- Intermountain Health (Atlanta, GA)
- …in a complex invoice/billing/reconciliation environment, preferred- Extensive knowledge of managed care contract interpretation **Physical Requirements** ... payer under and/or overpayment trends, opportunities in billing, and opportunities with managed care contracting efforts. + Log findings and provides feedback… 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
- United Therapeutics (Atlanta, GA)
- …pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy, managed care , sales/marketing or related ... pharmaceutical, healthcare, and/or broadened industry experience with focus in reimbursement, contract strategy, managed care , sales/marketing or related… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Bachelor's Degree and three (3) years' of healthcare experience in Managed Care Contracting, Hospital Reimbursement, Professional Reimbursement, Denials, and/or ... **Description** The ** Contract Implementation Analyst - Reimbursement** reduces the volume...Experience considered. 3. Ten (10) years' of experience in Managed Care Contracting, Hospital Reimbursement, Professional Reimbursement,… more
- Gentiva (Atlanta, GA)
- …andbe responsible for preparing, reviewing, analyzing, and responding to requests for managed care , provider, and other related healthcare agreements. + Prepares ... **Overview** We're looking for a ** Contract Specialist** to join our team.You will report...contracting agencies/payors. + Consults frequently with operations in the contract preparation process. + Prepares projects by obtaining support… more
- Elevance Health (Columbus, GA)
- …of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and ... effective setting in accordance with UM Clinical Guidelines and contract . + Refers cases to Peer Reviewers as appropriate....Experiences:** + Managed care organization experience + Cover letter… 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 ... 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)
- …policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation ... **_What Managed Care contributes to Cardinal Health_**...Key member of negotiating team for company. + Negotiates contract language across all contracts, striving for uniformity among… more
- Mass Markets (Savannah, GA)
- POSITION OVERVIEW FULL-TIME CUSTOMER CARE OPENINGS We are looking for full-time customer care representatives to support inbound projects for a wide variety of ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Mass Markets (Savannah, GA)
- POSITION OVERVIEW CUSTOMER CARE REPRESENTATIVE JOB OPENINGS We are looking for customer care representatives to support projects for a wide variety of clients. ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
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