- 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
- Molina Healthcare (Augusta, GA)
- …EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Managed Care credentialing experience. * Experience working in a cross functional ... highly matrixed organization. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * CPCS Certification, PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested… more
- Molina Healthcare (Columbus, GA)
- …**Required Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 3-5 years of formal training in Project Management + Experience… more
- Actalent (Atlanta, GA)
- …order entry systems and basic printer troubleshooting. + Exposure to healthcare or managed care environments. Work Environment his is a fully remote position ... with training conducted on an alternative schedule. During the training period, the work hours are Monday through Friday, either8:30 AM to 5:00 PMor9:00 AM to 5:30 PM. Upon completion of training, the regular schedule shifts to Tuesday through Friday from… more
- Elevance Health (Atlanta, GA)
- …healthcare industry is preferred. + Actuarial experience within a healthcare and/or managed care organization preferred + Familiarity with medical management or ... population health programs preferred. + Possess working knowledge of healthcare data and measurement standards such as ICD10, CPT/HCPCS, MS-DRG, DxCG, PMPM, and utilization per 1,000, preferred. + Advanced SQL and Excel skills preferred. + Base statistical… more
- Merck (Atlanta, GA)
- …and models teamwork with extended members of the Virology Account Team (CLs, CTLs, Managed Care , Marketing) in the development of long-term account plans and ... customer centric solutions to improve value for both customers and patients. + Demonstrates the ability to embrace and maximize current and future technological capabilities and multi-channel opportunities to engage customers. + Demonstrates high-level… more
- Molina Healthcare (Columbus, GA)
- …and experience **Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, ... practices, and procedures applicable to job-related subject areas. **Preferred Education** Bachelor's Degree or equivalent combination of education and experience **Preferred Experience** + 1-3 years formal training in Business Analysis and/or Systems Analysis… more
- Molina Healthcare (Columbus, GA)
- …or equivalent combination of relevant education and experience + Medicare and/or Medicaid Managed Care experience + Quantitative aptitude + Strong leadership in ... a matrixed environment + Strong project management skills and ability to manage multiple, competing priorities and projects simultaneously. + Excellent communication and people skills, including ability to effectively collaborator with business unit leaders,… more