- TEKsystems (Atlanta, GA)
- REMOTE Healthcare Member Services Representative MUST HAVE: Candidates must be physically located in EST to be considered -Must have open availability 7 ... or GED required. -Minimum of 1-2 years of customer service experience, preferably in healthcare or insurance....healthcare or insurance. Description Position Overview: As a Member Services Representative, you will be the… more
- Concentrix (Atlanta, GA)
- Job Title: Customer Service Representative ( Healthcare ) - Remote Job Description Title: Customer Service Representative ( Remote ) Location: United ... States JOB DESCRIPTION The Customer Service Representative ( Remote ) works from home and engages with customers through inbound and outbound calls and/or online… more
- Molina Healthcare (Atlanta, GA)
- …position requires the ability to work in a high-volume environment auditing the staff. Remote position Work hours: Monday - Friday: 8:00am to 4:30pm OR 8:30am to ... other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management (HM), and/or Disease Management (DM).… more
- Molina Healthcare (Atlanta, GA)
- Molina Pharmacy Services is hiring a Pharmacist, Clinical/MTM. This is a remote role, that will be working Monday through Friday, 9am to 5pm Pacific Standard ... follow-up efforts to improve Part D STARS, Medicare/MMP LOB. Molina Pharmacy Services /Management staff work to ensure that Molina members have access to all… more
- Molina Healthcare (Atlanta, GA)
- …operational issues and resource needs to appropriate management. + Assists Molina Member Services , pharmacies, and health plan providers in resolving ... **Job Summary** Molina Healthcare is hiring for several Pharmacy Technicians. These...member prescription claim, prior authorization, or pharmacy services access issues. + Articulates Pharmacy Management policies and… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** Molina Pharmacy Services /Management staff work to ensure that Molina members have access to all medically necessary prescription ... drug/provider utilization patterns and pharmacy costs management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient… more
- Molina Healthcare (Atlanta, GA)
- …and quality assures all proceedings with State and/or Federal Agencies. (including member complaints) within required SLAs ( Service Level Agreements) + Utilize ... + Manages high volumes of tasks to support regulatory requirements and service level agreements and competing priorities. + Contributes to technical system… more
- Molina Healthcare (Atlanta, GA)
- …operational issues and resource needs to appropriate management. + Assists Molina Member Services , pharmacies, and health plan providers in resolving ... member prescription claim, prior authorization, or pharmacy services access issues. + Articulates Pharmacy Management policies and procedures to pharmacy/health… more
- Molina Healthcare (Atlanta, GA)
- …of our members. Develops the network, assuring network adequacy and access to member choice in compliance with federal and state laws. Negotiates and services ... may vary by market and may be organized by services , such as hospitals, providers: or type of contract,...providers: or type of contract, such as fee for service or value-based contracting. **Knowledge/Skills/Abilities** * Leads the market's… more
- Molina Healthcare (Atlanta, GA)
- …by the department. + Apply contract language, benefits, and review of covered services + Responsible for contacting the member /provider through written and ... **JOB DESCRIPTION** **Job Summary** Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or… more
- Molina Healthcare (Atlanta, GA)
- …Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations. **Knowledge/Skills/Abilities** ... ensure accuracy, timeliness and completion (eg regarding required submissions, member and provider inquiries, ad hoc regulatory inquiries/requests, marketing… more
- Molina Healthcare (Atlanta, GA)
- …service information, and identifies opportunities to improve our member and provider experiences. **KNOWLEDGE/SKILLS/ABILITIES** * Responsible for owning, ... **JOB DESCRIPTION** **Job Summary** Provides customer support and stellar service to meet the needs of our Molina members and providers. Resolves issues and… more
- Kelly Services (Roswell, GA)
- …interpret Spanish/English conversations for a wide range of industries including Healthcare , Government entities, Police Services , Insurance, Financial, and ... **Kelly(R) Professional & Industrial has open opportunities for remote Spanish Interpreters.** We are currently looking for...you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to… more
- Compass Group, North America (Sandy Springs, GA)
- Morrison Healthcare + We are hiring immediately for a Remote Registered Dietitian position. + Note: online applications accepted only. + Location: Remote but ... ! Morrison Healthcare is a leading national food and nutrition services company supporting more than 1,000 hospitals and healthcare systems across… more
- Medtronic (Duluth, GA)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... compassionate world. **A Day in the Life** **Careers that Change Lives** This Remote Account Manager II is a hybrid office/ remote -based Medtronic Endoscopy… more
- Omnicell (Atlanta, GA)
- …Our comprehensive portfolio of robotics, smart devices, intelligent software, and expert services is helping healthcare facilities worldwide to improve business ... providing legal guidance and business partnership on general and healthcare privacy, artificial intelligence and data governance. Sr. Counsel,...including BAAs and DPAs from both a customer and service provider point of view. This is a 100%… more
- Prime Therapeutics (Atlanta, GA)
- …that meet Prime and client priorities; work with Employer Account Manager to ensure member and client service excellence and satisfaction + Lead client meetings ... drives every decision we make. **Job Posting Title** Employer Account Executive - Remote in TX **Job Description** The Employer Account Executive serves as the… more
- Sharecare (Atlanta, GA)
- …effects. + Facilitate and monitor the transition of care which involves moving the member from one healthcare practitioner to another as their healthcare ... care team to ensure members have an effective plan of care and positive member experience that leads to improved health outcomes. The Care Manager will advocate and… more
- Prime Therapeutics (Atlanta, GA)
- …drives every decision we make. **Job Posting Title** Chief External Affairs Officer - REMOTE **Job Description** As a key member of the senior leadership team, ... and emerging trends + Drive public discourse on critical healthcare topics such as drug pricing, access, and transparency,...collaboratively to provide the highest quality of care and service to our members. If you are looking to… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Account Manager - Remote **Job Description** The Account Manager is responsible for supporting the assigned ... Health Plan Leadership team to resolve issues and ensure member satisfaction; coordinate with operational units to put processes...at the account through use of Prime products and services + Support Employer Group retention through: proactive and… more