- Humana (Atlanta, GA)
- …+ Minimum of 3 years' experience working in clinics, hospital case management, managed care settings, Autism services and/or other healthcare settings. + Above ... caring community and help us put health first** The Care Management Support Assistant 3 assists in ensuring TRICARE...in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years of experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract/Cost of Care Consultant** **Location:** This role requires associates to...granted as required by law. The **Provider Contract/Cost of Care Consultant** provides analytical support to the Cost of… more
- Molina Healthcare (GA)
- …and productivity is important. Preferred candidates will have previous case management, managed care , hospital, and/or home health experience._ _This role is ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for… more
- CenterWell (Atlanta, GA)
- …professional experience in health-related strategy and operations positions, preferably in value-based care , particularly managed care or full risk models ... vision of the organization by evaluating and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior… more
- Emory Healthcare/Emory University (Warner Robins, GA)
- **Overview** Emory Hospital - Warner Robins is seeking full-time **Urgent Care Physicians** to join our expanding clinical team, providing high-quality care ... Georgia's most comprehensive academic health system. Physicians rotate between three urgent care locations - Lake Joy Med-Stop, Bonaire Med-Stop, and Fred Graham… more
- Gentiva (Stockbridge, GA)
- …of terminally ill patients and their families. + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, JCAHO, ACHC, ... 7,500 SIGN ON BONUS We're looking for a **Patient Care Manager Senior** to join our team. You will...performing hospice program including managing, overseeing, and directing patient care activities to ensure the delivery of quality patient… more
- Humana (Atlanta, GA)
- …working with members with medical and behavioral health co-morbidities. + Experience advocating for managed care members at all levels of care . + ... caring community and help us put health first** Humana Care Support strives to assist in meeting members' needs...can achieve and/or maintain an optimal wellness state. The Care Management Support Professional contributes to administration of … more
- Cardinal Health (Atlanta, GA)
- …long- and short-range changes in the reimbursement environment including Medicare, Medicaid, Managed Care , and Commercial plans while planning for various ... Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain...serves as the first line of communication for Health Care Providers who require special handling. The position is… more
- Cardinal Health (Atlanta, GA)
- **_What Managed Care contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. ... Managed Care oversees the interactions that take place between payer and provider(s) to ensure optimal reimbursement including managed care contracting,… more
- Molina Healthcare (Columbus, GA)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie,… more