- 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
- 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
- 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. (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. (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. (Atlanta, GA)
- …and market positioning. **Key Responsibilities** + **Brand Strategy & Lifecycle Management :** Lead marketing for established brands like Nuedexta, ensuring strategic ... insights, and implement cost-effective promotional strategies. + **Vendor & Agency Management :** Oversee agency relationships to ensure effective execution of brand… more
- Sedgwick (Atlanta, GA)
- …partnering with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work ... medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Highmark Health (Atlanta, GA)
- **Company :** United Concordia Dental **Job Description :** **JOB SUMMARY** MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations, ... and industry regulatory changes and assess their potential impact on Claims Operations, Customer Service and other operational areas processes and collaborate… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …through effective technology transfer, validation, process monitoring, and lifecycle management . This individual will serve as the primary technical steward ... Affairs, and Operations to align strategies and optimize product lifecycle management + Lead root cause investigations for manufacturing deviations and implement… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …(Word, Excel, PowerPoint, Outlook) and familiarity with electronic document management systems (EDMS). **Competencies** See OPDC Competencies Chart (Level X) ... in regulatory affairs or related areas (eg, clinical development, project management , quality assurance, etc.) in pharmaceutical or healthcare related industry.… more