• Associate Actuary

    Elevance Health (Atlanta, GA)
    …models. + Responsible for recommendations on pricing, marketing, product design, claims , premium and enrollment administration of business unit. + Responsible for ... 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 (11/19/25)
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  • Utilization Management Representative I

    Elevance Health (Atlanta, GA)
    …make an impact:** + Managing incoming calls or incoming post services claims work. + Determines contract and benefit eligibility; provides authorization for ... 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 (11/19/25)
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  • Actuarial Director - Level Funding Pricing

    Elevance Health (Atlanta, GA)
    …statisticians and actuaries preferred. + Experience working with large health claims datasets or gathering datasets. Experience with evaluation of provider quality ... 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 (11/19/25)
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  • Actuary, ESRD Forecasting and Analytics

    Humana (Atlanta, GA)
    …individual Medicare Advantage plans. This includes: + Owning and improving our ESRD claims forecast process + Reviewing input assumptions and outputs of the ESRD ... 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
    Humana (11/19/25)
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  • Telephonic Nurse Case Manager Senior

    Elevance Health (Atlanta, GA)
    …of reimbursement, as applicable. + 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 (11/18/25)
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  • Medicaid Formulary Clinical Pharmacist - CarelonRx

    Elevance Health (Atlanta, GA)
    …communications regarding formulary changes. + Ensures appropriate formulary set-up and claims adjudication. + Serves as a clinical pharmacy resource to pharmacy ... 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 (11/18/25)
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  • Financial Operations Recovery Process Specialist

    Elevance Health (Atlanta, GA)
    …Capabilities, and Experiences:** + Previous experience in high-volume operations ( claims , customer service, enrollment and billing) strongly preferred. Please be ... 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 (11/15/25)
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  • Patient Access Representative

    Trinity Health (Lavonia, GA)
    …two years of college or prescribed course of study in business or healthcare field preferred; Spanish speaking preferred **Experience:** Past work experience of at ... or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service… more
    Trinity Health (11/14/25)
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  • Dental Network Service Representative

    Highmark Health (Atlanta, GA)
    …ensure they utilize various means of automated communication, as well as, claims and electronic data interchange and electronic funds transfer. Collaborate with ... dentistry and dental consultants) keeping management informed on related healthcare industry issues/topics. Support competitive position in the marketplace by… more
    Highmark Health (11/14/25)
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  • Code Edit Disputes Medical Coder

    Humana (Atlanta, GA)
    …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... 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
    Humana (11/14/25)
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