- Northeast Georgia Health System, Inc (Gainesville, GA)
- …Heart and Vascular services with exposure to operations, marketing, finance, managed care , and physician relationships. Other: Preferred Job ... negotiating and developing long term relationships with physicians and physician groups, managed care payers, and other influential organizations as they relate… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …DegreeMinimum Experience: Minimum two (2) years credentialing experience in a managed care organization, hospital or physician environment. Proficient in ... in the quarterly demographic update process, following up as deemed necessary.Takes the lead with payers in monitoring the progress of payer enrollment for NGPG… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …makes a difference in the lives of people every day. HTG is a leader in the development and delivery of innovative, purpose-built modular software and technology ... stipulations. This highly valued Project Manager will oversee and lead the day-to-day activities of the project. This individual...a new system being built in which you project managed it from project kickoff to go-live. Project Management… more
- WTW (Atlanta, GA)
- …Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of the Willis Towers Watson ... (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
- Cardinal Health (Atlanta, GA)
- …strategic, business development, and contracting activities related to the Managed Care environment. They will be a seasoned leader and advisor, with ... team is passionate about helping oncology practices navigate the future. The Director, Managed Care is responsible for strategy and management of managed… more
- Cardinal Health (Atlanta, GA)
- …to the National VP of Sales, the Director, Sales & Business Development - Managed Care is an individual contributor, executive sales position. This individual ... at decision-makers and decision influencers at existing and new managed care accounts. This individual must be...skills, credibility, and authority to handle each account from lead generation through contract execution + Provide leadership and… more
- Elevance Health (Columbus, GA)
- …as a Case Manager is preferred. + Certification in the American Association of Managed Care Nurses preferred. + Broad clinical knowledge base of disease ... processes strongly preferred. + Prior managed care and case management experience preferred....is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Trinity Health (Athens, GA)
- …relationships. Participates with the Senior Leadership Team of the RHM in all Managed Care strategies and negotiations. Participates in Senior Leadership Council ... Sets a universal standard for the delivery of patient care . Is the leader in the setting...practice, five (5) years executive leadership. Demonstrated ability to lead and implement quality improvement initiatives. Demonstrated ability to… more
- Gentiva (Conyers, GA)
- …patient assessment skills; good oral and written communication; thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, and ... is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care . Our place is by the side of those who need… more
- Elevance Health (Atlanta, GA)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Anticipated End Date:** 2024-09-13 **Position Title:** Provider Contract/Cost of Care Analyst Senior **Job Description:** **Provider Contract/Cost of Care … more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... 2024-09-13 **Position Title:** Value Based Contract / Cost of Care Consultant **Job Description:** **Value Based Contract / Cost...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Anticipated End Date:** 2024-10-07 **Position Title:** Provider Contract/Cost of Care Consultant **Job Description:** **Provider Contract/Cost of Care … more
- Humana (Atlanta, GA)
- …ability of limited resources to achieve growth. Candidates will possess Medicaid managed care operations expertise and have experience in designing solutions ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead...achievement. + 5+ years of experience in a Medicaid Managed Care Organization (MCO) focusing on Medicaid… more
- Elevance Health (Atlanta, GA)
- …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... ( Must work EST) **Responsible to serves as team lead for nursing staff who collaborate with healthcare providers... clinical experience or case management, utilization management or managed care experience; or any combination of… more
- Takeda Pharmaceuticals (Atlanta, GA)
- …level. + Appropriately uses available tools and resources to monitor and evaluate industry/ managed care trends and communicate relevant information to those who ... are impacted (ie Sales Forces, Leadership, and Managed Care Accounts). + Works within established...ideas. + Proactively shares customer insights to matrix, team, leader , and marketing to ensure customer needs are met.… more
- 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 (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 (Atlanta, GA)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments… more
- 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 (Atlanta, GA)
- …management, and acute inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... judgement to make determinations whether requested services, requested level of care , and/or requested site of service should meet authorization requirements. All… more
