- 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)
- …as a Case Manager is preferred. + Certification in the American Association of Managed Care Nurses preferred. + Broad clinical knowledge base of disease ... processes strongly preferred. + Prior managed care and case management experience preferred....is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- ChenMed (Decatur, GA)
- …cost, quality and value, and other clinical issues, especially within a managed care environment, required We're ChenMed and we're transforming healthcare ... quality improvement initiatives and special projects as assigned by leader and requested by ChenMed and/or Complex Care...and D and cost mitigation strategies + Understanding of Managed Medicare guiding principles + Ability to monitor, assess… more
- Elevance Health (Atlanta, GA)
- …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... skills strongly preferred. + Experience with Python preferred. + Managed health care industry experience preferred. +...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CenterWell (Atlanta, GA)
- …professional experience in health-related strategy and operations positions + Experience in value-based care , particularly managed care or full risk models + ... of the organization by identifying, evaluating, and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior… more
- Elevance Health (Atlanta, GA)
- …experience with complex psychiatric/ substance abuse cases required. + Prior managed care experience required **Preferred Skills, Capabilities and Experiences:** ... **Behavioral Health Care Manager II** The ideal candidate will live...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… 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
- Humana (Atlanta, GA)
- …ability of limited resources to achieve growth Candidates will possess Medicaid managed care operations expertise and have experience in designing solutions ... us put health first** The Market Entry Capture Strategy Lead will lead initiatives to develop and...+ 5+ years' experience in a Medicaid or Medicare Managed Care Organization + 5+ years' experience… more