- Intermountain Health (Atlanta, GA)
- …professionals, supervises a number of direct reports, and reports to the Senior Director , Physician Contracting . **Essential Functions** + Manage the Physician ... reports. + Provide technical direction and guidance to the physician contracting staff to ensure that their delegated assignments are completed such that the… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Director , Provider Contracting initiates, negotiates, and executes complex physician, ... provider contracts and agreements for an organization. The Director , Provider Contracting leads and...at Home Requirements** + Must have the ability to provide a high speed DSL or cable modem for… more
- The Cigna Group (Atlanta, GA)
- **LOCATION:** **Must live in Atlanta, GA area** The ** Director , Provider Contracting ** serves as an integral member of the Provider Contracting Team ... and reports to the Provider Contracting Senior Manager. This role assists in developing the...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- Molina Healthcare (Atlanta, GA)
- …live in the United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards ... Network Mgmt & Operations with an emphasis on value based provider contracting . **Required License, Certification, Association** N/A **Preferred Education**… more
- Molina Healthcare (Atlanta, GA)
- …and ensure service issues are resolved, including escalated claims payments/disputes, provider demographics, provider contracting accuracy and credentialing. ... Leads the market's strategy and planning in the successful development of the provider network, including development, contracting and management of provider … more
- Highmark Health (Atlanta, GA)
- …large cross organizational programs. + 5 years Familiarity with health plan and provider contracting or revenue management + 3 years Experience working in ... to drive adoption and close gaps. Critical partners include Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions,… more
- Molina Healthcare (Atlanta, GA)
- …the Director , Provider Contracts, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on ... specialties/ geographies). Oversees the development of new reimbursement models in concert with Director . * Oversees the maintenance of all Provider and payer… more
- Morehouse School Of Medicine (Atlanta, GA)
- Clinical Director Finance and Business Operations Bookmark this Posting Print Preview | Apply for this Job Please see Special Instructions for more details. No ... at MSM ! Posting Number NONAC3122 Job Title Clinical Director Finance and Business Operations Position Title Clinical ...coming in on budget. . Build internal systems for contracting and procurement that allow unit to make decisions… more
- Elevance Health (Atlanta, GA)
- …budgeting and forecasting, process improvement, technical development processes, and provider contracting . **Preferred Skills, Capabilities & Experience:** + ... ** Director II Network Services Program** **Location:** Alternate locations...all lines of business, and support efforts to increase provider performance. + Partners with local markets, Account Managers… more
- Molina Healthcare (Atlanta, GA)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance... for Specialty Medical Services & Market Performance will provide clinical expertise and support to the enterprise. Primary… more