep pace with change and innovative solutions. This wave of digital transformation and constant evolution introduces a variety of risks, which organizations are not equipped to manage and mitigate on their own. As a professional in our GRC Technology practice, you will assist clients in integrating optimal application security, control, and risk management solutions through their transformation journey. You will belong to an international network of specialists helping our clients enable trust through...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm)  The Facets Provider Pricing Capitation Analyst will be responsible for reading, interpreting, and building contracts for contracted providers who are reimbursed according to a capitation method. They will also be accountable for reviewing the work of others and providing feedback to remediate configuration anomalies identified. Capitation analyst will execute programs to evaluate preliminary month-end reporting statistics and make any adjustments required to properly administer contractual requirements. You’ll enjoy the flexibility to...

The Diversity & Inclusion Specialist will support a wide variety of diversity, equity, and inclusion (DEI) initiatives and programs to sustain an environment where employees feel a sense of belonging that empowers them to flourish in their professional careers. This position reports to the Manager of Diversity & Inclusion Programming and will develop and maintain effective practices to support Globe Life's employee resource groups (ERGs), DEI focused learning and development programs, DEI events and team operations. This position will play an important role in analyzing data, identifying trends, and communicating results. Primary Duties & Responsibilities Responsible for the day-to-day administration, operations and ongoing continuous improvement of DEI programs, including Employee Resource Groups (ERG) and DEI learning resources Organize high volumes of data into concise and robust summaries, by utilizing and creating reporting, dashboards and other...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within United States as you take on some tough challenges. Primary Responsibilities: Review, interpret and/or verify contract language, information, and intent in order to load information into systems properly Ensure contract templates can be administered across operations (pricing config, claims, etc.) Communicate identified discrepancies to Network Management, Contracting and Pricing Requirement teams Reviews company specific, CMS specific, State Specific and competitor specific medical policies and reimbursement policies Translates medical policies into reimbursement...

Req ID: 187721 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Sr. Client ExecutiveITSM to join our team in Atlanta, Georgia (US-GA), United States (US). Duties: - Provides direction and guidance for operations, administration and results for a major department or multiple departments within a function or work area. - Establishes operational objectives for managers and/or teams of professionals across assigned areas. - Assumes ownership of the most complex / significant client relationships within assigned areas of responsibility. - Builds and maintains advisory relationships with senior executive level clients and client influencers. - Engages in all phases of selling and provides direction for delivery of client solutions. - Services and solutions include partial to full outsourcing...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing y our life's best work.(sm) Project management and oversight of complex clinical programs under the guidance of the Clinical Program Director and Designer and in collaboration with internal and external teams. This role will require a methodical and critical thinking mindset with the ability to handle multiple priorities as well as the ability to drive implementation of initiatives and monitor existing programs with the support from Enterprise executive leaders to operational support teams. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.  Primary Responsibilities: Initiative Implementation and...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) This is a leadership position that's all about leveraging your experience, skills, and potential towards solving bigger opportunities with enterprise and industry impacts.  In this role, you will not only lead core data operations teams, but also drive innovation through strategic collaboration that improves the experiences of our employees, providers, and members.  We're achieving higher levels of service and quality in how provider data is managed and performs in our systems - join us and you'll play a key role in helping healthcare professionals focus on taking care of patients instead of data administration. This role will put you on a...

Optum is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm)   As new pharmacy clients are welcomed to OptumRx, the new client implementation team offers a best-in-class onboarding experience that is powered by strong governance and project management.  The Business Analyst will work alongside the client implementation team to oversee all aspects of incoming files for new clients, including defining requirements, coordinating and intaking files, preparing files for load, loading files, and communication of file loads/progress to clients.  This role will actively engage with clients, the client implementation team, and operations teams across the OptumRx organization to deliver on our promise.  You’ll enjoy the...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) If you are located in Ontario, you will have the flexibility to telecommute* as you take on some tough challenges. Will work onsite and there will be some telecommuting. Must be local candidate. Primary Responsibilities: Identify and resolve new or unusual EDI claims errors/issues as they arise, using established procedures  Achieve applicable performance metrics (e.g., productivity, quality, TAT) Use...

