- Cprime (Atlanta, GA)
- …firm specializing in ServiceNow advisory, implementation, AI-powered workflow automation, and managed services. We partner with enterprise clients to transform their ... automation. We are seeking a dynamic and experienced ServiceNow & AI Sales Manager who combines strategic sales expertise with a genuine commitment to helping… more
- DATAPATH INC (Duluth, GA)
- …Percentage None Job Shift Day Job Category Information Technology IT Manager -Internal Support DataPath specializes in designing, manufacturing, and supporting both ... All of our solutions are backed by industry leading management tools, customer care and field support. At DataPath we are passionate about developing easy-to-use… more
- Cardinal Health (Atlanta, GA)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Molina Healthcare (Atlanta, GA)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Molina Healthcare (Atlanta, GA)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Indeed (Atlanta, GA)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- Molina Healthcare (Atlanta, GA)
- …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Molina Healthcare (Atlanta, GA)
- …Qualifications** * At least 3 years of experience in a pharmacy, Pharmacy Benefit Manager (PBM), formulary, and/or managed care setting, and 1-2 years ... team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...Qualifications** * Medicare Part D and/or Medicaid experience. * Managed care experience. To all current Molina… more
- Elevance Health (Atlanta, GA)
- **Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental ... hours with** **some weekends based upon organizational/business needs.** The **Behavioral Health Care Manager II** is responsible for managing psychiatric and… more
- Molina Healthcare (Atlanta, GA)
- …Nursing preferred. **Required Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **Required ... in Nursing **Preferred Experience** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Preferred License,… more
- Humana (Atlanta, GA)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'… more
- Molina Healthcare (Atlanta, GA)
- …(LPN) Program **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED ... in OB HIGH RISK / maternal health case management, disease management, managed care or medical or behavioral health settings. To all current Molina employees:… more
- CenterWell (Atlanta, GA)
- …+ Experience with case management, discharge planning and patient education for adult acute care + Managed care experience + Home Health Care ... Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a work-from-home… more
- Elevance Health (Atlanta, GA)
- **Behavior Health Care Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... is granted as required by law._ The **Behavior Health Care Manager II** will be responsible for...range of experience with complex psychiatric/substance abuse cases required.Prior managed care experience required. + Current active… more
- Gentiva (Stockbridge, GA)
- **Overview** 7,500 SIGN ON BONUS We're looking for a **Patient Care Manager Senior** to join our team. You will report directly to the Executive Director or ... of terminally ill patients and their families. + Thorough knowledge of managed care principles, regulatory guidelines (ie, Medicare, Medicaid, JCAHO, ACHC,… more
- Elevance Health (Atlanta, GA)
- …acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. + Managed Care experience. For candidates ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management...Nurse Case Manager II** is responsible for care management within the scope of licensure for members… more
- CenterWell (Decatur, GA)
- …in a Cardiology setting + Bachelor's Degree + Bilingual in both English and Spanish + Managed care experience + Value Based Care knowledge + Proven ability ... help us put health first** **Job Description Summary** The ** Manager , Clinic/Center Administration** plans and directs the work of...of an interdisciplinary team + Solid understanding of medical care delivery, managed care financial… more
- CDM Smith (Atlanta, GA)
- …CDM Smith currently has a new opportunity for a Senior Project Manager with previous experience managing industrial water and/or wastewater projects to join ... Smith's mission by: * Managing and serving as the lead Project Manager on water/wastewater projects * Providing technical guidance, senior leadership, and mentoring… more
- Medtronic (Atlanta, GA)
- …connected, compassionate world. **A Day in the Life** The Sr. IT Program Manager - Collaboration, will be responsible for the strategic and operational leadership of ... driving service excellence, and managing a global team, including offshore managed service providers. The ideal candidate will bring deep technical expertise,… more
- CenterWell (Marietta, GA)
- …you to sit on-site at our Marietta, GA branch location.** The **RN Clinical Manager ** coordinates and oversees all direct care patient services provided by ... a part of our caring community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in their homes by providing health… more
