- CVS Health (Atlanta, GA)
- …that align with strategic goals. + **Drive Strategy:** Collaborate with sales, claims , and customer service teams to develop tailored underwriting strategies based ... Bachelor's degree or equivalent experience. **This remote role does not support sponsorship at this time** **Anticipated Weekly Hours** 40 **Time Type**… more
- 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
- 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
- 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
- Guidehouse (Atlanta, GA)
- …sessions with senior client executives. Provide subject matter expert support across multiple client engagements; develop and review presentations, briefings, ... as ICD-10, DRG, and CPT + Experience with commercial health datasets, eg, claims , encounters, risk scoring, HEDIS measures, etc. + Knowledge of recent and ongoing… more
- Molina Healthcare (Macon, GA)
- …and test analytics, enforcing test quality standards, and providing whole project support and oversight. In addition to integration with other projects. Responsible ... + SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting… more