- Molina Healthcare (GA)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... scrubbing, scrapping, and cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing… more
- Molina Healthcare (GA)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- Molina Healthcare (Macon, 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
- Centene Corporation (Atlanta, GA)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...claims, contracting utilization management, or clinical operations. Project management experience… more
- Molina Healthcare (Columbus, GA)
- …related field **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 10 years managed care experience with management responsibility including clinical ... members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including physical health and behavioral health, for members… more
- Pfizer (Atlanta, GA)
- …thought leaders or high influence customers in large group practices, hospitals, or managed care organizations preferred. + This position will require travel as ... as well as leadership by example for team adherence (incl. contracting permissions/guidelines) + Model/leader for change, agility, and adaptability + Excellence… more
- Datavant (Atlanta, GA)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... equipment procurement, repair, and installation, ensuring all assets are properly managed and maintained. + Conducts quality inspections, analyzes vendor scorecards… more
- Textron (Augusta, GA)
- …of golf cars, utility and personal transportation vehicles, professional turf\- care equipment, and ground support equipment\. Textron Specialized Vehicles markets ... e\-commerce, licensing, strategic sourcing, value analysis and value engineering, vendor managed inventory, and various sales and services agreements\. * Be a… more