- Molina Healthcare (Columbus, GA)
- …**Preferred Education** Bachelor's Degree. **Preferred Experience** + 5 years' experience in managed healthcare administration and/or Provider Services . + 5 ... development and management, or project management experience in a managed healthcare setting. **Required Experience** + 2...2 - 3 years customer service , provider service , or claims experience in a managed … more
- Molina Healthcare (Macon, GA)
- …**Job Summary** Molina's Provider Contracting function provides guidance, signature support services , standards and resources to help Molina Healthcare ... equivalent experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care, and/or Provider Network Mgmt &… more
- National Vision (Duluth, GA)
- …transformation (required). + Strong knowledge of managed vision care, healthcare or retail revenue cycle processes, billing systems , and financial ... experience. Bachelor's degree in Accounting, Finance, Business Administration, or Healthcare Administration ( Managed Care) (required). + Master's Degree… more
- EPAM Systems (Atlanta, GA)
- As the **Head of Next-Generation Managed Services ** at EPAM Systems , you will revolutionize our service delivery model by implementing AI-first ... across multiple accounts + Implement effective incident management; drive system performance improvements; and establish advanced monitoring and alerting...with at least 10 years in managed services + Deep expertise in Service Design,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of quality service . + Financial/Budgeting:Assist in the development of the system medical staff service budget and manages resources within the budget ... database management collaboratively within the department and what best meet the system medical staff functions, hospital bylaws, managed are policies, TJC/NCQA… more
- Molina Healthcare (Atlanta, GA)
- …medical cost ratio (MCR), non-emergent utilization, and Consumer Assessment of Healthcare Providers and Systems (CAHPS) to positively influence future ... the department, including leading and supporting various enterprise-wide provider services activities including education, outreach and resolving provider inquiries.… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Familiarity with interdisciplinary team collaboration is essential, particularly in healthcare or psychiatric environments. The primary role of this position ... will be to support hospital systems , specifically within psychiatric departments, as well as collaborate...calendar JOB DESCRIPTION: + The Associate Director, Behavioral Clinical Services in the Emory Autism Center (EAC) manages the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …medical record. + Institutes clinical staff training in use of available information systems . + Integrates TEC and EHC information system projects to facilitate ... or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services , veteran status or any other… more
- Molina Healthcare (Savannah, GA)
- …coding (Current Procedural Terminology (CPT), International Classification of Diseases (ICD), Healthcare Common Procedure Coding System (HCPCS), Revenue Codes), ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …3-5 years) + **Deep expertise** with academic medical centers, integrated health systems , Fortune 500 self-insured employers, or managed care organizations + ... can contribute to the excellence of our academic community. **Description** **Transform Healthcare Finance at Scale** Emory Health Plan seeks an exceptional finance… more
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