. About the Opportunity The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting... Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness...
JOB SUMMARY: CARE seeks to deliver an HR Transformation program, aiming to leverage innovative technologies... for following project management practices utilizing CARE’s Project Delivery Lifecycle, managing relationships with key stakeholders...
to stakeholders and/or senior leadership Highly desired 0 Knowledge and experience with Medicaid, managed care, MMIS, health claims...The Georgia Department of Community Health (DCH) is procuring new Care Management Organizations to deliver health plan...
and experience with Medicaid, managed care, MMIS, health claims payment and processing, population health management...The Georgia Department of Community Health (DCH) is procuring new Care Management Organizations to deliver health plan...
and experience with Medicaid, managed care, MMIS, health claims payment and processing, population health management...The Georgia Department of Community Health (DCH) is procuring new Care Management Organizations to deliver health plan...
desired Knowledge and experience with Medicaid, managed care, MMIS, health claims payment and processing, population health... meeting at locations in GA other than headquarters (2 MLK, Atlanta, GA). So, a local resource is required. Job Summary...
and experience with Medicaid, managed care, MMIS, health claims payment and processing, population health management...The Georgia Department of Community Health (DCH) is procuring new Care Management Organizations to deliver health plan...
Experience presenting to stakeholders and/or senior leadership Highly desired Knowledge and experience with Medicaid, managed... care, MMIS, health claims payment and processing, population health management, or other similar are Highly desired PMP...
desired Knowledge and experience with Medicaid, managed care, MMIS, health claims payment and processing, population health... per week and as needed for special requirements. Job description: procuring new Care Management Organizations to deliver...
and managed. Monitor the use of clinical best practices in resident care and ensure CIH Team Leads are trained accordingly... visits at CIHs to ensure compliance, safety, and quality of care for all residents and staff. Conduct bi-annual site visits...
operations, managed care, or VBC models. Advanced analytical skills: SQL (required), SAS, Python, or R for statistical analysis.... Operates at the intersection of clinical care, interdisciplinary data analytics, and population health strategy by conducting...
, or population health management. Familiarity with health plan operations, managed care, or VBC models. Advanced analytical skills..., and improved health outcomes for members. Operates at the intersection of clinical care, interdisciplinary data analytics...
, or population health management. Familiarity with health plan operations, managed care, or VBC models. Advanced analytical skills..., and improved health outcomes for members. Operates at the intersection of clinical care, interdisciplinary data analytics...
must as be able to connect E2E required for execution as they scale cloud migration Has Managed enterprise DevOps CICD agile teams... like adoption assistance, surrogacy, and cryopreservation Social well-being benefits like subsidized back-up child/elder care...
limitations and managed care protocols preferred; and/or GE Centricity Business experience preferred. Successful completion... clinical specialty in an effort to build consistency of work flow and optimize resource usage. The position also organizes...
and physiology, billing regulations, Medicare & NCCI guidelines, insurance coverage limitations and managed care protocols preferred... consistency of work flow and optimize resource usage. The position also organizes, manages, and monitors the performance...
for network physicians. Minimum Requirements: Requires BA/BS in Pharmacy. Minimum of 2 years of managed care pharmacy (PBM..., lasting pharmacy care. The Clinical Pharmacist, Clinical Pharmacy Strategy Team - CarelonRx is responsible for developing...
-out requisitions and samples for referral testing. Assures validity of requisition to meet applicable Managed Care... to clinical laboratory personnel. Performs pre-analytical processes. Works effectively with others to meet patient and care...
/compliance with managed care accounts. Scientific understanding of clinical papers. Teaming with customers as a business... your territory in order to maintain existing physician groups, clinics and proprietary primary care offices. As a member of the...
as appropriate. Ensures revenue cycle processes are managed timely with proper adjudication procedures. Intervenes with third party..., Care Coordination and CFOs of each individual facility. Works closely with colleagues of Emory Clinic on the initiatives...