- Centene Corporation (Augusta, GA)
- …Conducts regular in-person visits with physicians to provide real-time support , discuss performance metrics, and identify opportunities for improvement in ... care or medical group experience, provider relations, quality improvement, claims , contracting utilization management, or clinical operations. Project management… more
- Saia, Inc (Macon, GA)
- …it in our commitment to our people, customers, and community. You'll feel it in the support you get on day one -from leadership and from your team. A job with Saia ... within a defined geographic area. Ensures freight is delivered in a claims -free and cost-efficient manner. **Major Tasks and Responsibilities** + Drives tractor… more
- Cognizant (Atlanta, GA)
- Cognizant is seeking an IBM i (AS400) Infrastructure Specialist to support the IBM i infrastructure for RxClaims. This position will perform level 1 monitoring of ... health monitoring of: Claim adjudication jobs, ASP alerts, CPU alerts, Claims queue monitoring, Storage monitoring, Connect Direct subsystem. + Contact different… more
- Peachtree Orthopedics (Sandy Springs, GA)
- …a daily collection sheet, and reconcile daily receivables. Create insurance claims and patient statements. + Patient Advocacy: Assist patients in understanding ... and regulatory requirements, and make recommendations to management for write-offs. + Versatile Support : Be ready to fill in at any location as needed due to… more
- AIG (Atlanta, GA)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues with the latest tools ... ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times… more
- Evolent (Atlanta, GA)
- …engineers in designing, building, integrating and maintaining data pipelines to support healthcare data integration and operations. This role involves managing data ... as HIPAA, as well as healthcare systems and domains (FHIR/HL7, EMR/EHR, Claims , Members, Providers, Payors, etc.). + Experience with designing and implementing… more
- AIG (Atlanta, GA)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues with the latest tools ... ever-better solutions to our customers. At AIG, you can go further to support individuals, businesses, and communities, helping them to manage risk, respond to times… more
- Pearl Interactive Network (Atlanta, GA)
- …The **Customer Service Representative** is responsible for providing exceptional support to members and potential members during the open enrollment ... + Navigate pre-scripted responses, read them verbatim to provide basic and claims -specific information, and ensure callers receive accurate details. + Perform other… more
- Deloitte (Atlanta, GA)
- …pharmacies and patients. + Prepare self-insured financial projections and support health plan management, including financial reporting, premium rate setting, ... by reviewing services, contracts, performance guarantees, and renewals. + Analyze claims utilization data and assess health plan performance against strategy. +… more
- Humana (Atlanta, GA)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage… more