- Molina Healthcare (GA)
- …models to support analytical and operational use cases, including healthcare claims and utilization data. * Collaborate with cross-functional teams, including data ... * Prior experience working in the healthcare industry with familiarity in clinical, claims , or care management data. * Experience with cloud platforms (AWS, Azure)… more
- Evolent (Atlanta, GA)
- …You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorization data… more
- PruittHealth (Albany, GA)
- …prior to hire and per renewal regulations. 30. Monitors workers compensation claims and coordinate work between employee and insurance carrier. 31. Operates copier, ... and dated and placed into personnel file. 42. Monitors worker's compensation claims and coordinate work between employee and insurance carries. 43. Ensures that… more
- Prime Healthcare (Riverdale, GA)
- …in risk-related activities in this area + Provides assistance with claims investigation, management and litigation. Facilitates reporting of safety data/events. ... experience preferred. + Experience in risk management and/or professional liability claims management preferred. + Should be knowledgeable about current State Laws… more
- UIC Government Services and the Bowhead Family of Companies (Fort Gordon, GA)
- …and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual ... based on the provisions contained within The Alaska Native Claims Settlement Act. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. All… more
- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... practices, and specialty care procedures. + Recommends policy changes and claims system changes to pursue cost savings. + Reviews results post-implementation… more
- Sedgwick (Atlanta, GA)
- …for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With… more
- Molina Healthcare (Columbus, GA)
- …Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex ... implement efficient enterprise-wide processes and governance structures that span claims , encounters, clinical, finance and actuarial functions. + Identifies,… more
- US Physical Therapy (Decatur, GA)
- …and insurers. Your role will also be critical in our billing and claims department with collections of patient balances, managing denials and assisting the Office ... companies to obtain prior authorizations + Follow up with insurance companies on unpaid claims and denials. + Assist with Answer phones and scheduing new patients +… more
- AON (Atlanta, GA)
- …Marshals appropriate Aon resources to support clients in unusual circumstances such as large claims , etc. Skills and experience that will lead to success + Must have ... Marshals appropriate Aon resources to support clients in unusual circumstances such as large claims , etc. Skills and experience that will lead to success + Must have… more