• Senior Accreditation Professional

    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 (08/29/25)
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  • Insurance Strategy Consultant

    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
    Humana (08/29/25)
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  • Director, Financial Reporting/Controller

    Emory Healthcare/Emory University (Atlanta, GA)
    …three years in hospital or health care finance; supervisory experience and managed care experience. + Preferred: Ten (10) years of financial analysis or ... accounting experience, revenue cycle experience, business planning experience, and knowledge of clinical service lines; MBA, Masters in Finance, MHA, CPA. **Additional Details** Emory is an equal opportunity employer, and qualified applicants will receive… more
    Emory Healthcare/Emory University (08/28/25)
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  • Sr Manager, Revenue Cycle Ops

    Emory Healthcare/Emory University (Atlanta, GA)
    …in multiple clinic specialties (shared resources). + Experience with ambulatory care environments and ability to translate and embed standard operating procedures ... _Regular Full-Time_ **Job Number** _152895_ **Job Category** _Revenue Cycle & Managed Care_ **Schedule** _8:30a-5p_ **Standard Hours** _40 Hours_ **Hourly Minimum**… more
    Emory Healthcare/Emory University (08/28/25)
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  • Strategy Advancement Advisor - Distribution…

    Humana (Atlanta, GA)
    …and professional growth **Preferred Qualifications** + Healthcare industry experience, preferably in the managed care or provider sector + MBA, MA/MS, PhD, or ... 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 (08/27/25)
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  • Adjudicator, Provider Claims (LTSS Call Center)

    Molina Healthcare (GA)
    …research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry **PREFERRED EDUCATION:** Bachelor's ... Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 4 years customer service, claims, provider and investigation/research experience. LTSS claims experience **PHYSICAL DEMANDS:** Working environment is generally favorable and… more
    Molina Healthcare (08/27/25)
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  • Associate VP, Resolution - CTM Oversight…

    Humana (Atlanta, GA)
    …roles. + Deep understanding of compliance, regulatory requirements, and quality metrics in managed care . + Strong analytical and communication skills, with the ... 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 (08/27/25)
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  • Medicaid Lead, Technology Solutions

    Humana (Atlanta, GA)
    …and clinical operations; Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized 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
    Humana (08/26/25)
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  • Medical Director - Medicare Grievances and Appeals…

    Humana (Atlanta, GA)
    …skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + ... 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 (08/26/25)
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  • NeuroPsych Sales Specialist - Atlanta NE

    Teva Pharmaceuticals (Atlanta, GA)
    …and virtual environments, and be proficient with technology * Knowledge of reimbursement, managed care , or marketing preferred * New product launch experience ... we strive to improve access and outcomes for patients across all points of care , we're thoughtfully expanding our US sales teams. Sales professionals at Teva are… more
    Teva Pharmaceuticals (08/12/25)
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