- PruittHealth (Atlanta, GA)
- … care experience required. * Minimum three years industry experience in a managed care setting focused on experience in utilization review/case management and ... **JOB PURPOSE:** Responsible for the oversight of clinical care management of community based long-term care...clinical care management of community based long-term care population for PruittHealth Premier Dual Eligible Special Needs… more
- Molina Healthcare (Savannah, GA)
- …Degree in Nursing preferred. **Preferred Experience** 3-5 years clinical practice with managed care , hospital nursing, utilization and/or care management ... 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
- CVS Health (Atlanta, GA)
- …of the cost of residential broadband service. **Preferred Qualifications** + 1+ years Managed Care (MCO) preferred. + 1+ years demonstrated experience working in ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- HCA Healthcare (Savannah, GA)
- …payer regulations and processes. You will possess a thorough understanding of managed - care concepts and length-of-stay management relating to patient and ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Social...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Banner Health (GA)
- …Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options ... **Department Name:** Coding-Acute Care Hospital **Work Shift:** Day **Job Category:** Revenue...Looking for a motivated, experienced **Inpatient Facility | Acute Care | Remote Medical Complex Coder, with CPC or… more
- Evolent (Atlanta, GA)
- …professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care , or related healthcare consulting entity + Extensive ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- Evolent (Atlanta, GA)
- …experience in claims-based healthcare analytics with a payer, provider, clinical vendor, managed care , or related healthcare consulting entity + Ability to ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...we seek to connect the pieces of fragmented health care system and ensure people get the same level… more
- CVS Health (Atlanta, GA)
- …with 100% participation. **Preferred Qualifications** + 1+ year of experience in a managed care organization (MCO). + Experience in a high-volume clinical call ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Highmark Health (Atlanta, GA)
- …value streams, and population health management. **Preferred** + 7 years of experience in managed care , primary care management or other clinical setting. + ... actionable opportunities in provider transformation aimed at high-quality, cost-effective care while improving patient outcomes. + Provide consultative workflow… more
- Community Health Systems (Statesboro, GA)
- …patient access, health information management, revenue management, physician practice services, corporate managed care and human resources to maximize daily and ... of families in the Statesboro area and surrounding communities with quality care , close to home. We are dedicated to delivering technologically advanced medical… more