- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …maintain the effectiveness of Quality Systems for managing the batch record review and release process Quality Management Activities supporting all phases of ... compliance. + Manages reports and trends to the Management Representative to help in the preparation of Management reviews...above. + Improves supplier quality performance for batch record review and release process for OAPI GMP release of… more
- Stantec (Savannah, GA)
- …community. Your Opportunity Stantec is seeking an individual to act as an Owner's Representative , Project Manager for the design and construction of a mix of higher ... or commercial expansion or renovation projects as an Owner's Representative . Managing the approved scope, schedule and budget are...and budget throughout all phases of the project. - Review and track all contracts, invoices, and payments to… more
- Highmark Health (Atlanta, GA)
- …and report improper coordination of benefit billing practices through paid clams review . + Participate as pharmacy representative in onsite member appeals ... medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior… more
- Prime Therapeutics (Atlanta, GA)
- …with various levels of leadership within the organization, acting as a representative of the broader Financial Systems team + Provide consulting services to ... experience, preferably leveraging AI + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in… more
- UIC Government Services and the Bowhead Family of Companies (Albany, GA)
- …to each functional area to accomplish the daily assigned workload. + Review training and performance requirements for personnel to ensure training matches with ... + Ability to communicate effectively with all levels of employees, Government Representative , and outside contacts. + Strong interpersonal skills and good judgment… more
- Elevance Health (Columbus, GA)
- **Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law._ The **Utilization Management Representative I** will be responsible for coordinating cases for precertification and… more
- Point32Health (GA)
- …works collaboratively with the member and/or the member's authorized representative and must demonstrate superior customer service and benefit interpretation ... skills in all interactions. This individual prepares cases for presentation, discussion, review , and final disposition at the Member Appeals Committee (MAC) and… more
- Burns & McDonnell (Atlanta, GA)
- …and consult with the Legal Department as required. + Expert in the review , negotiation, approval, and execution of prime contracts, subcontracts, and change orders. ... Request for Information (RFI's), submittals, change management, contract closeout, and claims mitigation. + Analyze and approve internal and external reports… more
- Towne Park (Atlanta, GA)
- …the ability to positively move the metrics for forecasting, productivity, claims , customer service, and turnover. Manages payroll and ensures that controls ... with District Manager/Regional Director. Establishes rhythms with all District Champions for review of compliance to standards for their area. - 30% Service… more
- RxBenefits (Atlanta, GA)
- …team also assists with resolving client issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will ... across internal stakeholders to foster collaborative and efficient work products + Review for accuracy and finalize all current account pricing comparisons for… more