• Grievance/Appeals Analyst I

    Elevance Health (Atlanta, GA)
    …Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's internal business ... with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable… more
    Elevance Health (08/14/25)
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  • Contents Adjuster

    Sedgwick (Atlanta, GA)
    …& Insurance Contents Adjuster **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
    Sedgwick (08/17/25)
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  • Executive General Adjuster - Southeast Region

    Sedgwick (Atlanta, GA)
    …Adjuster - Southeast Region **PRIMARY PURPOSE** **:** To investigate losses or claims internationally on any size National Account (Maintaining a minimum of five ... Attends litigation hearings. + Revises case reserves in assigned claims files to cover probably costs. + Prepares loss...+ Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently… more
    Sedgwick (06/29/25)
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  • Executive Director of R&D Global Quality (Remote)

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    …and implementing procedures to ensure that the business units quality management and compliance program are effective and efficient in identifying, detecting, ... of the Quality Systems and Risks will be reported periodically to Senior Management through the Management Review process to ensure alignment with Company… more
    Otsuka America Pharmaceutical Inc. (08/14/25)
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  • Commercial Project Manager

    Stantec (Atlanta, GA)
    …and forecasting. - Experience with scheduling large, complex projects. - Experience with claims management for design projects. - Sound knowledge and experience ... Claims /Risk mitigation. - Oversee and approve development and management of the Project Scope WBS. - Oversee and...least 20 hours per week) have access to medical, dental , and vision plans, a wellness program, health saving… more
    Stantec (08/07/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... + Maintains accuracy and quality standards as established by audit management . + Identifies potential documentation and coding errors by recognizing aberrant… more
    Elevance Health (08/13/25)
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  • Branch Support Specialist

    Allied Universal (Augusta, GA)
    …files associated with the program + Assist with the workers' compensation claims management by issuing and obtaining claim paperwork, collecting statements, ... benefit issues, resolution of payroll discrepancies, compliance reporting, uniform/equipment management , and unemployment claims . This hands-on position is… more
    Allied Universal (08/20/25)
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  • Associate Director, Channel Strategy and Patient…

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    …external pressures (eg, 340B, patient leakage) and internal shifts (eg, LOE management , innovative distribution models), this role will be critical in anticipating ... Responsibilities:** + **Proactive Program Optimization:** Own the end-to-end performance management process for affordability and channel programs across in-line… more
    Otsuka America Pharmaceutical Inc. (08/19/25)
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  • Senior Director, Global Clinical Development CNS

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    …development team to operationalize the clinical develop strategy,i.e., clinical trials management . + Partnering with internal and external clinical experts and ... as well as evaluates in-licensing opportunities and/or additional life cycle management opportunities. + Participates in NDA development, submission and defense. +… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Senior Manager, Fleet & Sample Operations

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    …to day operations and issue resolution. Escalate issues as appropriate to senior management . + Proactively source and develop ideas to improve fleet program, based ... team to ensure the fleet program supports field deployment needs. **Samples Management & Compliance** + Ability to operate independently in the management more
    Otsuka America Pharmaceutical Inc. (08/15/25)
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