- PruittHealth (Savannah, GA)
- …offices. 7. Identifies key referring personnel in hospitals, nursing homes, and managed care operations, along with opportunities to increase referral volume ... to drive growth in our skilled nursing, rehabilitation and long-term care business. **KEY RESPONSIBILITIES:** 1. Develops, implements, and evaluates quarterly and… more
- Molina Healthcare (Columbus, GA)
- …experience in health care , including 2 years' experience in a managed care environment facilitating utilization reviews, or equivalent combination of ... Contributes to overarching strategy to provide quality and cost-effective member care . This position will support our Corporate Compliance business. The candidate… more
- Highmark Health (Atlanta, GA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... and maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based programming concepts… more
- Ochsner Health (Savannah, GA)
- …and/or trauma upon the patient and their support system. + Advanced knowledge of managed care and public programs such as those funded by Medicare, Medicaid, ... and community agency personnel. + Advanced knowledge of an acute and chronic care medical setting, medical terminology and the psychosocial and economic effects of… more
- Ascendis Pharma (GA)
- …+ Serves as scientific resource at key medical, scientific, and other managed care -related conferences as assigned Contributes to Ascendis Pharma's Medical ... leveraging deep expertise in Pharmacoeconomics, real-world evidence generation, and value-based care solutions to function as a disease state, clinical, and health… more
- CVS Health (Atlanta, GA)
- …Experience with eligibility, claims adjudication, reserving, or financial reporting in the managed care industry. + Familiarity with Google Cloud Platform (GCP). ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Actalent (Savannah, GA)
- …and attention to detail + Preferred: + Experience in pharmacy benefits management or managed care + Knowledge of FDA regulations and pharmacology + Ability to ... Make a Difference in Patient Care ! We're seeking a Licensed Pharmacist to join...Ready to join a team that values accuracy, patient care , and collaboration? Apply today! Job Type & Location… more
- Emory Healthcare/Emory University (Decatur, GA)
- …credentialing. Attend to the medical needs of all patients by performing patient care activities to fulfill the duties and responsibilities of a Physician and assist ... Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care /handling injuries, Radiation, Shift work, Travel may be required. Use… more
- CVS Health (Atlanta, GA)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Highmark Health (Atlanta, GA)
- …in a clinical setting **Preferred** + 1-3 years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** ... outcomes. Will monitor and analyze the delivery of health care services in accordance with claims submitted, and analyzes...to privacy, sharing only information relevant to the member's care and within the framework of applicable laws. Practice… more