- Elevance Health (Atlanta, GA)
- ** Provider Reimbursement Manager ** **Hybrid 1:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... considered for employment, unless an accommodation is granted as required by law. The ** Provider Reimbursement Manager ** manages key components of the … more
- Sanofi Group (Savannah, GA)
- **Job Title:** Field Reimbursement Manager (FRM), Dupixent - Savannah-Charleston **Location** : US Remote/Field **About the Job** In this field-based position, ... the FRM will report to FRM Director. The Field Reimbursement Manager (FRM) will be the field...happen. So, let's be those people. At Sanofi, we provide equal opportunities to all regardless of race, colour,… more
- Humana (Atlanta, GA)
- …VLOOKUP) **Preferred Qualifications** + Experience researching and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + ... Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing… more
- Molina Healthcare (GA)
- …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to… more
- Elevance Health (Atlanta, GA)
- …**Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate ... reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experience:**… more
- Centene Corporation (Atlanta, GA)
- …Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... act as a liaison between the providers and the health plan + Triages provider issues as needed and coordinates response with internal matrix partners. + Receive and… more
- Centene Corporation (Atlanta, GA)
- …with all policies and standards + Travel up to 30% in person for provider and team meetings Education: Bachelor's Degree in Nursing, Medicine, or Health Sciences ... Georgia as there is up to 30% travel for provider and team meetings required. Pay Range: $55,100.00 -...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- Elevance Health (Atlanta, GA)
- …mandates. + Creates and maintains databases to develop and update non-par provider reimbursement . + Analyzes data and summarizes using summary statistical ... skills highly preferred. + Knowledge of Facility, Professional and Ancillary provider reimbursement methodologies highly preferred. Please be advised that… more
- Elevance Health (Atlanta, GA)
- …contracts to ensure that a claim is paid in accordance with the contract, provider reimbursement policies, and industry standards. **How you will make an ... ** Provider Auditor** _This position will work a hybrid...or any combination of education and experience, which would provide an equivalent background. RN, LPN or medical coding… more
- The Hertz Corporation (Atlanta, GA)
- …of contact for escalation/resolution of client issues + Set incident expectations with and provide ongoing feedback to Service Provider in order for them to ... Ensure adherence to ITSM's Change, Incident and Problem Management processes + Provide on-call manager escalation support for production incidents and incidents… more