- 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 ...other internal and external constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical… more
- Highmark Health (Atlanta, GA)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...**Preferred** + Bachelor's Degree in Information Systems or Business Administration /Management **EXPERIENCE** **Required** + 3 - 5 years in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Emory National Primate Research Center (EPC), Emory University, is improving human and animal health and lives worldwide. One of seven NPRCs funded by the NIH, EPC ... discoveries possible. Learn more at http://enprc.emory.edu The Division of Research Administration Services (RAS) within the Emory National Primate Research Center… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …excellence of our academic community. **Description** The Emory Primate Center Research Administration unit (EPiC RA) at Emory University is currently seeking a ... EPC's research goals by providing best-in-class delivery of research administration support services to faculty. These services are customer-focused, consistent,… more
- Intermountain Health (Atlanta, GA)
- …or language to fit specific situations or to address new regulatory or policy requirements, with direction from legal counsel and with appropriate consultation with ... are in compliance with applicable law / regulation / policy , and terms and conditions appropriate to organizational strategies....Anti-Kickback laws and regulations. - and - Data Base administration / management skills. - and - Working knowledge… more
- Cardinal Health (Atlanta, GA)
- …state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- health ... of escalation for complex or high-dollar claims. + Stay current with payer policy changes, compliance regulations, and industry best practices. + Analyze trends in… more
- Highmark Health (Atlanta, GA)
- …requested. **EDUCATION** **Required** + Bachelor's Degree in Accounting, Finance, Business Administration , Nursing, IT or Related Field **Substitutions** + 6 years ... **Required** + 3 years of relevant, progressive experience in the health insurance industry and/or healthcare fraud investigations **Preferred** + 1 year… 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 ...Gathers clinical information and applies the appropriate clinical criteria/guideline, policy , procedure and clinical judgment to render coverage determination/recommendation… more
- Highmark Health (Atlanta, GA)
- …closely related field **Substitutions** + Degree in Nursing, Informatics, Business Management, Health Administration , Public Health or related field ... Sigma experience + 1 - 3 years in the Health Insurance Industry + 1 - 3 years in...Handbook of Privacy Policies and Practices and Information Security Policy ._ _Furthermore, it is every employee's responsibility to comply… 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 ...ensuring successful implementation of IAM solutions that adhere to policy requirements. The IAM Domain SME will work closely… more