- Humana (Atlanta, GA)
- …qualifications: + Cloud/Snowflake/Databricks experience + Working with Service Ops ( claims , B&E, etc. **Preferred Qualifications** + Health insurance operations ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- Elevance Health (Atlanta, GA)
- …provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + Claims experience with Facets and/or WGS preferred. + SQL reporting ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Elevance Health (Atlanta, GA)
- …and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Elevance Health (Atlanta, GA)
- …provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + Claims experience with Facets and/or WGS preferred. + SQL reporting ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Elevance Health (GA)
- …care management treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Elevance Health (Atlanta, GA)
- …plan and modifies as necessary. + Assists in problem solving with providers, claims or service issues. + Coordinate referrals to local and statewide resources ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- Cardinal Health (Atlanta, GA)
- …contract manufacturing. **_Responsibilities_** + Demonstrate knowledge of commercial healthcare law, including pharmaceutical distribution and manufacturing + ... the interpretation and application of relevant laws (eg, Anti-Kickback, False Claims Act, HIPAA, Antitrust) + Demonstrate excellent communication skills and ability… more
- Elevance Health (Atlanta, GA)
- …care management treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more
- CVS Health (Atlanta, GA)
- …of health services service. Promotes/supports quality effectiveness of Healthcare Services. **Position Responsibilities:** + Responsible for initial review ... + May assist in the research and resolution of claims payment issues - Supports the administration of the...**Required Qualifications** + 2-4 years of experience within the healthcare field, medical/health setting, medical billing and coding. +… more
- Elevance Health (Atlanta, GA)
- …**Preferred Skills, Capabilities and Experiences:** + 1-3 years' experience in claims processing, provider , or credentialing strongly preferred. Please be advised ... dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with...Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of… more