- Sedgwick (Atlanta, GA)
- …to include three (3) years project management, office operations management, managed care , insurance-related and/or statistical analysis experience. Supervisory ... + Thorough knowledge of related field procedures or insurance-related procedures and/or managed care systems and operations + Strong knowledge of project… more
- Sedgwick (Atlanta, GA)
- …of education and experience required to include two (2) years of claims management, managed care or other related experience. **Skills & Knowledge** + In depth ... knowledge of claims management, managed care and/or absence management processes and procedures + Excellent oral and written communication, including… more
- Molina Healthcare (Columbus, GA)
- …deployments, from targeted productivity gains to end-to-end reimagining of workflows and managed care experiences. + Collaborates with IT and business leaders ... **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in managed care , including strategy, enterprise transformation, digital innovation, technology… more
- Molina Healthcare (GA)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- Elevance Health (GA)
- …states. **Preferred Capabilities, Skills and Experiences:** + Nursing experience in Home Health, Managed Care , Case Management, or Care Coordination. + Case ... criteria._** The **Nurse Case Manager Senior - Field Nurse** is responsible for care management within the scope of licensure for members with complex and chronic… more
- Evolent (Atlanta, GA)
- …+ Minimum of one year of experience with medical management activities in a managed care environment + UM/UR experience + Clinical experience in Oncology, ICU, ... 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
- 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
- CVS Health (Atlanta, GA)
- …Office Suite (including Outlook and Microsoft Word). **Preferred Qualifications:** - Managed Care experience preferred. -Previous coaching experience preferred. ... 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 ... indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Fertility and… 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 ... are at the forefront of our commitment to the care and improvement of human life. At HCA Healthcare,...other identified resource needs. The MSW assists in post-acute care placement on all discharges, primarily with those patients… more