- Evolent (Atlanta, GA)
- …and proficiency + Personally initiate and foster executive level relationships at managed care organizations or health systems and large provider groups ... cycles requiring diverse stakeholder management + Knowledge of the managed care and provider markets (both payers...for healthcare and subscribed to the vision of value-based care + Strong familiarity with risk-based contracting … more
- Cardinal Health (Atlanta, GA)
- …Demonstrates basic knowledge of network and payor concepts and applies an understanding of managed care trends to support the review and resolution of appeals ... relate to pricing and assessing gross margin/profitability. + Reviews and validates managed care contracts to ensure compliance with organizational policies,… more
- Molina Healthcare (Columbus, GA)
- …health care vendor, commercial health insurance, large physician practice, managed care organization, etc.) * Advanced proficiency with retrieving specified ... utilized in medical coding/billing (UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Amgen (Atlanta, GA)
- …applicable competitors, specialty experience + District Management / Reimbursement / managed care experience + Demonstrates solid understanding of the ... innovative market strategies to reach difficult to access health care providers and accounts in a compliant manner. +...accounts in a compliant manner. + Amgen Bone Health contracting point. + Leads contract delivery, business reviews and… more
- Molina Healthcare (Augusta, GA)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
- Delta Air Lines, Inc. (Atlanta, GA)
- …IT department, as well as technology used across divisions. This includes contracting for hardware, software, professional services, and managed services. Skills ... execution of sourcing strategies. This includes supplier selection, negotiation, and contracting , in close partnership with legal, information security, and finance… more
- Waystar (Atlanta, GA)
- …Develop and maintain strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, ... improve financial performance. + Track and communicate the status of payer contracting and connections activities **OPTIONAL DETAILS --Looking for some details?**… more
- Elevance Health (Atlanta, GA)
- …providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may involve non-standard ... relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with less-complex to complex… more
- Sumitomo Pharma (Atlanta, GA)
- …through various payers (commercial and government payers to include FFS and Managed Medicaid) and remove reimbursement barriers to treatment + Build and maintain ... strong relationships with key payers to facilitate successful contracting , access and reimbursement - including fostering strong relationships with payers and… more
- Molina Healthcare (GA)
- …or equivalent combination of education and experience **Required Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or ... level (or higher) **Preferred Education** Bachelor's Degree **Preferred Experience** + 5+ years managed care experience + QNXT; SQL experience + Crystal Reports… more