- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide ... clinical insight into product development and testing as well...acute care setting + 2+ years of experience in utilization management + Knowledge and understanding of… more
- CVS Health (Atlanta, GA)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in EST/CST zones… more
- CVS Health (Atlanta, GA)
- …of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active current ... additional Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma… more
- Elevance Health (Columbus, GA)
- ** Utilization Management Medical Director- NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... Alternate locations may be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be… more
- Cardinal Health (Atlanta, GA)
- **Ideal candidate will live near a major/regional airport.** **_What Clinical Operations contributes to Cardinal Health_** Clinical Operations is responsible for ... and service education to facilitate technology adoption and workflow change management . + Demonstrates extensive knowledge and understanding of relevant clinical… more
- Prime Therapeutics (Atlanta, GA)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Network Management Consultant - Remote **Job Description** The Network Management ... Consultant is responsible for development, performance and management of Prime's retail, mail, specialty, and quality-based networks aligning with Prime's Supply… more
- Highmark Health (Atlanta, GA)
- …needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop, ... while also being capable of developing technical solutions. The consultant will act as a senior resource within the...the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The… more
- CVS Health (Atlanta, GA)
- …8:00am - 5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience **Education** Associates degree ... and every day. **Position Summary** As a QM Nurse Consultant you will be responsible for the review and...will be responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets… more
- CVS Health (Atlanta, GA)
- …compassionate. And we do it all with heart, each and every day. Active Health Management is seeking a Telephonic Health Coach who has experience with virtual face to ... not apply for this position. **Position Overview:** The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and… more
- Oracle (Atlanta, GA)
- …Vitals Collection (MVC), and Infusion Suite. As an Integrated Technologies Consultant II, you will be responsible for providing consulting implementation services ... These services include the integrated technology deployments of hardware, software, and clinical workflow consulting. As a member of the CareAware Device Integration… more