- NASCO (Atlanta, GA)
- **Overview** Under general direction, the Director of Data and AI Architecture will drive the evolution of our hybrid data strategy and AI architecture to enhance ... leadership regarding strategic direction, outcomes, staffing, and other assignments. The Director is a trusted advisor to technology and product leadership,… more
- Highmark Health (Atlanta, GA)
- **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant ... exchange capabilities, as well as outsourced technology and BPO services. The Director is a strategic thinker with experience in selling Healthcare technology… more
- Two95 International Inc. (Atlanta, GA)
- Job Title: Director , Health Plan Analytics Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Position Summary: As the ... Director of Analytics, you will lead a team of...including but not limited to enrollment, finance, call center, claims , Case Management and Utilization Management * 5+ years… more
- Samsung SDS America (Duluth, GA)
- …global top-level third-party logistics company. Logistics Business Management/Logistics Branch Director will oversee daily operation activities, manage and plan both ... + Investigate and report service failures, accidents, misconduct, security incidents, or claims to the appropriate departments for timely resolution. + Prepare and… more
- Cognizant (Atlanta, GA)
- …for this **Consumer Goods Sales Specialist - RGM / TPM (Associate Director )** role will be responsible for capitalizing on new business opportunities, establishing ... areas like RGM/TPM, Retail execution, Omni Channel -B2C/B2B, Direct Store delivery, Claims and regulatory management. . Understand markets dynamics, client needs to… more
- Molina Healthcare (Atlanta, GA)
- …rejections. Address a variety of enrollment questions or concerns received via claims , call tracking, or e-mail. Maintain records in the enrollment database. ... **Knowledge/Skills/Abilities** + Holds general oversight of enrollment and premium staff at each plan site within defined region. This may include employee reviews, coaching sessions and disciplinary actions. + Monitors and enforces compliance with… more
- NCR VOYIX (Atlanta, GA)
- …and work with internal departments to resolve all outstanding Accounts Receivable claims + Manage information requests during audits and respond to requests for ... information during internal audits + Document trends and initiate corrective action to ensure maximum cash reimbursement, prompt payment for services rendered and uninterrupted cash flow + Monitor and provide constructive feedback on team performance to ensure… more
- Kyndryl (Atlanta, GA)
- …Partner with CCaaS architects to build future-proof architectures with EHR, CRM, and claims system integrations. The compensation range for the position in the US is ... $159,240 to $286,560 based on a full-time schedule. Your actual compensation may vary depending on your geography, job-related skills and experience. For part time roles, the compensation will be adjusted appropriately. The pay or salary range will not be… more
- Molina Healthcare (Atlanta, GA)
- …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... reporting, Risk Adjustment (RA), and Health Plan Reporting.** + **_Azure Databricks._** + **_Python._** + **_Spark._** + **_QNXT._** **Preferred License, Certification, Association** Microsoft Technology, Mobility, ITIL To all current Molina employees: If you… more
- NDCP (Duluth, GA)
- …potential The Workers' Compensation Manager (WC) is responsible for all WC-related claims management, including proactive management of WC claims to accelerate ... has experience adjusting workers' compensation lost time and medical only claims in an insurance company, third party administrator (TPA), or… more