- 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
- Gentiva (Atlanta, GA)
- …National Account Dept. is looking for an Implementation Specialist of Bus Dev & Managed Care to join our dynamic team. This position will report directly ... **Our Company** Gentiva is an industry leader in hospice, palliative, home health, and personal...to the VP of Strategic Business Development & Managed Care and is essentially a "sales… more
- Elevance Health (Atlanta, 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
- 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 ... **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work...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 ... **Provider Contract/Cost of Care Consultant** **We are offering a $5,000 sign-on...Works on complex enterprise-wide initiatives and acts as project lead . * Uses analytic tools to track both health… more
- Elevance Health (Atlanta, GA)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consultant Senior** **Location:** This position will work...large scale enterprise wide initiatives and acts as project lead . Acts as a strategic partner to management. +… 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
- ChenMed (Decatur, GA)
- …proactive professional who excels in evidence-based pharmacy practices. With a focus on managed care , this person will prioritize the most cost-effective options ... modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Strong understanding of managed care practices and operations. + Knowledge of and experience… more
- Elevance Health (Atlanta, GA)
- …experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education and experience, which ... and Experiences:** + Certification in the American Association of Managed Care Nurses is preferred. + Knowledge...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… 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
- Molina Healthcare (Atlanta, GA)
- …of supervisory responsibility. + Health insurance experience required. + Significant experience in managed care , with strong knowledge of managed care ... + History of progressively increasing responsibility in financial management in a managed care environment. + Ability to coordinate cross functional projects,… more
- Abbott (Atlanta, GA)
- …opportunity in the Abbott Diabetes Care Division. We are helping people with Diabetes lead healthier, happier lives. As a global leader in diabetes care , ... Abbott is a global healthcare leader that helps people live more fully at...sales quotas/objectives for ADC Products. Collaborate with various channels, Managed Care and Retail and Point of… more
- CenterWell (Stone Mountain, GA)
- …**Preferred Qualifications** + Basic knowledge of Population Health Strategy + Medicare knowledge + Managed care experience + Value Based Care knowledge + ... 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
- Elevance Health (Atlanta, GA)
- …process and the ability to interpret and apply member contracts, member benefits, and managed care products are strongly preferred. + Prior managed ... foundation upon which we are creating greater access to care for our members, greater value for our customers,...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Molina Healthcare (Atlanta, GA)
- …and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PR** **E** **FE** **R** **RED L** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… 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 ... or other programming logic suggested, but not required * Managed Care / Health Insurance / Payor...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Takeda Pharmaceuticals (Atlanta, GA)
- …opportunities and adaptability to changing market conditions + Demonstrated understanding of managed care landscape and how it influences/impacts business + ... Manager must be able to analyze local and regional business/ managed markets trends in order to build both long...to build both long and short terms goals that lead to a successful business plan. + Work compliantly… more
- Sanofi Group (Atlanta, GA)
- …functional areas of the business (eg Sales Training, Customer Solutions, Sales Operations, Managed Care and Marketing) **Why Choose Us?** + Bring the miracles ... value proposition for acute care or vaccine products + Knowledge of the managed market dynamics and competitive landscape in the acute care and/or vaccine… more
- Molina Healthcare (Atlanta, GA)
- …terms or facilitate business objectives. + Leads efforts with Plan Presidents to expand managed care and other health plan business opportunities (such as duals, ... Policy or Business Administration. **PREFERRED EXPERIENCE** : Experience working in the managed care industry, particularly with health plans that contract with… more