- CenterWell (Cumming, GA)
- …audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Prime Therapeutics (Atlanta, GA)
- …and resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. ... or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) + Must be eligible… more
- CenterWell (Decatur, GA)
- …experience * Basic knowledge of Population Health Strategy * Familiarity with Medicare **Additional Information** This role is considered patient facing and is part ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Molina Healthcare (GA)
- …would occur to discuss and resolve issues related to utilization management, pharmacy , quality of care, and correct coding. * Independently delivers training and ... various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not limited to, fee-for… more
- CenterWell (Atlanta, GA)
- …the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience in the last 24 months as ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Cardinal Health (Atlanta, GA)
- …in Managed Care preferred + 2-4 years experience in health care preferred + Pharmacy Technician experience a plus, not required + Familiarity with Medicare and ... Medicaid + Proficient in Microsoft Office (Excel VLOOKUPS) + Strong written and verbal communication skills + Organized with attention to detail **_What is expected of you and others at this level_** + Applies working knowledge in the application of concepts,… more
- CenterWell (Augusta, GA)
- …ideally field sales with a focus on senior value-based care models or Medicare Advantage. + In-depth knowledge of senior healthcare market dynamics. + Exceptional ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more
- Prime Therapeutics (Atlanta, GA)
- …consultants, key state leaders, industry trade associations, and Centers for Medicare and Medicaid Services (CMS); establish an effective communication and ... experience in sales, account management, and strategy development experience in PBM, pharmacy , health plan and/or managed care + 10 years of leadership/people… more
- CenterWell (Savannah, GA)
- …Degree in applicable discipline + Familiarity with state Medicaid and Medicare guidelines and application processes + Experience working with seniors' complex ... one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the… more