- Highmark Health (Atlanta, GA)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …2. Bachelor's Degree and three (3) years' of healthcare experience in Managed Care Contracting , Hospital Reimbursement, Professional Reimbursement, Denials, ... and Experience considered. 3. Ten (10) years' of experience in Managed Care Contracting , Hospital Reimbursement, Professional Reimbursement, Denials, and/or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**Campus Location** _Atlanta, GA, 30345_ **Campus Location** _US-GA-Atlanta_ **Department** _CORP- Managed Care Contracting_ **Job Type** _Regular Full-Time_ ... **Job Number** _152771_ **Job Category** _Business Operations_ **Schedule** _8a-5p_ **Standard Hours** _40 Hours_ **Hourly Minimum** _USD $48.93/Hr._ **Hourly Midpoint** _USD $59.62/Hr._ Emory Healthcare is an Equal Employment Opportunity employer committed to… 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 requires associates to be in-office 1-2 days per week, fostering collaboration and… more
- Cardinal Health (Atlanta, GA)
- …lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the relationship ... teams. The role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions.… more
- Molina Healthcare (Macon, GA)
- …with Medicaid contract analytics is highly preferred. + Experience working on Managed care analytics and healthcare reimbursement models is required. + ... departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint...to act as a liaison between Finance and Network Contracting as well as other external teams. + Must… more
- Molina Healthcare (GA)
- …lines of business and provider types. + Utilize extensive knowledge of Value Based Contracting models in managed care and payment innovation concepts to ... health plan product design, and actuary and finance. + 10+ years managed care experience, with 7+ years with leadership-level experience preferably with a… 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 ... the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. **How you will make an impact:** + Focuses efforts… more
- 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 ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy...large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider… more
- Cardinal Health (Atlanta, GA)
- …to negotiation, contracting strategies, and payer account management within the managed care industry + Experience cultivating strategic C-suite and senior ... covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with… more
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