- Cardinal Health (Atlanta, GA)
- …and provider (s) to ensure optimal reimbursement including managed care contracting , enrollment, credentialing, and any other activity as it relates to payer ... Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care, the Manager of Contracting... Director of Managed Care, the Manager of Contracting is responsible for managing legal review, policy compliance,… more
- Molina Healthcare (Macon, GA)
- …accordance with local Health Plan requirements * Works with Claims, Configuration, Contracting , Provider Data Management, and other business partners to resolve ... for leading, organizing and directing the activities of the Medicare Contracted Provider Post-Pay Claim Appeals and Disputes in accordance with the standards and… more
- Peachtree Orthopedics (Atlanta, GA)
- …meetings. Travel to multiple clinic locations within the Atlanta area The Director of Business Development at Peachtree Orthopedics will lead the strategic ... A comprehensive knowledge of value-based care models and direct-to-employer contracting is essential. Key Responsibilities + Oversee physician liaison team… more
- Highmark Health (Atlanta, GA)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts… more
- Molina Healthcare (Savannah, GA)
- …needs and tailored for Medicaid, Medicare, and Marketplace populations. + Develops contracting frameworks that are inclusive and attractive to a broad array of ... provider types, including Federally Qualified Health Centers, behavioral health...determinants of health and health equity principles into Value-Based Contracting models to optimize health outcomes for underserved populations.… more
- State of Georgia (GA)
- …for the Financial Aid Office and supports the department in its mission to provide quality student customer service. The Director works closely with the ... Director Financial Aid Georgia (https://ga.referrals.selectminds.com/jobs/68709/other-jobs-matching/location-only) Education (https://ga.referrals.selectminds.com/landingpages/education-opportunities-at-team-georgia-11) Southern… more
- ChenMed (Atlanta, GA)
- …+ Familiarity with healthcare network strategy, including network development, value-based care contracting , provider relations and local operations + Must be ... expanding and we need great people to join our team. The Regional Medical Director (RMD) is a developmental, pathway role to Market Chief Medical Officer which is… more
- Molina Healthcare (Macon, GA)
- …Previous leadership experience + Peer review, medical policy/procedure development, and provider contracting experience + Current clinical knowledge + Experience ... party regulations + Peer review, medical policy/procedure development, and provider contracting experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** *… more
- 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. Employment in ... career at MSM ! Posting Number NONAC3490 Job Title Director Finance and Business Operations Position Title Director...coming in on budget. . Build internal systems for contracting and procurement that allow unit to make decisions… more