- Molina Healthcare (Macon, GA)
- …of the role. + Validates findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... Pre-pay Edits & Overpayment Recovery. Manages inventory and works in collaboration with PI Team to ensure Health Plan SAI targets are met. The role will be relied… more
- The Hartford (Alpharetta, GA)
- …services such as CloudFront, S3, API Gateway, and Lambda functions. The Director will lead a team of Tech Leads, Senior Developers, Business Analyst, and Scrum ... Responsibilities: + Lead end-to-end application development and maintenance for the Claims platform. + Manage and mentor a cross-functional team of… more
- Molina Healthcare (Atlanta, GA)
- …of the role. + Validates findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... Recovery. Manages inventory and works in collaboration with PI Team to ensure Health Plan SAI targets are met....a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …+ The role is both strategic and hands-on, integrating financial planning, claims analysis, forecasting, risk management, and cost optimization. + The Senior ... operating plan for the Emory Health Plan. + Translates trends in claims , utilization, and healthcare market shifts into actionable strategies that support… more
- Newell Brands (Sandy Springs, GA)
- …(FEI) Product Researcher** will play a key role within the FEI team . Working collaboratively with their multi-functional POD partners, this individual will help ... to envision and deliver winning and invention-complete product experiences, claims , demo and competitive moat strategies and plan, and support that will fuel the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …of our academic community. **Description** The Vice President of Plan Operations will lead the team responsible for product and plan design, member engagement, ... and identify improvement opportunities. + Additionally, they will partner with the finance team to manage the budget and financial performance of the health plan,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Job Description** We're looking for a Principal Software Engineer to join our growing team and lead the development and strategy for our Digital Medicine ... deliver software architecture, diagrams, design documents + Primary engineering lead , directing a team of Cloud/backend developers...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Evolent (Atlanta, GA)
- …the culture. **Who You'll Be Working With:** The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating ... disparate data points into tangible insights and actions. Our team values accuracy, collaboration, and innovation, ensuring that all team members receive the… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- We are seeking a Senior Director, Federal Government Affairs to lead our US federal government engagement in Washington, DC. This position reports to the Vice ... As the strategic leader, and a member of the Government Affairs Leadership Team , the Senior Director of the Federal Government Affairs will play an integral… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …activities for all assigned projects in alignment with the Global Regulatory Lead . Translates complex pertinent global requirements and provides an assessment of the ... associated regulatory challenges to the GRL, global regulatory team , assigned project teams, and internal/external functional business units as needed. Works… more
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