- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Emory Healthcare is seeking a Contract Build Analyst to join our Medical Economics team + The Contract Build Analyst role is responsible forimplementing, ... validating, and maintaining contract models within the StrataJazz and EPIC platforms; in addition to supporting strategic initiatives related to payor agreements + Implementation includes configuring user requirements. Validation requires identifying scenarios… more
- Molina Healthcare (Macon, GA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Molina Healthcare (GA)
- …Health or related field. **Preferred Experience** + 5 years clinical practice with managed care , hospital nursing or utilization management experience. + 3+ ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term...years supervisory experience in a managed healthcare environment. + Previous experience… more
- Molina Healthcare (GA)
- …Long Term Services & Supports. + 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. + 1 year experience… more
- Centene Corporation (Atlanta, GA)
- …Looking For: + Registered Nurses with experience in case management, home health, or managed care + Must have Georgia compact nursing license **Join a ... RESIDE IN THE STATE OF GEORGIA!** **Now Hiring: Remote Care Manager RNs - Join Centene's Ambetter** **Marketplace Team!**...is expanding our team and currently hiring a Remote Care Manager RN to support our Ambetter Marketplace members.… more
- Humana (Atlanta, GA)
- …AND/OR Clinical Psychologist (Ph.D.)** . + 3 or more years of clinical or managed care experience. + Experience in managing mental health crisis intervention. + ... community and help us put health first** The Telephonic Care Manager will be part of the Humana Military...for Behavioral Health Case Management throughout the continuum of care . They will have personal interaction with beneficiaries to… more
- Molina Healthcare (Augusta, GA)
- …**Required Experience** 3 or more years in case management, disease management, managed care or medical or behavioral health settings. **Required License, ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- Humana (Atlanta, GA)
- …+ Minimum of 3 years' experience working in clinics, hospital case management, managed care settings, Autism services and/or other healthcare settings. + Above ... caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE...in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years of experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract/Cost of Care Consultant** **Location:** This role requires associates to...granted as required by law. The **Provider Contract/Cost of Care Consultant** provides analytical support to the Cost of… more
- Molina Healthcare (GA)
- …and productivity is important. Preferred candidates will have previous case management, managed care , hospital, and/or home health experience._ _This role is ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more