- AIG (Atlanta, GA)
- …administration system enhancements as well as involvement in testing and release management . Work with business partners to develop acceptance criteria and a plan ... meets the business needs. + Policy administration system change management support for Underwriting teams, helping them to navigate...required. + Experience as an underwriting assistant or in claims for insurance a plus. + Must have significant… more
- Molina Healthcare (Macon, GA)
- …opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- Highmark Health (Atlanta, GA)
- …The role involves executing all facets of the Informatics project management process, leading multiple project managers, and potentially guiding, mentoring, or ... analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the incumbent will utilize advanced knowledge of… more
- State of Georgia (Fulton County, GA)
- …Oversees the planning and development of systems and data in support of claims and policy management . Participates in the development of financial policies, ... report for approval. Process refunds as needed for departments. Manage risk management functions for the agency including reconciling. Perform other duties as… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …in includes Resolute Hospital and Professional Billing including SBO, as well as Claims and Remittance. This IT technologist role contributes as the highest level ... and promote various Epic configurations to respective environments using approved change management processes, as well as provide seamless handoff to other analysts… more
- State of Georgia (Fulton County, GA)
- …Serves as job expert and resource in assigned areas. + Primary point of contact, analyst , and responder for civil litigation and claims against the Department: + ... Office of the Attorney General (AGO) and the Risk Management Services of the Georgia Department of Administrative Services...and AGO for tender of lawsuits, ante-litem notices, and claims . + Serves as the Department's designated employee resource… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …as a provider on record for appropriate managed care intervention claims with responsibility for appropriate documentation, implementation, and monitoring of autism ... + Adheres to safety and quality protocols. + May have classroom management and staff supervisory responsibilities. + Performs related responsibilities as required.… more
- AIG (Atlanta, GA)
- GenAI Product Manager with Claims ExperienceBe part of something groundbreakingAt AIG, we are making long-term investments in a brand-new, innovative Generative AI ... business offering. We will incorporate best-in-class engineering and product management principles and your guidance and collaboration will be...key part of that transformation. As a GenAI Product Analyst you will have the opportunity to make a… more
- Public Consulting Group (Atlanta, GA)
- …to enhance efficiency and effectiveness. **Duties and Responsibilities** + Provides leadership, management , and direction to the Quality Assurance Analyst team. ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more