- Point32Health (GA)
- …direction of the Member Appeals and Grievance Supervisor the Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... and have the judgment to seek out guidance as needed. The Analyst is responsible for the accurate coordination, efficient administration and resolution of… more
- CVS Health (Atlanta, GA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… more
- AIG (Atlanta, GA)
- …help customers to manage risk. Join us as a Privileged Access Management Technical Analyst to play your part in that transformation. It's an opportunity to grow your ... is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology team equips our colleagues with the latest tools to… more
- Sysco (College Park, GA)
- …to work first and/or second shift.** **Job Summary:** The Leave of Absence Analyst is responsible for managing employee leave and return to work processes, ensuring ... a smooth process for colleagues while adhering to legal requirements and company policies. This role involves coordinating with HR, business leaders, colleagues, and… more
- Regions Bank (Atlanta, GA)
- …section of the system. **Job Description:** At Regions, the Fraud Strategy Analyst performs analysis and interpretation of fraud-based threats by gathering and ... data and analytics capabilities + Previous experience with fraud claims is highly preferred for this role + Experience...and conditions. + Paid Vacation/Sick Time + 401K with Company Match + Medical, Dental and Vision Benefits +… more
- Highmark Health (Atlanta, GA)
- ** Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data-driven insights which identify actionable opportunities and/or create ... 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership… more
- BrightSpring Health Services (Valdosta, GA)
- Our Company BrightSpring Health Services Overview BrightSpring Health Services is seeking passionate employees to join our cash posting team. Ideal candidate will ... related in health care administrative, financial, or insurance customer services, claims , billing, call center or management regardless of industry. + Proficient… more
- CVS Health (Atlanta, GA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches...in the required timeframe. - Facilitates the recovery of company lost as a result of fraud matters. -… more
- CVS Health (Atlanta, GA)
- …passionate about transforming health care. As the nation's leading health solutions company , we reach millions of Americans through our local presence, digital ... Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. +...timeframes required by Law. + Facilitates the recovery of company and customer money lost as a result of… more