- CGI Technologies and Solutions, Inc. (Atlanta, GA)
- …Description:** We are seeking a seasoned Guidewire Business Analyst to support ongoing enhancements and steady-state operations for a regional insurer. This ... (JAD) sessions and workshops to align business and technical teams. * Support sprint planning, backlog grooming, and cross-stream coordination. * Assist QA and… more
- Humana (Atlanta, GA)
- …standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
- Prime Therapeutics (Atlanta, GA)
- …**Job Description** The Data Scientist designs and develops processes to support clinical program using eligibility, medical, and pharmacy administrative claims ... complex technical problems + Define detailed report requirements for new decision support reports as assigned + Use multivariate modeling statistical software (SAS,… more
- Samsung SDS America (Duluth, GA)
- …+ Investigate and report service failures, accidents, misconduct, security incidents, or claims to the appropriate departments for timely resolution. + Prepare and ... and fostering teamwork to achieve set productivity goals. + Support sales initiatives and assist in acquiring new business...Samsung SDSA offers a comprehensive suite of programs to support our employees: + Top-notch medical, dental, vision and… more
- Option Care Health (Atlanta, GA)
- …assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). + ... experience in related experience required. **Basic Qualifications** Ability to multi-task and support numerous referrals/priorities at one time. Ability to work in a… more
- GE Aerospace (Atlanta, GA)
- …terms and conditions and transmit information to Procurement. + Manage claims . + Includes commercial sourcing management such as data analysis, negotiations ... support , etc., this may also include purchasing activities. +...2025 GE Aerospace offers comprehensive benefits and programs to support your health and, along with programs like HealthAhead,… more
- Molina Healthcare (Augusta, GA)
- …advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. * Build and maintain efficient ... ETL pipelines to support ongoing reporting and analytics workflows. * Utilize Databricks...documentation standards are met in all analytics work. * Support ad hoc data requests and collaborate cross-functionally to… more
- Republic Finance, LLC (Stockbridge, GA)
- …core values, company policies, operational procedures and compliance. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides ... Long Term Disability Employee Assistance Program - Confidential mental health support Additional benefits with Republic Finance include: Access to LinkedIn… more
- Republic Finance, LLC (Columbus, GA)
- …to quickly and efficiently resolve any customer issues. Processes insurance claims , follow-ups and payments daily and maintains insurance log. Provides excellent ... Long Term Disability Employee Assistance Program - Confidential mental health support Additional benefits with Republic Finance include: Access to LinkedIn… more
- Hargrove Engineers & Constructors (Mcintyre, GA)
- …Teammates in 19 offices domestically and internationally, we build long-term support relationships in the energy generation, manufacturing, research and development, ... and process-heavy industry in on-site support arrangements, in plant-level small projects and consulting roles,...contracts including FTOs (field change orders) and negotiating back-charge claims + Write contractor usage reports + Perform or… more