- Molina Healthcare (Savannah, GA)
- …such as Claims, Enrollment, IT etc,. to get appropriate responses and manage contracts and projects as needed. + Works with corporate resources and relevant vendors ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 7+ years experience in managed healthcare Quality/HEDIS project management and HEDIS Audit * Demonstrated… more
- The Walt Disney Company (Atlanta, GA)
- …United States Public Health (USPH) policies while ensuring Crew are trained and policies managed + Function in the role of Youth Activities Counselor or related as ... Minimum **four years** recent experience in a high-volume child care operation in a recreational, camp or leisure setting...testing within the first week onboard and throughout their contracts . Failure to pass the drug/alcohol testing will result… more
- Centene Corporation (Augusta, 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...and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve… more
- Mass Markets (Garden City, GA)
- …in the industry. We are seeking a strategic and results-oriented Contact Center Manager to oversee the daily operations of our BPO contact center. This leadership ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Mass Markets (Garden City, GA)
- …partner in the industry. We are looking for an Experienced Call Center Manager to oversee operations, drive performance, and ensure client satisfaction in a ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Mass Markets (Savannah, GA)
- …of 5-10 supervisors within a complex call center environment. The Operations Manager position is responsible for ensuring call quality from start to finish, ... applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition,… more
- Mass Markets (GA)
- …applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, ... Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal &… more
- Elevance Health (Atlanta, GA)
- …+ Knowledge of medical management process and ability to interpret and apply member contracts , member benefits, and managed care products strongly preferred ... the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers,… more
- Elevance Health (Atlanta, GA)
- …of the medical management processes and the ability to interpret and apply member contracts , member benefits, and managed care products is strongly ... a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- …through strong communication and interpersonal skills. + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as ... programs. + Comfortable understanding the operational and technical components of value-based contracts and the systems in which they are run to explain to… more