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17 Jobs in Georgia

  • Behavioral Health Case Manager I

    ATLANTA, Georgia
    ... of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care. Coordinates with internal and external resources to meet identified needs of ...
  • Behavioral Health Case Manager I

    Atlanta, Georgia
    ... insightful analytics to improve the delivery of care. The BH Case Manager I is responsible for ... objectives and goals as identified during assessment. Monitors and evaluates effectiveness of care plan ...
  • UM Medical Director - Orthopedic Surgery

    Atlanta, Georgia
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • Behavioral Health Case Manager II - Crisis Line

    ATLANTA, Georgia
    ... goals as identified during assessment. Monitors and evaluates effectiveness of care plan and modifies plan as needed. Supports member access to appropriate quality and cost effective care ...
  • UM Medical Director - Cardiology

    Atlanta, Georgia
    ... enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff ... administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost ...
  • UM Medical Director

    Georgia, Georgia
    ... clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May ... appropriate and most cost effective medical care is received. May be responsible for developing and ...
  • UM Medical Director

    Columbus, Georgia
    ... clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May ... appropriate and most cost effective medical care is received. May be responsible for developing and ...
  • UM Medical Director

    ATLANTA, Georgia
    ... clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May ... appropriate and most cost effective medical care is received. May be responsible for developing and ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Atlanta, Georgia
    ... consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care ... services, to ensure the appropriate and most cost-effective medical care is received. May be responsible ...
  • Business Change Director, Enterprise Cost of Care Strategic Initiatives

    Atlanta, Georgia
    ... work from the office 1 – 2 days per week. ​​​​​The Enterprise Cost of Care team enables ... practical cost of care strategies and initiatives, the team drives greater affordability and value for ...
  • Enterprise Performance Digital Transformation Lead

    ATLANTA, Georgia
    ... limited to: Supports the development of the Enterprise Performance Digital team business unit ... . Provides leadership to foster and promote the use of Artificial Intelligence and other technology solutions ...
  • Staff VP Technology (MBM), Carelon

    ATLANTA, Georgia
    ... member of the Elevance Health family of companies, together we’re creating better care for members, more ... of health care, MBM and Carelon Insights is the place where exceptional talent meets exceptional ...
  • Staff VP Technology (MBM), Carelon

    Atlanta, Georgia
    ... ensuring appropriate, safe, and affordable clinical health care services. As a proud member of the Elevance Health family of companies, together we’re creating better care for members, more value for customers and ...
  • Medicare Medical Director Clinical Programs

    Atlanta, Georgia
    ... including cost of care. This role will work on Cost of Care, trend management, value-based care support for ... : Consulting experience and/or MBA. Managed care experience improving cost of care trend ...
  • BH Care Manager II

    ATLANTA, Georgia
    ... healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. Refers ... quality member outcomes to optimize member health benefits and to promote effective use of health benefits ...
  • Director II Carelon Account Management

    ATLANTA, Georgia
    ... payment and reimbursement of services, ROI, and Cost of Care strategies. **Minimum requirements ... Management will lead the nationally recognized Crisis Center of Excellence, focusing on elevating evidence ...
  • Business Information Developer Consultant/ ETL Developer

    ATLANTA, Georgia
    ... will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of ... . Performs modeling of information sources and flows. May coordinate the activities of a project team ...
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