Primary Purpose: Responsible for the analysis, design, code, test, documentation and support of new software applications and enhancements to existing applications. Contribute to the preparation of specifications to resolve business client questions. Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Analyze and document how the business requirements fit into existing system Create and refine system specifications Gather requirements from business Translate detail program specifications for complex problems into coded computer instructions Create and/or modify programs to adapt to changes in need and requirements Test coded program routines and makes revisions to eliminate errors Review test results with business, complete final program documentation and obtain approval for changes...

Primary Purpose: This position is responsible for analysis, coding, testing and documenting applications programs from detailed specifications. This position is also responsible with assisting with the preparation of specifications from which programs will be written. Essential Duties and Responsibilities: Assist others in refining system specifications Participates in gathering specifications from users Translates detailed program specifications for less complex problems into coded computer instructions Creates and/ or modifies programs to adapt to changes in needs and requirements. Tests coded program routines and makes revisions to eliminate errors. Reviews test results with users, completes final program documentation, and obtains approval for changes Analyzes issues and uses judgement to make decisions Other duties as assigned Minimum Skills and Competencies: Bachelor's degree in related field preferred. Basic knowledge of one or more of the following...

Job Summary: Responsible for building short-term forecasts by analyzing call center volumes and trends and creating schedules based on the short-term forecast which will meet the service level requirement. Assisting supervisors by escalating recommendations, serving as a technical resource, and mentoring personnel. This position is for the schedule of 12-9pm Est. Key Responsibilities: Forecasts and analyzes interval call volume and staffing status Creates schedules that will meet the service level requirements Coordinates with managers, supervisors, trainers and employees to schedule training, meetings and time off Updates scheduling systems with terminations Coaches and provides leadership through daily support to team members Maintains staffing reports and changes reports to track attrition Ensures reports are accurately prepared and provided to leadership Identifies the needs for schedule bids, initiates the planning and execution of the bidding process Shares...

Job Summary: Senior Software Engineer II implements applications following 12-factor principles to build out the product and iterative enhancements. They own the full stack of software products, developing and implementing frontends (web or mobile), and backend services. They leverage test driven development and continuous integration to ensure agility and quality of products. They actively participate in the decision-making process of the team ensuring that the simplest appropriate technology and design is chosen to meet user needs. Key Responsibilities: Participates in iteration planning meetings ensuring that the team has a common understanding of each story and chores in a team's backlog Leads and participates in daily site, cross-site, and product team standups Participates in retrospectives to gather feedback and derive actionable items to improve the team and the product Participates in executing the strategy, keeping the customer needs and wants in mind Serves...

Primary Purpose: Responsible for the analysis, design, code, test, documentation and support of new software applications and enhancements to existing applications. Contribute to the preparation of specifications to resolve business client questions. Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Analyze and document how business requirements fit into existing system Assist others in refining system specifications Participate in gathering specifications from users Translate detailed program specifications for less complex problems and clearly defined segments of more complex programs into coded computer instructions Create and/ or modify programs to adapt to changes in needs and requirements Test coded program routines and make revisions to eliminate errors, with supervision...

Job Summary: The Senior Business Systems Analyst creates high-level technical designs for complex projects and maintenance efforts by analyzing requirements and systems architecture, collaborating with technology partners and adhering to tool standards with little assistance. The SA Consultant II assesses, documents, and mitigates design constraints and/or risks and performs design reviews to develop and support optimal IT solutions. Key Responsibilities: Creates the high-level technical designs for high complexity projects and difficult maintenance efforts by analyzing and tracing designs to requirements (business, functional, and nonfunctional) and systems architecture; creates design documents and maintain design artifacts Stewards an application or project and the business process(es) supported; facilitate implementation of strategies, elimination of redundancies, and simplification of the application Identifies systems and technical constraints, potential...

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing  your life's best work.SM As member of the C&S UAT/Test Team, the Claims Business Process Technician will develop enhanced automation test opportunities and create & maintain test suites utilizing test automation applications.  You will work closely with our test team, technology & business partners to flawlessly deliver on test plans, & quality expectations, as it relates to the Claims End to End process on CSP Facets & surrounding systems.  This role should have a strong understanding of claims end to end system functionality as well as the up and down stream applications. These roles include, but...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do  your life's best work.(sm) What's most important to you in building your career and your future? Impact? Purpose? Potential? In that case, you're in the right place. UnitedHealth Group is a Fortune 5 leader in health care and an innovative driver of change in how the health system performs. As we continue to build and manage provider networks to serve our patients and families, we need to be sure that we're covering all aspects of the...