- The Cigna Group (Atlanta, GA)
- …provision of reporting and using analytics resources to identify key opportunities for utilization and cost management . + Acting as government program knowledge ... from local office 3 days per week.** The Provider Performance Enablement Advisor is an integral part of a cross-functional, collaborative organization (which… more
- The Hartford (Alpharetta, GA)
- …necessity and appropriateness using nursing judgment, treatment criteria guidelines and Physician Advisor /Peer Clinical Review referral process. Conduct first ... to regulatory and ethics requirements. + Comply with URAC Workers' Compensation Utilization Management Standards and Policy and Procedures. + Comply with… more
- Cardinal Health (Atlanta, GA)
- …the future. The Director, Managed Care is responsible for strategy and management of managed care contracts and relationships with payers. They are responsible ... is to work diligently to ensure optimal reimbursement for physician services and physician satisfaction as it...Care environment. They will be a seasoned leader and advisor , with proven experience supporting physicians in oncology to… more
- Elevance Health (Atlanta, GA)
- …and modifies as necessary. + Interfaces with Medical Directors and Physician Advisor 's on the development of care management treatment plans. + Assists in ... with providers, claims or service issues. + Assists with development of utilization /care management policies and procedures. **Minimum Requirements:** + Requires… more