- Sumitomo Pharma (Atlanta, GA)
- …seeking a dynamic, highly motivated, and experienced individual for the position of Sr . Manager , Medicaid Contract Administration. This position ... is responsible for managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
- Elevance Health (Columbus, GA)
- Provider Success Consultant Sr . (Georgia Market) **Location:** This role requires associates to be in-office (Atlanta or Columbus) 1 - 2 days per week, fostering ... PEACHTREE ST NW** + **COLUMBUS, 6087 TECHNOLOGY PKWY** **The Care Consultant Sr .** is responsible for fostering long-term partnerships with our providers and driving… more
- Elevance Health (Atlanta, GA)
- … Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... **Audit & Reimbursement Senior ** _Location:_ This role enables associates to work...federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health… more
- CenterWell (Atlanta, GA)
- …of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to identify and address ... for business segments or the company at large. The Senior Strategy Advancement Professional work assignments involve moderately complex...payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and… more
- Centene Corporation (Atlanta, GA)
- …responsive servicing of APPs. + Achieves company goals through aggressive APP contract management. + Monitors APP performance under risk arrangements for Medicaid ... of management experience Required Other Or 3+ years of Supervisory, or Lead/ Sr . role with demonstrated leadership ability or program management experiencePay Range:… more
- Elevance Health (Atlanta, GA)
- **CareBridge Sales Operations Manager ** **Location:** Nashville, TN; Grand Prairie, TX; Wilmington, DE; Miami; FL; Atlanta, GA (preferred). This role enables ... face-to-face onboarding and skill development. The **CareBridge Sales Operations Manager ** is responsible for providing day-to-day support along with overall… more
- Fresenius Medical Center (Kennesaw, GA)
- …the appropriate accounts in the appropriate medical billing software application (Medical Manager or Imagine). + Verifies that the applied transactions reconcile to ... and updates the appropriate accounts on the Denial Batch Manager log. Updated information reviewed by the A/R Representative...if claims are being reimbursed according to the payer contract or government published fee schedule. + Accounts with… more
- Elevance Health (Atlanta, GA)
- …to support the design of new provider reimbursement methodologies across Medicare, Medicaid , and Commercial lines of business. * Measure and report on program ... enterprise analytics teams to deliver actionable insights on provider economics, contract structures, and affordability strategies. * Leverage modeling tools to… more