- The Hartford (Alpharetta, GA)
- …team as we help shape the future. As a Senior Specialist, Product Delivery Analyst , for the Shared Services PEG Implementation Team, you will play a critical role ... that the outcome meets the product vision. * Identify change management and business readiness requirements. Process Optimization & Continuous Improvement *… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …claim edits/rejections. + Works daily Charge Reconciliation, Charge Review and other DNB/ Claims work queues specifically assigned to resolve bill holds for charge ... player. + Coaches and serves a resource for less experienced Finance Revenue Analyst . + Conducts high level decision support/analysis for various projects related to… more
- Brown-Forman (Atlanta, GA)
- …visits to offices, plants, and warehouses, and consulting directly with area management . Your insights will be crucial in analyzing and addressing potential risks. ... recommendations into actionable guidance for plant operations and engineering management . You'll regularly audit plant practices to ensure full compliance,… more
- WTW (Atlanta, GA)
- …clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product-based solutions ... We provide solutions encompassing creative plan design, vendor evaluation and management , pricing and funding strategies, data analytics, valuation support, and… more
- CVS Health (Atlanta, GA)
- …and provides accurate claim information to support savings optimization for claims . Responds to customers on benefit inquiries. Maintains customer service standards. ... Administers policies and procedures for medical cost management . Coordinates support functions for claim adjudication. **Required Qualifications** Effective… more
- Molina Healthcare (GA)
- …lead for both new and existing features (regression testing). + Vendor Management : Provides single point of contact for various vendors (software and interfaces). ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more
- BrightSpring Health Services (Valdosta, GA)
- …year work related in health care administrative, financial, or insurance customer services, claims , billing, call center or management regardless of industry. + ... Proficient computer skills and knowledge of Microsoft Office ADD and above average Excel skills. + Proficient 10 key skills. + Possess the technical aptitude required to understand flow of data through systems as well as system interactions. + HCHB (Home Care… more
- Highmark Health (Atlanta, GA)
- …met. Individual contributor roles as needed. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities including, but not limited to: involved in hiring ... termination decisions, coaching and development, rewards and recognition, performance management and staff productivity.Plan, organize, staff, direct and control the… more
- Molina Healthcare (Augusta, GA)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** +… more
- The Hartford (Alpharetta, GA)
- …a seasoned technology leader to oversee the development and maintenance of our Claims application ecosystem. This role is pivotal in driving the modernization and ... operational excellence of our Claims systems, which are built on a modern tech...lead a team of Tech Leads, Senior Developers, Business Analyst , and Scrum Master, and will be responsible for… more