- Molina Healthcare (Macon, GA)
- …issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape ... and claims payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International Classification… more
- Molina Healthcare (GA)
- …equivalent combination of education and experience **Required Experience** * 5-7 years managed care experience, including min. 2 years of supervisory experience * ... Association** N/A **Preferred Education** Bachelor's Degree **Preferred Experience** * 7+ years managed care experience * QNXT; SQL experience * Crystal Reports for… more
- HD Supply (Atlanta, GA)
- …and existing customers by serving as a point-of-contact for inventory managed solutions, including performing inventory audits, sourcing and ordering products, and ... + Assists with the implementation and setup of new inventory managed solutions at customer sites, including designing inventory solutions, receiving product,… more
- Deloitte (Atlanta, GA)
- Deloitte's Enterprise Operations as a Service provides multi-year managed service contracts to support enterprise technology investments and key business processes. ... + Promote an effective forum for sharing SAP expertise The team Our managed services focuses on on-going operations and maintenance of the SAP platform, including… more
- IQVIA (Atlanta, GA)
- …should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time ... advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA… more
- Mass Markets (GA)
- …BPO services, consulting, or software solutions. + Proven success in selling managed services, system integration, and technology products. + Familiarity with market ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
- Grant Thornton (Atlanta, GA)
- …and mature their privacy program through assessment, automation, process re-engineering, and managed services. As a Manager within our Privacy & Data Protection ... completion of assessments, privacy program implementations, privacy technology implementations, and managed services engagements on time and on-budget + Work with… more
- Molina Healthcare (GA)
- …Services & Supports. + 1-3 years in case management, disease management, managed care or medical or behavioral health settings. + Required License, Certification, ... in Nursing **Preferred Experience** + 3-5 years in case management, disease management, managed care or medical or behavioral health settings. + 1 year experience… more
- Elevance Health (Atlanta, GA)
- …applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, programs ... and ability to interpret and apply member contracts, member benefits, and managed care products strongly preferred for associates performing medical management. +… more
- Molina Healthcare (Columbus, GA)
- …preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required License, ... Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more