- Molina Healthcare (Columbus, GA)
- …industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- MSC Industrial Supply Co. (Mableton, GA)
- …day-to-day CFC Safety and Security functions such as:** + Environmental Safety and Health regulatory compliance to applicable Federal (USA - EPA, OSHA, DOT, IATA, ... safety team mentoring, MVP Team, ES&H training, Workers Compensation support for claims and issues and return to work, Incident investigation and corrective action… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... unmet medical needs and nutraceutical products for the maintenance of everyday health . In Otsuka's evolved customer engagement model, a Neuroscience LTC Specialist… more
- Executive Office for US Attorneys and the Office of the US… (Atlanta, GA)
- …ACE cases are most often brought for the United States under the False Claims Act and involve allegations of health care fraud, procurement fraud, grant ... that includes, in part, paid vacation, sick leave, holidays, telework, life insurance , health benefits, and participation in the Federal Employees Retirement… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative ... meet unmet medical needs and nutraceutical products for the maintenance of everyday health . This position can be based in Princeton, New Jersey, or Rockville,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …functions. Essential Qualifications Bachelor's degree Preferred: advanced degree in political science, health policy, law, business, health sciences or any other ... basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match,… more
- Molina Healthcare (Augusta, GA)
- …industry (ie, hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… 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
- Humana (Atlanta, GA)
- …**Required Qualifications** + Bachelor's degree + 10 plus years' experience in health insurance operations, complaint management, and CMS STARs programs ... part of our caring community and help us put health first** The Associate VP, Resolution- CTM Oversight and...STAR ratings and manage Complaint Tracking Metrics (CTMs) across insurance operations. This role is responsible for driving process… more
- Sedgwick (Atlanta, GA)
- …limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Return-to-Work Specialist **PRIMARY PURPOSE** : To negotiate, facilitate and monitor… more
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