- Textron (Augusta, GA)
- …aspects of workers compensation and act as a liaison to 3rd party claims management group\. Implement and monitor the effectiveness of Textron EHS standards and ... policies\. Coordinate activities involving outside regulatory agencies such as OSHA, EPA, etc\. Analyze proposed and final regulations for impacts to manufacturing operations\. Submit monthly, quarterly, semi\-annual, or annual reports to federal, state, local… more
- Molina Healthcare (Atlanta, GA)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing ... Monitoring/Watch Follow-up * Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. * Reviews and processes assigned daily alerts for federal/state and license sanctions and exclusions… more
- Molina Healthcare (Columbus, GA)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... Qualifications** **REQUIRED EDUCATION** : HS Diploma or equivalent combination of education and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 1-3 years Sales and/or Customer Service experience in a fast paced, high volume environment… more
- CVS Health (Atlanta, GA)
- …of problem solving and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School Diploma or equivalent GED ... **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $42.35 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this… more
- CVS Health (Atlanta, GA)
- …provider issues, benefit questions, care coordination, member eligibility and claims . + Coordinate vendor participation in onsite vaccine administration. Maintain ... provider directories and assist client concerns regarding appropriate care. + Maintain client microsite. Manage member communication strategy by reviewing instructional and marketing materials related to the client's plan. **Required Qualifications** + 2+… more
- CVS Health (Atlanta, GA)
- …and have experience troubleshooting data cleaning workflows. + Experience working in claims or appeals analytics. + Ability to communicate and translate technical ... results into understandable outputs that are digestible and impactful for both technical and non-technical audiences. + Experience with Tableau dashboard creation. **Preferred Qualifications** + Experience translating data analysis into actionable insights. +… more
- Molina Healthcare (GA)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of SQL ... 2005/2008 SSRS and Power BI report development + Familiar with relational database concepts, and SDLC concepts **Preferred Education** + Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. + Preferred… more
- Defense Logistics Agency (Robins AFB, GA)
- …You MUST provide transcripts or other documentation to support your educational claims . Unless otherwise stated: Unofficial transcripts are acceptable at time of ... application. GRADUATE EDUCATION: One academic year of graduate education is considered to be the number of credits hours that your graduate school has determined to represent one academic year of full-time study. Such study may have been performed on a… more
- Sysco (College Park, GA)
- …+ **Return to Work:** Review and audit Return to Work process for claims , including Return to Work transitional program, process with external vendor and internal ... business units to ensure compliance including Return to Work transitional program. + **Documentation Review:** Review medical documentation and other required paperwork to ensure compliance with legal standards. + **Communication:** Serve as a primary point of… more
- AIG (Atlanta, GA)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues with the latest tools ... to complete their work efficiently, with the highest standards of excellence. The team is responsible for shielding the company's systems from security risks, while designing technology strategies that enable AIG's businesses to achieve their goals. Innovation… more