- Cardinal Health (Atlanta, GA)
- …+ Ensure all insurance plans are set up to proper track revenue associated to managed care contracts + Collaborate with Revenue Cycle team to establish contract ... and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the… more
- Norstella (Atlanta, GA)
- …VP level sales executives in applying MMIT's solutions to pharmaceutical manufacturers, managed care organizations, consultants, health care technology ... firms, and other third parties. The Solution Consultant must possess a domain expertise of all MMIT's products and seek to address the business problems expressed by MMIT's prospective and current clients. **Responsibilities:** * In collaboration with sellers… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... Dedication to excellence and innovation regarding continuous quality improvement, patient care models and clinical integration. + Knowledge and understanding of the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ Minimum five (5) years experience with coding ICD-10 in an acute care setting. + Previous experience in performing DRG coding audits. + Possesses knowledge ... _Regular Full-Time_ **Job Number** _137040_ **Job Category** _Revenue Cycle & Managed Care_ **Schedule** _7a-3:30p_ **Standard Hours** _40 Hours_ **Hourly Minimum**… more
- Sprinklr (GA)
- …Learn more about our culture here: The Sprinklr Way. **Job Description** **Meet Our Managed Services Team!** Our Managed Services Team at Sprinklr drives product ... our team to reach their full potential. **Consultant Roles We Hire For:** Our Managed Services Team commonly hires for three Consultant roles: + ** Managed … more
- Molina Healthcare (Augusta, GA)
- …to interpret healthcare data and translate insights into program improvements. + Managed Care experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * ... PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a… more
- Molina Healthcare (Macon, GA)
- …**X** **PE** **R** **I** **E** **N** **C** **E:** + Min. 2 years operational managed care experience (call center, appeals or claims environment). + Health ... claims processing background, including coordination of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals and denials. + Strong… more
- Molina Healthcare (Augusta, GA)
- …claims experience, OR one year of customer service/provider service experience in a managed care or healthcare environment. + Strong verbal and written ... communication skills. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal… more
- Elevance Health (Atlanta, GA)
- …in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that ... require a high level of negotiation skills** . **Fee schedules** **may be customized.** PRIMARY DUTIES: + Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. + Works independently and requires high… more
- Elevance Health (Atlanta, GA)
- …equivalent background. **Preferred Skills, Capabilities and Experiences** : + Understanding of managed care or Medicaid/Medicare strongly preferred. + Ability to ... obtain Florida Fingerprinting assessment, highly preferred. + Bilingual candidates, highly preferred. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal… more