• Specialist, Appeals & Grievances

    Molina Healthcare (Atlanta, GA)
    …requests from outside agencies. **Required Qualifications** * At least 2 years of managed care experience in a call center, appeals, and/or claims environment, ... program(s) proficiency. **Preferred Qualifications** * Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other… more
    Molina Healthcare (11/23/25)
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  • Pharmacy Product Director - Medicare DSNP

    Highmark Health (Atlanta, GA)
    …Doctor of Pharmacy degree + Active pharmacist license + 4 years of experience in managed care pharmacy + 2 years of clinical account management experience in ... respective client portfolio as well as its P&L and contract compliance. Responsibilities include leading initiatives regarding the specific...Medicare as part of the 4 year managed care experience + 2 years of… more
    Highmark Health (11/14/25)
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  • Transplant Nurse II (US)

    Elevance Health (Atlanta, GA)
    …the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, ... and ability to interpret and apply member contracts, member benefits, and managed care products strongly preferred for associates performing medical management.… more
    Elevance Health (12/03/25)
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  • Senior Specialist, Provider Contracts HP

    Molina Healthcare (Columbus, GA)
    …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... contracting with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider facing experience and… more
    Molina Healthcare (11/14/25)
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  • Field Access Manager - Tennessee Valley

    Bausch + Lomb (Atlanta, GA)
    …support for appropriate patient access to Bausch + Lomb products across relevant sites of care . + Educate office staff and Providers on the use of Bausch + Lomb ... access and patient support programs, as appropriate. + Work collaboratively with Managed Markets to resolve potential access obstacles and issues. Communicate access… more
    Bausch + Lomb (12/07/25)
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  • Customer Success Manager - Engagement Manager

    Wolters Kluwer (Kennesaw, GA)
    …goals are achieved to maximize value realization, implementation projects are well- managed , communication plans are effectively designed and executed, and ongoing ... performance is managed . They work directly with Sales Account Managers to...+ **Implementation Scoping** + Advise sales team in establishing contract terms and pricing for the solution + Collaborate… more
    Wolters Kluwer (12/10/25)
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  • Senior Business Development Specialist

    Mass Markets (GA)
    …project delivery. Partner with marketing, product, and operations teams to deliver contract -winning solutions. CANDIDATE QUALIFICATIONS WONDER IF YOU ARE A GOOD FIT ... BPO services, consulting, or software solutions. + Proven success in selling managed services, system integration, and technology products. + Familiarity with market… more
    Mass Markets (11/08/25)
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  • Hospital/Institutional Customer Representative…

    Merck (Atlanta, GA)
    …key customers/personnel to understand practice structure, business model, key influencers Managed Care Organization (MCO), employers, state and local ... + Partners with National Account Executives (NAEs) to maintain strong focus on Managed Care pull-through + Shares learning and best-practices from one customer… more
    Merck (12/04/25)
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  • Retirement Planning Consultant - Augusta, GA

    Aegon Asset Management (GA)
    …Solutions, and 3) Financial Assets, which includes legacy blocks of long term care , universal life, and variable and fixed annuities. These are supported by ... document progress towards goals. + Promote, educate and enroll participants into Managed Advice; provide on-going financial and planning support to participants in… more
    Aegon Asset Management (11/26/25)
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  • Network Management Consultant - Remote

    Prime Therapeutics (Atlanta, GA)
    …Management (PBM), healthcare or other highly regulated industry; including 5 years of managed care experience in medical or pharmacy network contracting Must be ... kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of… more
    Prime Therapeutics (12/05/25)
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