- Molina Healthcare (Augusta, GA)
- JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching ... of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other… more
- Cognizant (Atlanta, GA)
- …United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs. **Location:** ... **About the role:** As an AR Physician Follow Up representative , you will make an impact by managing and...will make an impact by managing and resolving physician claim denials through advanced problem-solving, including identifying root causes… more
- CVS Health (Atlanta, GA)
- …representatives that are responsible for contacting payers to collect on unpaid claims in a timely and accurate manner, researching and resolving payment variances, ... and managing the accurate and timely filing of claims within payer function group. **Additional responsibilities of the... processing changes + Ensure daily reconciliation of electronic claim files + Maintain productivity and quality standards of… more
- CDM Smith (Augusta, GA)
- …strategies. Assist the project team in developing and maintaining a project risk register. Claim management: Early support for claims and disputes on the ... CDM Constructors' Pacific region, primarily projects in California. The role will support negotiation, setup, and implementation of all contracts necessary for a… more
- HNTB (Atlanta, GA)
- …and project issues draft commensurate contract provisions. Part of an owner's representative team providing contractor oversight and project support services. ... resolution of potential change orders, change orders, dispute resolution, and provide claims , formal dispute, and litigation support . + Performs administrative… more
- Shaw Industries Inc (Ringgold, GA)
- …coordination, product reviews, and standards creation. + Serve as the plant representative for customer claims , including communication with customers, reviewing ... Industries is looking for a Quality Engineering Managar to support and drive results for one of our Hard...improvement, and serving as the primary liaison for customer claims and corporate quality initiatives. This role oversees quality… more
- Transdev (Statesboro, GA)
- …service-oriented professionals who are dedicated to safety, operation and maintenance support . Transdev is proud to offer: + Competitive compensation package of ... collecting data and analyze accident or incident rends. Investigate claims of damage or injury reported by passengers, pedestrians...personnel so classified. The physical demands described here are representative of those that must be met by an… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …quality standards. This role will direct Biologics Quality Assurance support , including oversight of upstream and downstream biologics manufacturing processes, ... Subsidiaries to maintain the effectiveness of the Otsuka Quality Systems that support OPDC-sponsored clinical studies as well as drive continuous improvement. **Job… more
- UIC Government Services and the Bowhead Family of Companies (Albany, GA)
- …tally, stow, storage/warehousing functions, issue, and transport stock materials to support the Production Plant Albany (PPA) for various maintenance shops during ... Government Contracting Officer (CO) and the contract level Contracting Officer's Representative (COR). + Establish and carry out departmental or organizational… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …timelines, including sample collection, storage conditions, and analytical testing, to support product development and regulatory submissions. + Author and review ... wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more