- Molina Healthcare (Savannah, GA)
- **Job Description** **Job Summary** The Print Production Specialist is responsible for supporting the growth marketing operations team in developing mail plans and ... execution for prospect and member mailings. The Specialist will work closely with the Print Production Manager...as needed) for member and required materials to meet company and CMS requirements * Meet with Production Manager… more
- Elevance Health (Atlanta, GA)
- **Medical Management Specialist I** **Location** : **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... as required by law. **Shift:** Monday-Friday 8a-5p EST The **Medical Management Specialist I** is responsible for providing non-clinical support to the Medical… more
- Molina Healthcare (Columbus, GA)
- Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist . The Sr. Specialist , Digital Marketing will be responsible for analyzing and ... acquisition and engagement, and implementing digital campaigns effectively to meet company goals. The ideal candidate will have experience mapping lead journeys,… more
- Aveanna Healthcare (Atlanta, GA)
- Clinical Solutions Service Specialist II ApplyRefer a FriendBack Job Details Requisition #: 200140 Location: Atlanta, GA 30339 Category: IT Salary: $25.00 - $30.00 ... hour Position Details Position Overview: The Clinical Solutions Service Specialist II is proficient in clinical applications, such as...will not pay fees to any third-party agency or company that does not have a signed agreement with… more
- Highmark Health (Atlanta, GA)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job is responsible for key strategic initiatives for the Markets and Provider Transformation ... share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing… more
- Centene Corporation (Atlanta, GA)
- …state of Georgia.** **Position Purpose:** The Senior Quality Improvement Specialist is responsible for coordinating assigned regulatory, accreditation, clinical ... committee presentation and management. + Identifies areas of improvement within the company and works collaboratively with other departments to develop clinical and… more
- Cardinal Health (Atlanta, GA)
- …inquiries and concerns in a timely manner + Enter detailed information into company proprietary software while conversing via telephone + Place outbound phone calls ... or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for...level** : + Effectively applies knowledge of job and company policies and procedures to complete a variety of… more
- Molina Healthcare (Atlanta, GA)
- …that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the ... have sanctions/exclusions. * Reviews and processes daily alerts for Medicare Opt-Out reports to determine if any provider has...to determine if any provider has opted out of Medicare . * Reviews and processes daily NPDB Continuous Query… more
- Waystar (Atlanta, GA)
- …hospitals and health systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out our organizational values: ... benefits package (3 medical plans with Health Saving Account company match) + We offer generous paid time off...adoption assistance and fertility support + 401(K) program with company match + Pet insurance + Employee resource groups… more
- Cardinal Health (Atlanta, GA)
- …you and others at this level_** + Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments + In-depth knowledge ... + Cell/Gene therapy and/or Oncology experience, preferred + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and policies, preferred… more