- Humana (Atlanta, GA)
- …MPH, or other relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects ... other health plans to millions. By integrating insurance with care delivery through CenterWell, Humana is improving healthcare access,...serve to achieve their best health - delivering the care and service they need, when they need it.… more
- Emory Healthcare/Emory University (Duluth, 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
- Emory Healthcare/Emory University (Atlanta, GA)
- …has $3.3 billion in annual net revenue and $89.1 million in charity care . System-wide, it has 2,673 licensed patient beds, 2,800 physicians practicing in more ... 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… more
- CVS Health (Atlanta, GA)
- …Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Fresenius Medical Center (Kennesaw, GA)
- …revenue improvement initiatives. + Drive projects and initiatives that align with Managed Care , Revenue Integrity, and Insurance Coordination goals, including ... will coordinate and manage cross-functional projects to optimize Fresenius Kidney Care revenue and margin. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Develop and… more
- ChenMed (Atlanta, GA)
- …data and making decision based of the data + Experience working in Medicare managed care environment We're ChenMed and we're transforming healthcare for seniors ... your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great...to rescue more and more seniors from inadequate health care . ChenMed is changing lives for the people we… more
- Molina Healthcare (Macon, GA)
- …10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are rendered… more
- Molina Healthcare (GA)
- …equivalent combination of education and experience **Required Experience** * 3 years managed care experience, preferably with a national or multi-location ... of business to better support overall population heath management, reduce gaps in care and drive medical loss ratio (MLR) targets. In conjunction with the Manager… more
- Humana (Atlanta, GA)
- …+ Experience working with cross-functional business areas. **Preferred Qualifications** + Managed care , Medicaid health plan experience. + Advanced degree ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Humana (Atlanta, GA)
- …in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector **Reporting Relationships** The role reports to ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more