- Elevance Health (Atlanta, GA)
- ** Provider Reimbursement Manager ** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... considered for employment, unless an accommodation is granted as required by law. The ** Provider Reimbursement Manager ** manages key components of the … more
- Danaher Corporation (Atlanta, GA)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... facing role responsible for delivering compliant payer coverage, coding and reimbursement information regarding Cepheid on market diagnostics. This role will cross… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to reach new heights in your career and be what you want to be. We provide : + Comprehensive health benefits that start day 1 + Student Loan Repayment Assistance & ... Reimbursement Programs + Family-focused benefits + Wellness incentives +...reporting for Governmental Reimbursements for Emory Healthcare. + The Manager of Government Reimbursements is responsible for overseeing the… more
- Elevance Health (Atlanta, GA)
- ** Provider Relationship Account Manager ** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Relationship Account Manager ** is responsible for...process on such issues as administrative and medical policy, reimbursement , and provider utilization patterns. + Conducts… more
- Molina Healthcare (GA)
- …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development… more
- Centene Corporation (Augusta, 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 for resolution to internal partners + Receive and effectively respond… 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
- Molina Healthcare (Columbus, GA)
- …effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets and… more
- Molina Healthcare (GA)
- …have issues or complaints (eg, problems with claims and encounter data, eligibility, reimbursement , and provider website). + Serves as a resource to support ... live in Georgia _** **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development,… more
- The Cigna Group (Atlanta, GA)
- **Work Location: Atlanta, GA** The **AVP, Provider Contract Network Management** serves as an integral member of the Network Management & Affordability Team and ... one or more geographies. + Proactively builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support the… more
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