- Emory Healthcare/Emory University (Atlanta, GA)
- …medical centers, integrated health systems, Fortune 500 self-insured employers, or managed care organizations + **Direct experience** negotiating and managing ... year history. Your leadership will directly impact healthcare affordability, value-based care innovation, and population health for the entire Emory community.… more
- CVS Health (Atlanta, GA)
- …telephonic chronic condition coaching - Virtual group coaching experience via webcam - Managed care experience - Experience with Epic EMR data base functionality ... 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 (Waycross, GA)
- …the annual budget. Departmental responsibility typically includes Accounting, Reimbursement, Managed Care , Health Information, and Utilization Review. Functions ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +… more
- Centene Corporation (Atlanta, GA)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...performance metrics, and identify opportunities for improvement in patient care and clinical practices. + Value-Based Care … more
- Prime Therapeutics (Atlanta, GA)
- …+ Advanced clinical training or certifications + Previous clinical experience in a managed care , pharmaceutical, or PBM environment + Experience working with ... purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven...data to support projects and initiatives throughout the Integrated Care & Specialty, Sales, and Marketing departments + Works… more
- Sevita (Augusta, GA)
- …for each person served. + Maintains a functional understanding of funding, managed care requirements, and licensing requirements for each person served. ... Directs a department or program responsible for delivering health care services to clients/individuals. Manages staff RNs, and works...other medical service providers to assure quality standards of care are met. + Assures the overall quality of… more
- Elevance Health (Atlanta, GA)
- …Financial, Business, and Leadership acumen strongly preferred. + Prior experience with managed care , trend & healthcare analytics, provider networks, claims, ... the future. + Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network contract negotiation… more
- Emory Healthcare/Emory University (Warner Robins, GA)
- …and new policies; reviews problems and opportunities. + Collaborates with the managed care department. **MINIMUM QUALIFICATIONS:** + Bachelor's degree in ... wide programs/departments/sections or business services (revenue cycle, patient access, patient care services, etc). + Directs revenue, costs, funding and budget… more
- Molina Healthcare (Savannah, GA)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to… 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 ... Banner Health the best place to work and receive care . We are looking for a motivated, experienced **Profee...for contributing to our award-winning patient care . POSITION SUMMARY Evaluates medical records, provides clinical and… more