- Elevance Health (Atlanta, GA)
- …applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, programs ... quality healthcare in a cost effective setting according to contract . + Consults with clinical reviewers and/or medical directors...a health related field or certification as a care manager preferred. + Knowledge of medical management process and… more
- Elevance Health (Atlanta, GA)
- …ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce ... development of defensible pricing strategies; performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic;… more
- Black & Veatch (Atlanta, GA)
- …meeting cadence to understand Regional/Subregional strategy in response to changing market /client needs + Partner with Enterprise Innovation to ensure investment in ... region + Monitor industry trends to ensure competitive positioning in the market + Provide region Account/Client Strategy and oversight + Identify Strategic, Target… more
- Southern Company (Atlanta, GA)
- The primary responsibilities of the ET Project Manager are: (i) supporting Georgia Power's strategic objective of designing and implementing the Vehicle to Grid ... charging technologies and their applications + Knowledge of the electric transportation market , including current market research and trends, and the ability… more
- Elevance Health (Atlanta, GA)
- …contracts and the systems in which they are run to explain to the market . + Provide analytical support for strategic initiatives, such as contract negotiations, ... strong communication and interpersonal skills. + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Carter's/OshKosh (Atlanta, GA)
- …commerce) and manage ongoing software development process improvements to optimize speed-to- market + Manage all aspects of digital technology operations, including ... delivery standards across the organization + Serve as the primary relationship manager with an extensive ecosystem of digital vendors, including those in payments,… more