- WTW (Atlanta, GA)
- …Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of the Willis Towers Watson ... (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
- Humana (Atlanta, GA)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Elevance Health (Atlanta, GA)
- …Certification as a Case Manager is preferred. + Participation in the American Association of Managed Care Nurses preferred. + Prior managed care ... to interpret and apply member contracts, member benefits, and managed care products strongly preferred. _For URAC...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CVS Health (Atlanta, GA)
- …a willingness to learn about care management within Medicare and Medicaid managed care . + Familiarity with community resources and services. + Navigate ... each and every day. **Program Summary** Join our Aetna care management team as we lead the...Qualifications** + Case management and discharge planning experience + Managed care experience **Education** + High School… more
- Gentiva (Conyers, GA)
- …of terminally ill patients and their families. + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, JCAHO, ACHC, ... is a member of the Gentiva family - an industry leader in hospice, palliative, home health, and personal home care . Our place is by the side of those who need… more
- Novo Nordisk (Valdosta, GA)
- …in order to influence formulary status, as applicable + May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... the people who need them most. At Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious chronic conditions such as… more
- Humana (Atlanta, GA)
- … - Benefits is an experienced healthcare strategist that possesses broad Medicaid Managed Care expertise, deep working knowledge of insurance products, and has ... track record of bringing new benefits to market. The Lead will partner across various multi-disciplinary teams at Humana...on Medicaid populations + Deep working knowledge of Medicaid managed care policy, programs, and covered services… more
- State of Georgia (Fulton County, GA)
- …seeking a qualified candidate for the Contracts Compliance Resolution Supervisor position in the Managed Care Services & Compliance Unit. The Managed Care ... (of which approximately 1.8 million are in the Medicaid managed care program (also known as Georgia...job-related experience which includes two (2) years in a lead worker, team leader , or supervisory role… more
- CenterWell (Atlanta, GA)
- …first** The Clinical Pharmacy Lead requires a broad understanding of pharmacy, managed care , PBM, market and regulatory insights to develop, and/or implement ... cost trend and improve health outcomes. The Clinical Pharmacy Lead work assignments involve moderately complex to complex issues...lines of business. + Utilizes broad understanding of pharmacy, managed care , PBM, market and regulatory insights… more
- Cardinal Health (Atlanta, GA)
- … leader responsible for leading all aspects of Navista's Physician Office's revenue cycle, managed care and value based care programs and services. Key ... developing team members, and innovation + Develops and implements managed care contracting strategy including implementation of...with the payer, provider, and service partners to enhance care delivery and provider support. + Lead … more