- Molina Healthcare (Columbus, GA)
- …Ability to influence across multiple organizational functions - Payment Integrity, Claims , Encounters, Finance, and Actuarial + Proven experience in managing complex ... implement efficient enterprise-wide processes and governance structures that span claims , encounters, clinical, finance and actuarial functions. + Identifies,… more
- Evolent (Atlanta, GA)
- …technical experts to find the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may be engaged in any testing effort ... - Payer side, Knowledge of Medicare, Medicaid, Commercial Plans and understanding on claims workflow, members, providers + A minimum of 1 years of experience in… more
- Zurich NA (Atlanta, GA)
- …Diploma or Equivalent and 14 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... including an Associate Degree and 12 or more years of experience in the Claims or Underwriting Support area Preferred Qualifications: + Bachelors degree and 8 or… more
- State of Georgia (Fulton County, GA)
- …the state of Georgia. In part, the ADR Division provides mediation services for claims throughout the state - holding over 2,000 mediations per year. Primary Duties ... workers' compensation disputes and the settlement of workers' compensation claims . Work as a mediator is key to moving...letter addressed to Judge Edwina M. Charles, ADR Division Director ; 2. Resume; and 3. References. Juris Doctorate from… more
- UIC Government Services and the Bowhead Family of Companies (Moody AFB, GA)
- …Enlisted Terminal Attack Controller (ETAC) or Air Traffic Controller (ATC), Weapons Director , a previous range control officer or equivalent test experience. + ... 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… more
- Molina Healthcare (Augusta, GA)
- …and internal policies and procedures. * Supports the Operational Oversight Manager, Director , and team in the general development of the Operational Oversight ... to demonstrate compliance to regulatory requirements. * Supports Manager and Director with developing the Operational Oversight Work Plan, monitoring and reporting… more
- The Hartford (Alpharetta, GA)
- …Office Underwriting Manager position will report to the Southeast Contract Managing Director . You will be responsible for assisting with the overall integrity of ... underwriting processes. You will be responsible for assisting the Managing Director with all home office matters surrounding underwriting analysis and reviews,… more
- Graphic Packaging International, LLC (Macon, GA)
- …driving the global HR priorities. The Sr HR Manager, HRBP will report to the Director , HRBP and lead a team of 3 direct reports. **JOB FUNCTIONS:** _Job functions ... benefits, compensation, performance appraisal programs, personnel record keeping, unemployment claims and employee relations, training, and HRIS for the operating… more
- Humana (Atlanta, GA)
- …mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance, by ensuring compliance with governmental requirements for ... cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must… more
- Grant Thornton (Atlanta, GA)
- …and implement internal controls + Support engagement Manager and/or Senior Manager/ Director in project management activities, such as preparing and managing ... related to revenue cycle optimization, including billing, coding, reimbursement, and claims processing, with a focus on improving financial performance and… more
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