- PruittHealth (Albany, GA)
- …years industry experience in a managed care setting focused on experience in utilization review /case management and at least two years case management, home ... patient based on a thorough history and clinical record review , including the attending physician's plan, the recommendations of...Ability to work independently and be self-motivated in a remote environment * Manage assigned case load as business… more
- Parexel (Atlanta, GA)
- **Job Title:** Data Management Lead (Medical Affairs) - Oncology **Location:** Fully Remote (US based) Must be able to accommodate West Coast hours. **About Us:** At ... solutions, and ensure high-quality, compliant data. + Use surveillance tools to review data at an aggregate level, identifying patterns or anomalies to ensure… more
- BrightSpring Health Services (Valdosta, GA)
- …report any discrepancies to BM. + Run monthly End of Month reports. + Run and review Utilization - Work all over utilized clients to prevent SVPs. + Time Detail ... report any changes to Business Office Manager. + Web Portal Patient Monthly Liability Review monthly - send any changes to Business Office Manager. + Verify weekly… more
- Emory Healthcare/Emory University (Decatur, GA)
- …+ Facilitate quarterly collaboration with facilities and nursing faculty to align clinical utilization to ensure placement needs are met. + Conduct site visits to ... information, etc. + Collaborate with clinical partners for the review and clearance of rotation requests. + Provide oversight...to be performed in-person at an Emory University location. Remote work from home day options may be granted… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and forecast future needs. + Conducts regular meetings with EHC IT staff to review and clarify current and future storage needs. + Acts as storage team project ... Monitors storage health to maintain application availability. + Monitors storage utilization to ensure storage inventory availability for routine application growth.… more
- Arrow Electronics (Loganville, GA)
- …design, product and proof of concept demonstrations, solution consultation, architecture review , and enablement of Arrow partners. The SED possesses a background ... and leading vendors + Experience leading the development and utilization of multi-vendor technology lab environments driving technology demonstrations and… more
- Evolent (Atlanta, GA)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more **Work Location:** Atlanta, GA (100% remote , will only consider applicants from the following states: Alabama, Arkansas, Florida, ... clinical, financial, organizational, and academic needs. **RESPONSIBILITIES:** Data Analysis and Review : + As new enhancement requests are being reviewed, gather,… more
- Schnabel Engineering (Alpharetta, GA)
- …CM Team meetings, or otherwise. Progress Meeting Agenda's and Meeting Minutes; review of the Contractor's Change Orders, Contract Extension Requests, and monthly ... progress, production, and schedule. + Tracks Contractor's manpower and equipment utilization . + Documents observations and quality assurance/control activities in a… more
- Aflac (GA)
- …Business Analyst (SQL/API/SSO) The Company: Aflac Columbus The Location: GA, US, 31999 Remote , US, 31999 The Division: Digital Services Job Id: 8313 Salary Range: ... home, within the continental US. If the role is remote , there may be occasions that you are requested...APIs, SSO + Performance Tuning for Specific Platforms + Utilization of Advanced Modules or Extensions Education & Experience… more