- 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
- Prime Therapeutics (Atlanta, GA)
- …+ Pharmacy Benefit Management (PBM) experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Campaign management ... software experience (eg Adobe Campaign, Salesforce, IBM Campaign/Unica, etc.) + Proficient in Excel Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all… 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
- Humana (Atlanta, GA)
- …operations for higher quality and operational efficiency. + Ensure enrollment and claims processes comply with regulatory requirements and guidelines. + Partner with ... Enrollment Period (AEP). + Utilize tools such as Availity to streamline claims submission, eligibility verification, and authorization processes. + Directly lead a… more
- Elevance Health (Atlanta, GA)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... with a preference for those who have experience in healthcare data, particularly in claims , case management, or HEDIS data. + A strong grasp of statistics, modeling,… more
- 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