- National Vision (Lawrenceville, GA)
- …hard work is praised, and career growth is a reality. We are hiring for a Managed Care Customer Service Representative to join our growing team! ... their best. We help people by making quality eye care and eyewear more affordable and accessible. National Vision...line by line the details in order to determine customer 's responsibility and insurance responsibility. + Completes a high… more
- Oracle (Atlanta, GA)
- **Job Description** Oracle Customer Success Services (CSS) is an organization of 10,000+ employees that supports over 6,000 companies around the world. We are ... of their investment in Oracle technology. Primary job duty is to sell Customer Success Services offerings to prospective and existing customers. Offerings included … more
- Oracle (Atlanta, GA)
- …feels empowered and set up for success. **Job Description** The Advanced Customer Support team of Oracle NetSuite Professional Services is seeking a senior-level ... for our growing installed base of valued Customers. Specifically, the Advanced Customer Support (ACS) offering has been created to provide an umbrella subscription… more
- Oracle (Atlanta, GA)
- …Solutions Consultant - NetSuite ACS- Products Vertical **Job Description** The Advanced Customer Support team of Oracle NetSuite Professional Services is seeking a ... for our growing installed base of valued Customers. Specifically, the Advanced Customer Support (ACS) offering has been created to provide an umbrella subscription… more
- Oracle (Atlanta, GA)
- …Candidates located in the West will be given priority consideration. Oracle Customer Success Services helps customers achieve both IT and financial goals by ... Oracle investment for maximum business results. A designated team of service engineers, technical account managers, and product authorities provides highly… more
- Elevance Health (Atlanta, GA)
- ** Customer Care Representative II** **Location** : **Virtual** : This role enables associates to work virtually full-time, with the exception of required ... :** Monday - Friday 8:30am - 5:00pm EST The ** Customer Care Representative II** is responsible for...provider contracts, eligibility and claims. Proficient in all basic customer service areas performs some but not… more
- Palo Alto Networks (Atlanta, GA)
- …with our SOC engineering, threat hunting, and product teams to tailor the service to each customer 's environment, ensuring seamless delivery and exceptional ... + Value Delivery: Deliver white-glove onboarding and ongoing technical guidance for Managed XSIAM customers + Collect and analyze customer security data… more
- Merck (Atlanta, GA)
- … Customer Strategy, Health Economics, Interpersonal Relationships, Lead Generation, Managed Care , Market Analysis, Medical Affairs, Product Knowledge, Sales ... of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients'… more
- Merck (Atlanta, GA)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... field or healthcare environment. + Previous sales, account management, consultative, or customer service experience. + Experience developing and executing a plan… more
- CVS Health (Atlanta, GA)
- …learn the role of care management within Medicare and Medicaid managed care . + **Community Resources:** Familiarity with community resources and services. ... colleagues. + **Communication Skills:** Communicate effectively, both verbally and in writing. + ** Customer Service :** Excellent customer service and… more
- CVS Health (Atlanta, GA)
- …to thoroughly learn the role of care management within Medicare and Medicaid managed care . + Familiarity with community resources and services. + Ability to ... colleagues. + Communicate effectively, both verbally and in writing. + Excellent customer service and engagement skills. **Required Qualifications** + Must have… more
- Highmark Health (Atlanta, GA)
- …insurance experience + 1 year in a clinical setting **Preferred** + 5 years in UM/CM/QA/ Managed Care + 1 year in advanced training and experience in cognitive ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Molina Healthcare (Atlanta, GA)
- …setting. **Required Experience** + 3 - 5 years customer service , provider service , or claims experience in a managed care setting. + 3-5 years' ... healthcare policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** + Under general supervision, responsible… more
- Motion Recruitment Partners (Atlanta, GA)
- …and/or Desktop, POS, printer Break/Fix experience + Excellent technical troubleshooting and customer service skills + Reliable transportation and clean driving ... Our client is a multibillion-dollar company that provides end-to-end managed services, technology, and consulting to enable the digital...orders, and replaces parts as needed + Maintain good customer focus, meeting deadlines and service level… more
- Microsoft Corporation (Atlanta, GA)
- …every day and we need you as a **Global Critical Environment (CE) Application Service Engineer** . As a **Global CE Application Service Engineer** you act ... system (EPMS). You will be responsible for application support, service management, troubleshooting, maintenance, upgrades, optimization and security of the… more
- Cardinal Health (Atlanta, GA)
- …Demonstrates basic knowledge of network and payor concepts and applies an understanding of managed care trends to support the review and resolution of appeals ... relate to pricing and assessing gross margin/profitability. + Reviews and validates managed care contracts to ensure compliance with organizational policies,… more
- Oracle (Atlanta, GA)
- …to their business. As a CSS Fields Sales Rep; you'll be responsible for closing managed service engagements within a defined set of Key Accounts. Must possess ... and be an integral part of the Oracle Advanced Customer Services (ACS) Sales Organization! Responsibilities: + Services Sales...ACS Fields Sales Rep; you'll be responsible for closing managed service engagements within a defined set… more
- Highmark Health (Atlanta, GA)
- …business line expense trends, cost efficiency strategies, contractual or programmatic changes, quality-of- care outcomes, customer service and other specific ... as necessary. + Ensure that all contractual obligations including service level agreement (SLA) targets are achieved. + Ensure...Active pharmacist license + 4 years of experience in managed care pharmacy + 2 years of… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …for consistency with departmental goals while maintaining a high level of customer service satisfaction. + Management Supervision: Supervises staff and manages ... staff office, with other members of the medical staff service department and medical staff members of hospital. +...procedures to comply with medial staff bylaws, hospital bylaws, managed care policies, TJC/NCQA requirements and related… more
- Molina Healthcare (Atlanta, GA)
- …* Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** * Customer /provider experience in a managed care ... agencies. **Required Qualifications** * At least 2 years of managed care experience in a call center,...knowledge of regulatory guidelines for appeals and denials. * Customer service experience. * Strong organizational and… more