- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …with Sales and Marketing on sample allocation and planning. + Support audit readiness and compliance reviews. **Operational Efficiency & Field Partnership** + ... fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive… more
- PruittHealth (Norcross, GA)
- …utilization meets needs for improved patient outcomes and appropriate claims reimbursement in accordance with regulatory billing guidelines. **KEY ... manager or designee. + Stay informed about changes in the home health care industry, including state and federal regulations, accreditation requirements. + Attend… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently ... Compliance team that supports the PCO is responsibility to assess, investigate, audit and validate the mitigation of compliance risk across the organization. This… more
- Transdev (Norcross, GA)
- …Implements policies, procedures, and internal controls related to compliance with health , safety, security and environment rules and regulations. + Identify ... health and safety risks and recommend corrective actions to...Collect data and analyze accident or incident rends. Investigate claims of damage or injury reported by passengers, pedestrians… more
- Verint Systems, Inc. (Atlanta, GA)
- …programs, including health insurance, retirement plans, and other benefits + Audit benefits data, costs, and utilization to identify areas for improvement and ... and effectively respond to escalations regarding benefit programs or claims issues + Conduct audits on benefit enrollments and...and employee deductions as needed to ensure accuracy + Audit , review and process all benefit invoices + Assist… more
- Mass Markets (Savannah, GA)
- …are administered fairly and consistently throughout the area of responsibility + Perform audit and compliance functions as requested on items such as audit ... ranging from electronics to dream vacations-and sometimes even cars! + Health Benefits: Full-time employees are eligible for comprehensive medical, dental, and… more
- Molina Healthcare (Augusta, GA)
- …of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of ... the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as… more
- Datavant (Atlanta, GA)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... time, in the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and usable to… more
- Walgreens (Warner Robins, GA)
- …to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. + Performs pharmacist tasks including ... to further promote productivity. + Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with… more
- Burns & McDonnell (Atlanta, GA)
- …trainings, and policies, as well as promote and manage the Safety & Health performance of project team members and subcontractors. + Responsible for the oversight ... including construction execution, construction quality assurance plan, safety & health plan, subcontracting plan, project staffing plan, organization chart, and… more