- Merck (Atlanta, GA)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... to support customer operational and financial needs such as reimbursement information and contract adherence in an effort to help the provider or system increase… more
- Immigration and Customs Enforcement (Folkston, GA)
- …training, monitoring and competency testing. Refers patients to dental specialists through the IHSC managed care program for care or consultation when a ... civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 22 detention facilities throughout the country and manages… more
- Prime Therapeutics (Atlanta, GA)
- …work experience, including 12 years of experience as an attorney and 5 years representing managed care companies, health care clients, or clients in highly ... regulatory inquiries + Develop and implement litigation and risk management strategies that align with Prime's business objectives, mitigate...False Claims Act, with a focus on PBM and managed care operations + Experience engaging with… more
- Evolent (Atlanta, GA)
- …with long cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers and risk-bearing organizations) + ... and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups… more
- Sanofi Group (Atlanta, GA)
- …of patients around the world. **Main Responsibilities:** + Account Relationship Management : Develop and maintain relationships with key government agencies to ensure ... and administration guidelines. + Sales Support: Collaborate with the Strategic Account Management to identify opportunities for growth and assist in the development… more
- Molina Healthcare (Columbus, GA)
- …investigative and law enforcement procedures with emphasis on fraud investigations. + Knowledge of Managed Care and the Medicaid and Medicare programs as well as ... investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. Duties include performing accurate and reliable… more
- 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 ... perspective; build and foster productive relationships with Human Resources, management team and participants. + Conduct group education meetings, deliver… more
- Highmark Health (Atlanta, GA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... maintains strategic provider relationships to understand the current health care delivery state, readiness for change, test value based... management + 2 years Understanding of provider contract documents and overall contract management… more
- AireSpring (Atlanta, GA)
- …family owned and operated AireSpring is a leading Provider of Cloud Communications, Managed Connectivity and Managed Security which has earned its stellar ... trust AireSpring for their business needs. Importantly, this position focuses on account management -there is no hunting involved; the primary goal is to nurture and… more
- Molina Healthcare (Augusta, GA)
- …as oversight, audit, etc. **Required Experience** * 7 years of managed care experience (Regulatory and Compliance) * Previous management experience of 5 ... in Healthcare Administration **Preferred Experience** + 10 years of managed care experience (Regulatory and Compliance) + Previous management experience of 5… more