- Molina Healthcare (Augusta, GA)
- …issues, and process gaps. + Apply understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations ... as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, or...and claims payment integrity. + Strong working knowledge of managed care claims coding (Current Procedural Terminology (CPT), International… more
- Truist (Atlanta, GA)
- …~30% onshore and ~70% offshore that is comprised of ~30% teammate, ~60% vendor managed service, and ~10% time and material contract workers + Improve the user ... teams, such as teammates, contract workers, onshore, offshore resources, and/or managed services + 5 years' experience and expert-level technical knowledge of… more
- Deloitte (Atlanta, GA)
- …and cloud-based. + Integration of acquired environments into unified managed services models + Developing hybrid and multi-cloud operating models ... strategies, including hybrid cloud operating models, data center rationalization, and managed services + Hands-on knowledge of cloud platforms (eg, Azure, AWS,… more
- Humana (Atlanta, GA)
- …services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage and Managed Medicaid ... experience in a medical management review organization, such as Medicare Advantage and managed Medicaid + Experience with national guidelines such as MCG(R), ASAM or… more
- Stantec (Atlanta, GA)
- …that help them achieve their organization's objectives. Our award-winning team has managed thousands of projects across all sectors - airports, transit and rail, ... ports and marine, highway and bridge, including complex bridges, interchanges, and managed toll projects. Join our Major Projects Team of APD project management… more
- Molina Healthcare (Atlanta, GA)
- …system knowledge of QNXT and other state specific applications concerning Managed Care Enrollment. + Responsible for ensuring timely reconciliation of eligibility ... and experience **Required Experience** 5-7 years Enrollment-related experience in Managed care or Medicare setting **Preferred Education** Graduate Degree or… more
- Deloitte (Atlanta, GA)
- …and business leaders for complex information technology (IT) operate and managed services contracts by executing careful review of contractual documents (and ... Management as follows: + Review and analyze IT operations and managed services contracts to identify and document business-relevant contractual obligations and… more
- Ensono (Atlanta, GA)
- …that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep ... + 10-15 years of enterprise sales or account growth experience, within managed services or IT solutions + Demonstrated success in consultative, solution-based… more
- AireSpring (Atlanta, GA)
- …family owned and operated AireSpring is a leading Provider of Cloud Communications, Managed Connectivity and Managed Security which has earned its stellar ... in a pre-sales, sales engineering, or solutions architect role in telecom, managed services, or SaaS/SD-WAN environments. + Deep relationships and credibility with… more
- Highmark Health (Atlanta, GA)
- …and state rules as well as a solid working knowledge of managed care operations, compliance program structures, information security and audit methodologies. The ... partner and advisor to business leaders to ensure business decisions are managed according to the enterprise risk strategy / framework.Participates in and… more