- Intermountain Health (Atlanta, GA)
- …revenue cycle insurance follow up or denial management, required- Extensive knowledge of managed care contract interpretation, required - Associate's Degree, ... duties, including working insurance claims follow-up and escalations, interpreting contract language, and tracking trends. This specialist works facility claims… more
- Elevance Health (Atlanta, GA)
- …or related field and a minimum of 7 years of experience in broad-based analytical, managed care payor or provider environment as well as in depth experience in ... **Provider Contract /Cost of Care Consultant Senior** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and… 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 be in-office 1 day per week, fostering collaboration and… more
- Elevance Health (Atlanta, GA)
- …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract Cost of Care Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and… more
- Elevance Health (Atlanta, GA)
- …or related field and a minimum of 7 years experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving… more
- Humana (Atlanta, GA)
- …in private practice or other patient care + Minimum of 1 year of managed care experience **OR** A current, valid, and unrestricted license as a Mental Health ... care + Minimum of 1 year of managed care experience **OR** A current, valid,...of the following requirements: + Our Department of Defense Contract requires US citizenship for this position + Successfully… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Cost of Care /Provider Contracting Data Analyst** **Location** : This role...develop contracting strategy and supports all aspects of the contract negotiation process. + Can work with multiple provider… more
- Cardinal Health (Atlanta, GA)
- …business including Medicare, Medicaid, and various commercial markets. The Advisor of Managed Care -National Accounts is responsible for regional retail (chain) ... pharmacy accounts from a managed care contracting perspective. The primary purpose of this role is to maintain our managed care relationship with current… more
- Molina Healthcare (Savannah, GA)
- …+ 3 - 5 years customer service, provider service, or claims experience in a managed care setting. + 3-5 years' experience in managed healthcare ... and/or Provider Services. + 5 years' experience in provider contract negotiations in a managed healthcare setting...experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different provider … more
- Cardinal Health (Atlanta, GA)
- …covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with ... seasoned expertise in the managed care industry, this leader translates the...with cross-functional teams to ensure the flawless execution and post- contract realization of payer programs and contracts + Drive… more