- Prime Therapeutics (Atlanta, GA)
- …Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or meet… more
- Prime Therapeutics (Atlanta, GA)
- …Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the ... or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations/ claims experience. + Ability to manage workload while simultaneously working… more
- Elevance Health (Atlanta, GA)
- …eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing ... to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues...be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with… more
- Elevance Health (Atlanta, GA)
- …analysis; and reporting of statistical results. + Analyze health care data, including claims , clinical data, national survey data, and other large datasets using R ... Experience with health plan administrative databases (pharmacy and medical claims ) and/or other big datasets is preferred. For candidates...in good faith believes is the range of possible compensation for this role at the time of this… more
- Mass Markets (GA)
- …works for everyone. This is an entry-level position with competitive compensation commensurate with experience. While prior contact center experience isn't required, ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- Elevance Health (Atlanta, GA)
- …Analytics Analyst Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed story to ... financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with SQL,...in good faith believes is the range of possible compensation for this role at the time of this… more
- Mass Markets (Savannah, GA)
- …brands in the world. This is an on-site, entry-level position with competitive compensation located at OnBrand24 (an MCI Company) in Savannah, GA. This is a ... to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately… more
- Mass Markets (Savannah, GA)
- …This is an entry-level position that offers on the job paid training. Compensation is commensurate with experience and while prior contact center experience isn't ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- Mass Markets (Savannah, GA)
- …This is an entry-level position that offers on the job paid training. Compensation is commensurate with experience and while prior contact center experience isn't ... to complete account management tasks + Accurately document and process customer claims in appropriate systems + Follow all required scripts, policies, and procedures… more
- Mass Markets (GA)
- …to resolve issues when needed + Accurately document and process customer claims in appropriate systems + Utilize knowledge base and training to accurately ... support in a contact center environment + State or Federal work experience COMPENSATION DETAILS WANT AN EMPLOYER THAT VALUES YOUR CONTRIBUTION? At MCI, we believe… more