- HD Supply (Atlanta, GA)
- …+ Collaborates with Legal, Compliance, and other partners to manage regulatory claims and workplace incidents. + Supports labor relations strategy and response ... planning. + Delivers training to leaders on associate relations, compliance, and leadership accountability. + Mentors and develops HR partners to strengthen associate relations capability across the territory. **Nature and Scope** + Solutions require analysis… more
- Cardinal Health (Atlanta, GA)
- …a background in healthcare (such as medical assistant, working in medical claims /billing, pharmacy technician, clinician in a doctor's office, etc) or with insurance ... verification - highly preferred * Ideally targeting individuals with a high level of attention to detail, eagerness to learn, willingness to collaborate and communicate effectively * Ability to work in an environment that involves a high volume of varying… more
- PruittHealth (Norcross, GA)
- …19. Provide executed contracts to providers and offer education on setting up billing/ claims submission. 20. Follow up to ensure contracted providers are loaded and ... showing as in network and escalate any issues. 21. Identify providers that are contracted with but not credentialed and outreach to get credentialing documents completed. 22. Sending provider updates of ownership to network management and following up to… more
- Walmart (Lithia Springs, GA)
- …issues Obtain necessary records Analyzes and reports the types of claims that may require settlement Partnership Collaboration Possesses knowledge of Stakeholder ... identification stakeholder communication stakeholder engagement techniques stakeholder management effectiveness tools and methods specialized business vernacular To be able to carry out the following responsibilities Owns the delivery of project activity and… more
- Walmart (Valdosta, GA)
- …retained in accordance with warranty guidelines and creating and processing warranty claims to ensure proper credit is received in accordance with company guidelines ... Assesses maintenance repair and replacement needs identifies needed parts and possible solutions consults with others and chooses the best possible solution conducts preventative maintenance and repairs on all Walmart equipment including tractors trailers road… more
- Southern Company (Rome, GA)
- …internal and external customers, builders, developers, joint trench partners, electricians, claims , etc. This job may require an alternate work schedule and ... overnight travel to accomplish the listed responsibilities. The DC Coordinator will work closely with region leadership to support their storm restoration plans. **JOB REQUIREMENTS** **Education Requirement:** - High School education or equivalent **Experience… more
- ReSource Pro (Atlanta, GA)
- …of property & casualty insurance lines and operations (policy, billing, claims ). + Demonstrated indepth understanding of Agile, Scrum, and traditional SDLC ... delivery methodologies. Your Compensation Our salary ranges are based on paying competitively for our size and industry, and are one part of the total compensation package that also includes annual bonus eligibility, benefits, and other opportunities at… more
- Humana (Atlanta, GA)
- …processes + Solid understanding of healthcare operations, particularly around claims processing, enrollment, provider data management and clinical operations; ... Medicaid preferred + Comprehensive understanding of a Medicaid Managed Care architecture, tools, utilities and processes utilized to deliver on core competences + Delivery focused - time, scope, quality + In-depth knowledge of Medicaid regulations, policies,… more
- Travelers Insurance Company (Atlanta, GA)
- …events + Design platform event architectures for real-time policy changes, claims updates, and regulatory notifications + Architect Change Data Capture strategies ... for maintaining data consistency across insurance system landscapes + Lead API strategy including REST, GraphQL, and composite API patterns for complex insurance workflows + Oversee Salesforce Connect implementations for real-time access to legacy insurance… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of healthcare compliance and privacy laws, including HIPAA and the False Claims Act + Proven experience in audits, investigations, and development of corrective ... action plans + Excellent written and verbal communication skills + Strong analytical and problem-solving capabilities + Proficient in Microsoft Office and other relevant healthcare systems + Ability to manage multiple projects and meet critical deadlines… more