- Elevance Health (Atlanta, GA)
- **Appeals Medical Director - Medicare ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... discuss review determinations. + Serves as a resource and consultant to other areas of the company. + May...York.** In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Humana (Atlanta, GA)
- …our caring community and help us put health first** Senior Healthcare Network Consultant / Senior Network Performance Professional at Humana, you will play a pivotal ... through strategic initiatives and strong relationship-building. Senior Healthcare Network Consultant /Senior Network Performance Professional + **Provider Collaboration** :… more
- Elevance Health (Atlanta, GA)
- **JR176174 Proposal Development Consultant ** The Proposal Development Consultant plays a key role in leading the proposal lifecycle by driving complex RFIs and ... client needs, and support organizational growth objectives. The Proposal Development Consultant is responsible for understanding and leading the proposal process and… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical insight ... delivery of the product, interacting with customer end users and managers. The Consultant will be responsible for ensuring that the complexity of our AI technology… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** This Senior Consultant , Enterprise Rule & Edits position reports to our Enterprise Rules & Edits Manager and has the responsibility for ... active involvement in scoping, project planning, implementation, and stabilization. The Consultant will leverage billing and coding subject matter expertise and… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Sr. Solution Adoption Consultant role will act as the primary client contact for Waystar solution-specific set-up and design issues ... for the Client Adoption Team + Take a lead consultant role on projects that require more than one...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Oracle (Atlanta, GA)
- …Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients through ... visualization tool like BO or Tableau + Healthcare experience with Medicaid/ Medicare Claims Reporting **Expectations** + Perform other responsibilities as assigned +… more
- Vatica Health (Atlanta, GA)
- …and Billing Manager, both verbally and written + Understanding of health insurance benefit structure; especially Medicare and Medicaid + Must be technically ... detailed-oriented nurses to join our team. As a Nurse Consultant , you will collect, review and analyze patient data...skills with the ability to multi-task + Corporate acumen Benefits VATICA HEALTH ADVANTAGES + Every single person at… more
- Baylor Scott & White Health (Atlanta, GA)
- **Description - External** **JOB SUMMARY** The Healthcare Billing Compliance Consultant Sr performs ongoing activities related to the development, implementation, ... a timely way. . Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource to BSWH… more
- Sedgwick (Atlanta, GA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Litigated Claims Consultant | Public Entity | Remote **Are you looking for an impactful job ... principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business. + Technically skilled… more