- 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...advice, analytic and consultative support to Medical Directors and management on cost of care issues. Works… 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
- Elevance Health (Columbus, GA)
- …of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty...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 ... appropriate. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent provider contract , network development and management , or project … more
- Grifols Shared Services North America, Inc (Atlanta, GA)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... services in more than 110 countries and regions. **Role and Responsibilities of a Bleeding Management KAM** **About the Role:** The KAM will play a vital role in the… more
- Intermountain Health (Atlanta, GA)
- …in a complex invoice/billing/reconciliation environment, preferred- Extensive knowledge of managed care contract interpretation **Physical Requirements** ... feedback to Hospital Billing AR Management , Cash Management , and Managed Care leadership....a liaison to internal teams to include the Epic Contract Maintenance Committee and to external payment variance vendors… 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_** Practice Operations Management oversees the business and administrative operations of a medical… more
- Cardinal Health (Atlanta, GA)
- …+ Ensure all insurance plans are set up to proper track revenue associated to managed care contracts + Collaborate with Revenue Cycle team to establish ... **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations...service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and… more
- CVS Health (Atlanta, GA)
- …Medicare, and/or Medicaid knowledge * 5+ years related experience, proven and proficient managed care network negotiating skills. * 3+ years contracting for ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will manage… more
- Mass Markets (Savannah, GA)
- …(CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and ... POSITION OVERVIEW ENERGY CUSTOMER CARE REPRESENTATIVE (FULL-TIME) Here at MCI, we keep...for all aspects of the sales cycle and pipeline management including prospect identification, quote, sales verification and post-sale… more
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