- Optiv (Atlanta, GA)
- _This position will be fully remote and can be hired anywhere in the continental US_ The Practice Manager is a key leadership role within our Services consulting ... documented, up to date, and consistently applied across all projects + Review and approve project deliverables for accuracy, completeness, and alignment with… more
- Prime Therapeutics (Atlanta, GA)
- …decision we make. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network Management Consultant is responsible for development, ... to update contract documents including agreements and applications for utilization in contracting/re-contracting activities based on new network participation… more
- Prime Therapeutics (Atlanta, GA)
- …every decision we make. **Job Posting Title** Clinical Program Management Director - Remote **Job Description** **Are you looking for a client facing role? Become an ... specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and… more
- Cognizant (Atlanta, GA)
- …guidelines and regulations + Experience in the analysis and processing of claims, utilization review /quality assurance procedures + Must be able to work with ... technologies to transform a variety of business operations. We are seeking **Fully Remote US Based** Claims Processors to join our growing team. The **Medical**… more
- Prime Therapeutics (Atlanta, GA)
- …we make. **Job Posting Title** Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director, Pharmaceutical Trade Relations is responsible for ... including items such as manufacturer and GPO negotiation, rate and utilization management policy creation and interpretation, formulary modeling and pull through… more
- Prime Therapeutics (Atlanta, GA)
- …make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description** The Clinical Solutions Strategy Senior Director is responsible ... and implementation of innovative drug solutions, including optimizing drug utilization , patient outcomes, and cost-effectiveness through value-based care models,… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Underwriter - REMOTE **Job Description** The Underwriter is responsible for assisting in the development ... develop pricing in response to moderate to complex RFP's + Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing… more
- Prime Therapeutics (Atlanta, GA)
- …make. **Job Posting Title** Clinical Account Manager - Georgia PDL - Remote in Georgia **Job Description** Innovative business clinician accountable for building and ... fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for additional… more
- Prime Therapeutics (Atlanta, GA)
- …decision we make. **Job Posting Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior Director of Actuarial Forecasting leads a team ... functional leadership to develop and maintain projected trend assumptions related to utilization , unit cost, and gross/net rebate assumptions + Owns the annual… more
- Prime Therapeutics (Atlanta, GA)
- …every decision we make. **Job Posting Title** Principal Underwriter - REMOTE **Job Description** The Principal Underwriter is responsible for achieving profit, ... guarantees and other financial considerations. **Responsibilities** + Evaluates the utilization and financial experience of customers and prospects; primarily… more