• Managed Care Posting

    National Vision (Lawrenceville, GA)
    …career growth is a reality. We are currently hiring for a Posting Lead for our Managed Care Team! The role is responsible for the accurate, complete, and ... + Delivers exceptional customer service. Work Experience + 2-4 years of Managed Care Cash Posting experience (Required) + 0-2 years related management… more
    National Vision (07/01/24)
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  • Integrated Account Lead , Payer Account…

    Merck (Atlanta, GA)
    …and adjust plans on a regular basis + Develop Customer Account plans aligned with Managed Care and brand strategies over a 3-5-year time horizon. Solicits input ... for this hybrid position will have responsibilities as both an Integrated Account Lead (IAL) and Payer Account Executive within the assigned geography and for… more
    Merck (07/02/24)
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  • Principal Software Engineer (Tech Lead )…

    Prime Therapeutics (Atlanta, GA)
    …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Principal Software Engineer (Tech Lead ) - Remote **Job Description ... in the department's applications and architecture, the Principal Software Engineer (Tech Lead ) drives the success of scrum teams via mentoring, hands-on development,… more
    Prime Therapeutics (05/31/24)
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  • Technical Project Lead

    Chick-fil-A (Atlanta, GA)
    Overview The New Facilities IT Build Project Lead is responsible for coordinating all IT efforts related to building new distribution and food production facilities. ... are delivered timely, within budget, and with a high level of care demonstrated throughout the process. About Chick-fil-A Supply Chick-fil-A Supply(R), a wholly… more
    Chick-fil-A (05/01/24)
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  • Manager, Clinic Operations - Primary Care

    CenterWell (Atlanta, GA)
    …on continuously improving consumer experiences. **Preferred Qualifications** + Medicare knowledge. + Managed Care and Primary Care experience. + Value ... TB. + Direct leadership experience and demonstrated ability to lead , coach and mentor teams. + Proven interpersonal skills...of an interdisciplinary team. + Solid understanding of medical care delivery, managed care financial… more
    CenterWell (06/26/24)
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  • Market President- CenterWell Primary Care

    CenterWell (Atlanta, GA)
    …of seniors at the center of everything we do. Our clinics offer a team-based care model, where our physicians lead a multi-disciplinary care team supporting ... opportunities with primary care practices in the marketplace to grow our Managed Service (MSO) business Success in this position shall be measured across several… more
    CenterWell (06/29/24)
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  • Director Finance and Business Operations

    Morehouse School Of Medicine (Atlanta, GA)
    Director Finance and Business Operations Bookmark this Posting Print Preview | Apply for this Job Please see Special Instructions for more details. No staffing or ... recruitment agencies. Posting Details Position Information About MSM Morehouse School of...health professional and scientific workforce; * Address primary health care through programs in education, research and service; With… more
    Morehouse School Of Medicine (05/20/24)
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  • Medical Director - Mid West Region

    Humana (Atlanta, GA)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... experience, and judgement to make determinations whether requested services, level of care , and/or site of service should be authorized. All work occurs within… more
    Humana (07/03/24)
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  • Medical Director - Florida

    Humana (Atlanta, GA)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
    Humana (07/03/24)
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  • Medical Director- South Central

    Humana (Atlanta, GA)
    …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
    Humana (06/29/24)
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  • Senior Software Engineer-Integrations

    Marriott (Atlanta, GA)
    …products. You will assume technical ownership of Service Provider deliverables and lead their technical resources to ensure deliverables are of high quality, follow ... Recruiting Cloud. + Technology leadership experience in a sourced or internally managed environment + 6-10 years' domain experience relevant to supported business… more
    Marriott (06/14/24)
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  • Portfolio Manager-Energy, Sustainability…

    Guidehouse (Atlanta, GA)
    …Sustainability Consulting **Travel Required** **:** Up to 50% **Clearance Required** **:** None Job Posting **_** Please note that this job posting is for a ... for our state and local government clients. This individual will also lead the planning and implementation of energy efficiency rebate programs. **Essential Job… more
    Guidehouse (06/22/24)
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  • Sr Director, Value Based Pricing - Preferably…

    Prime Therapeutics (Atlanta, GA)
    …**Responsibilities** + Knowledge of and experience with Medicaid pharmacy practice, managed care pharmacy practice, and/or pharmaceutical rebate contracting. + ... our passion and drives every decision we make. **Job Posting Title** Sr Director, Value Based Pricing - Preferably...Pharmacy (PharmD) required. + 10+ years' professional experience in managed care and/or Medicaid. + 5+ years'… more
    Prime Therapeutics (04/23/24)
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  • National Director, Clinical Pharmacy- Remote

    CenterWell (Atlanta, GA)
    …Conviva/CenterWell market location(s) + Experience working in a value-based care , senior care , and/or Medicare managed care **Workstyle** This is a ... developing, implementing, and improving clinical pharmacy programs for the Primary Care Organization (PCO) that transform outcomes for seniors in medication-related … more
    CenterWell (04/28/24)
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  • Medicare Billing and Collections Specialist

    PruittHealth (Norcross, GA)
    …timeliest manner. 7. Applies knowledge of specific payer billing/payment rules, managed care contracts, reimbursement schedules, eligible provider information ... governmental programs, regulations and billing processes, commercial third-party payers, and/or managed care contracts and coordination of benefits * Familiarity… more
    PruittHealth (06/08/24)
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  • Dir Account Operations - Louisiana

    Prime Therapeutics (Atlanta, GA)
    …role will serve as a single point of contact for the state and all Managed Care Organizations (MCOs) to build strong relationships and drive partnership on ... that. It fuels our passion and drives every decision we make. **Job Posting Title** Dir Account Operations - Louisiana **Job Description** The Director Account… more
    Prime Therapeutics (06/26/24)
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  • Triple Board-Certified Pediatric Psychiatrist

    Emory Healthcare/Emory University (Atlanta, GA)
    …in the field of autism and related developmental disabilities to provide clinical care , research support and clinical training at two locations in Atlanta, Georgia. ... of the largest and most comprehensive centers of clinical care for children and adolescents with autism spectrum disorders...Hughes Spalding is owned by Grady Health System and managed by HSOC Inc., an affiliate of Children's. In… more
    Emory Healthcare/Emory University (05/14/24)
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  • Market Development Advisor

    Humana (Atlanta, GA)
    …Group operations + 3 or more years of progressive experience in managed care operations including practice performance, provider engagement, value-based program ... Department of Medicaid program. + Acting as provider performance knowledge leader, lead external and internal training for providers and associates related to Ohio… more
    Humana (06/28/24)
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  • Network Management Consultant (Remote)

    Prime Therapeutics (Atlanta, GA)
    …Management (PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting + Must ... It fuels our passion and drives every decision we make. **Job Posting Title** Network Management Consultant (Remote) **Job Description** The Network Management… more
    Prime Therapeutics (07/03/24)
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  • Senior Manager - Technology Workplace Security…

    Marriott (Atlanta, GA)
    …managing platforms within a large, global organization. + Demonstrated ability to lead , influence, and collaborate effectively in a matrix- managed environment. + ... SplunkDemonstrated experience with Design Thinking **CORE WORK ACTIVITIES** + Lead a cross-functional agile delivery team responsible for architecting, designing,… more
    Marriott (06/25/24)
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