- Prime Therapeutics (Atlanta, GA)
- …of experience in pharmacy benefits management, reporting and analytics, benefits consulting, healthcare , financial services or related field + Must be eligible to ... experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate experience using analytic tools,… more
- UNUM (Dunwoody, GA)
- …related platforms such as Salesforce, MuleSoft, Rally. + Insurance industry knowledge (ie, claims processing) is a plus + Exhibits courage by taking smart risks and ... of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term… more
- PruittHealth (Griffin, GA)
- …proper billing. * Work on billing reports daily to ensure timely filing of claims . * Ensure accuracy of daily census. * Track and maintain personnel files for ... **MINIMUM EXPERIENCE REQUIRED:** * One (1) year administrative experience in healthcare or similar services industry. **ADDITIONAL QUALIFICATIONS:** * Associate or… more
- Mass Markets (GA)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Cardinal Health (Atlanta, GA)
- …methodology and requirements gathering is a plus. + Basic understanding of operations and claims processing in pharmacy or other healthcare related area is a ... plus. + Basic understanding of low-code/no-code customer service related systems and applications is a plus (ex. Quickbase, SalesForce, etc.) **What is expected of you and others at this level** + Applies working knowledge in the application of concepts,… more
- Evolent (Atlanta, GA)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... of Actuaries credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or… more
- GuideOne Insurance (Atlanta, GA)
- …or Hugging Face to summarize, interpret, and flag anomalies in claims and underwriting documents. + Implement retrieval-augmented generation (RAG) using Vector ... disability insurance + Medical, dental and vision plans to meet your unique healthcare needs + Wellness incentives + Generous time off program that includes… more
- Mass Markets (Savannah, GA)
- …technology solutions across a wide range of industries, including healthcare , retail, government, education, telecom, technology e-commerce, and financial services. ... 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service,… more
- Danaher Corporation (Atlanta, GA)
- …this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff and financial decision makers on Cepheid ... coding and reimbursement. + Support customers with approved resources for denied claims , payer coverage expansion and inadequate reimbursement. + Respond to and… more
- Sargent & Lundy (Atlanta, GA)
- …and suppliers to ensure terms and deliverables are met. + Handle disputes or claims arising from contract performance. + Adhere to estimated costs and ensure the ... of our employees. Our commitment extends beyond the workplace, offering comprehensive healthcare plans and generous paid time off to support our team members… more