Jobs near Atlanta: 11,446
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Relevance Score ranked on: SIX SIGMA
Execution Director - Six Sigma Certified
Atlanta
LOCATION: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health Pulse. Point locations. HOURS: General business hours, Monday through Friday. TRAVEL: Up to 25% to worksites and other locations as needed. The Execution D...
Search Terms: Director, Six Sigma, Certified, Healthcare, Business Services
86.3
0mi
Updated: October 09
Marketing Strategy & Insights Manager
Atlanta
Marketing Strategy & Insights Manager. Location: Elevance Health supports a hybrid workplace model (virtual and in-office) with Pulse. Point sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. The Marketing Strategy & Insights Manager is...
Search Terms: Manager, Marketing, Strategy, Customer Experience, Business
0
0mi
Updated: October 11
Utilization Management Representative I
ATLANTA, 740 W PEACHTREE ST NW
Managing incoming calls or incoming post services claims work. Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests. Refers cases requiring clinical review to a Nurse reviewer. Responsi...
Search Terms: Management, Representative, Retail, Healthcare
0
0mi
Updated: October 11
Provider Contract/Cost of Care Consultant
ATLANTA, 740 W PEACHTREE ST NW
Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. - Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. - Works on large scale initiatives with high dollar...
Search Terms: Consultant, Medical Director, Contract, Healthcare, Contractor
0
0mi
Updated: October 11
Provider Comm Manager (US)
Atlanta
Supports tracking, development and completion of company initiatives and Government or Commercial business growth projects and initiatives related to provider communications. Supports recommendation of distribution channels to include attainment of appropriate approvals. Supports development of new a...
Search Terms: Manager, Management, Healthcare, Benefits, Compensation
0
0mi
Updated: October 11
Provider Contract Cost of Care Consultant Senior
ATLANTA, 740 W PEACHTREE ST NW
Provides expert advice, analytic and consultative support to Medical Directors and Management on cost of care issues. Leads large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects of the contract ...
Search Terms: Contract, Consultant, Medical Director, Contractor, Senior
0
0mi
Updated: October 11
Grievance/Appeals Analyst Lead
ATLANTA, 740 W PEACHTREE ST NW
Monitors work flow and makes assignments to ensure the correct team resource is utilized to achieve accreditation and regulatory compliance metrics in a quality manner. May also be responsible to provide review and analysis of complex pre service and post service grievances and appeals requests from ...
Search Terms: Appeals, Analyst, Lead, Senior Analyst, Healthcare
0
0mi
Updated: October 11
Nurse Appeals Lead-Medicaid Appeals
ATLANTA, 740 W PEACHTREE ST NW
Primary duties may include, but are not limited to:Conducts investigations and reviews of member and provider grievances and appeals. Reviews prospective or retrospective medical records of denied services for medical necessity. Extrapolates and summarizes medical information for medical director, co...
Search Terms: Appeals, Nurse, Medical Director, Lead, Administrative
0
0mi
Updated: October 11
Provider Contract Cost of Care Analyst Senior
ATLANTA, 740 W PEACHTREE ST NW
Performs varied data analyses which may include developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs. Projects cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis. Prepares p...
Search Terms: Contract, Analyst, Senior, Healthcare, Business Services
0
0mi
Updated: October 11
Data Scientist
ATLANTA, 740 W PEACHTREE ST NW
Collaborate with business partners to determine identified population segments and develop actionable plans to enable the identification of patterns related to quality, use, cost and other variables. Design predictive modeling projects to address specific business problems determined by consultation ...
Search Terms: Data Scientist, Scientist, Business Partner, Technology, Healthcare
0
0mi
Updated: October 11
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