- Molina Healthcare (Savannah, GA)
- … healthcare experience + Understanding of the drivers and strategies across functions in managed care organizations (MCOs) as well as broad knowledge of the ... Summary** The role, reporting directly to the Head of Strategy , is a critical member of the Strategy... Strategy , is a critical member of the Strategy team, which supports senior executives in creating corporate,… more
- Molina Healthcare (GA)
- …prior managed healthcare experience + Understanding of the drivers of value in managed health care as well as broad knowledge of the healthcare industry + ... Summary** The role, reporting directly to the Head of Strategy , is a critical member of the Strategy... Strategy , is a critical member of the Strategy team, which supports senior executives in creating corporate,… more
- Molina Healthcare (Augusta, GA)
- …with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy and objectives. ... **Job Description** **Job Summary** Leads the market's strategy and planning in the successful development of the provider network, including development,… more
- Morehouse School Of Medicine (Atlanta, GA)
- …of Finance and Business Operations leader for the Mission area. Primary Responsibilities: Strategy : . The Director of Finance and Business Operations, with input ... Director Finance and Business Operations Bookmark this Posting...health professional and scientific workforce; * Address primary health care through programs in education, research and service; With… more
- Cardinal Health (Atlanta, GA)
- …organizational development, and possesses a deep understanding of healthcare reimbursement ( managed care and specialty pharmacy operations). In addition to ... Strong project management skills + Understanding of the healthcare reimbursement and managed care + Excellent planning, budget forecasting, and presentation… more
- Molina Healthcare (Atlanta, GA)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
- Hilton (Atlanta, GA)
- …be on our Development team who play a large part in driving Hilton's growth strategy through the addition of new hotels to our ever\-growing portfolio\! As a ... Director of Development, you will partner with owners and investors to grow our managed and franchised hotel estate and allow them to use our global expertise to… more
- Sevita (Augusta, GA)
- …and foster communication and relationships with individuals, families, case managers, managed care contractors, and other stakeholders; monitor customer ... experience a career well lived. **Program Management - Program Director IDD Services Host Home** Are you an experienced...trends and responding to payer need + Direct program strategy to manage census, maintain occupancy, improve daily attendance,… more
- Molina Healthcare (GA)
- …equivalent experience. **Required Experience** At least 7 - 10 years of experience in Managed Care and/or health plan quality. Clinical experience is needed for ... of Care issues, and medical record abstraction. Technical and strategy experience is needed for positions focused on interventions. **Preferred Education**… more
- Black & Veatch (Atlanta, GA)
- **Solutions Sales Director - Industrial Cybersecurity** Date: Apr 29, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, ... talents and perspectives to use. **The Opportunity** The Solution Sales Director for Industrial Cybersecurity will have the opportunity to coordinate internal… more
- Humana (Atlanta, GA)
- …relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects from ... concept to execution **Additional Information** This role reports to the Director of Strategy , works collaboratively with members of rest of the team, and with… more
- Evolent (Atlanta, GA)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to… more
- CenterWell (Atlanta, GA)
- …which you are required to practice + Eight (8) years of clinical experience in managed care or equivalent experience + Five (5) years' experience in effectively ... caring community and help us put health first** The Director of Clinical Pharmacy will be the leader of...teams at all levels on the concepts, opportunities and strategy of managing traditional and specialty medications + Ability… more
- EPAM Systems (Atlanta, GA)
- …various levels across various groups at EPAM. Our programs span various capabilities from Strategy all the way through Managed Services and are supported by ... delivery through an integrated delivery model + Develop and implement the Delivery strategy in alignment with EPAM's objectives and methodology + Define and enforce… more
- Highmark Health (Atlanta, GA)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... budgetary responsibility and authority. + Develop the overall conceptualization, strategy alignment, financial models, and high-level design of new reimbursement… more
- Molina Healthcare (Savannah, GA)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard provider… more
- ChenMed (Decatur, GA)
- …and Post-Acute Care Managers in delivering the day-to-day programmatic acute care strategy . The incumbent will be responsible for clinical oversight of ... LTACH) in close collaboration post-acute physician and/or Regional Medical Director of Clinical Strategy (RMD-CS) and ensure...and value, and other clinical issues, especially within a managed care environment, required We're ChenMed and… more
- Graphic Packaging International, LLC (Atlanta, GA)
- …world's most recognized brands of food, beverage, foodservice, household, personal care and pet products. Headquartered in Atlanta, Georgia, we are collaborative, ... **A World of Difference. Made Possible.** SUMMARY: Reporting to the Sr. Director , Global Infrastructure & Technology Operations, the Sr. Architect for Global… more
- Molina Healthcare (GA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational… more
- Elevance Health (Atlanta, GA)
- …+ **Leadership & Utilization Management:** Prior leadership role in a managed care environment and possess strong utilization management experience. ... depression, and insightful analytics to improve the delivery of care . Carelon Behavioral Health Health Options is a proud...deals or secure partnerships. Corporate Title: Staff VP Medical Director For candidates working in person or remotely in… more