- Elevance Health (Atlanta, GA)
- …expertise, as well as single point of service support (eg, calls and claims ) to key client contacts (HR, Benefit Administrators, client key decision makers, etc.) ... the best service possible. + Answers client inquiries regarding health plan or service issues. + Responds to customer...or equivalent and a minimum of 5 years related claims /customer service experience; or any combination of education and… more
- Banner Health (GA)
- …with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work(R) Certification (TM) . This recognition ... Find out how we're constantly improving to make Banner Health the best place to work and receive care....to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials… more
- Elevance Health (Atlanta, GA)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... with a preference for those who have experience in healthcare data, particularly in claims , case management, or HEDIS data. + A strong grasp of statistics, modeling,… more
- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... an impact:** + Uses analytic tools to track both health risks and compliance, as well as supporting the...and specialty care procedures. + Recommends policy changes and claims system changes to pursue cost savings. + Reviews… more
- Elevance Health (Atlanta, GA)
- …_PLEASE NOTE: This position is not eligible for current or future visa sponsorship._ Carelon Health is a proud member of the Elevance Health family of brands, ... Senior** measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed...SAS required, and a minimum of 3 years in health care setting; or any combination of education and… more
- CVS Health (Atlanta, GA)
- …pharmacy claims data * Experience in healthcare industry, including health insurance, PBM or pharmacy services **Education** * Bachelor's degree or equivalent ... At CVS Health , we're building a world of health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- BrightSpring Health Services (Valdosta, GA)
- Our Company BrightSpring Health Services Overview Are you a numbers aficionado, skillful in maximizing costs and minimizing expenses? Finance and Accounting focuses ... accounts list, code and comment prior to monthly Critical Account call.* Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging… more
- CVS Health (Atlanta, GA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...provides accurate claim information to support savings optimization for claims . Responds to customers on benefit inquiries. Maintains customer… more
- Highmark Health (Atlanta, GA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Are you an architect of interconnected data, driven by the belief that relationships hold the key ... network of patient journeys, disease progressions, and treatment efficacy? Highmark Health is seeking a groundbreaking Lead Data Scientist, Research & Development,… more
- Sedgwick (Atlanta, GA)
- …you have just started your career, you are a leader in the industry, or a claims management expert looking for a new challenge, this is your chance to showcase your ... with a wide range of clients across the globe, handling complex cases and claims + Collaborate with a talented and supportive team of professionals who are dedicated… more