- Humana (Atlanta, GA)
- …JD, MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + ... experience to include multiple practice areas + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment… more
- Waystar (Atlanta, GA)
- …and familiarity with ML frameworks (PyTorch, TensorFlow, XGBoost). + Experience working with healthcare , financial, or claims data is a plus. + Excellent ... data science solutions that support Waystar's AltitudeAI (TM) platform and healthcare revenue cycle management (RCM) products. This role requires strong hands-on… more
- Norstella (Atlanta, GA)
- …(PharmD) or Medicine (MD/DO) degree. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an ... **The Role:** In this role, you will leverage your expertise in ** healthcare data analytics** to extract meaningful insights from **real-world data (RWD)** sources,… more
- Elevance Health (Columbus, GA)
- …Creates and develops partnerships with other departments including Sales, Underwriting, Healthcare Management, Claims , Customer Service, Third party Recovery and ... 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
- Humana (Atlanta, GA)
- …part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that involve ... customer contact, investigation, and resolution of claims or claims -related financial issues. The position...service experience (within the past 5 years)** + **Previous healthcare related experience or education** + Basic Microsoft Office… more
- Elevance Health (Atlanta, GA)
- **Business Architect Sr. - Claims Systems** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... as required by law. The **Business Architect Sr. - Claims Systems** will be part of Elevance Health's National...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Molina Healthcare (Savannah, GA)
- …and scripting tools such as Python, Ruby or Perl. * Experience in the healthcare industry To all current Molina employees: If you are interested in applying for ... this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Claims Processing Representative 1 reviews and adjudicates complex or specialty claims , ... support/computational tasks. Typically works on routine and patterned assignments. The Claims Processing Representative 1 determines whether to return, deny, or pay… more
- Elevance Health (Atlanta, GA)
- …leading Claims Operations teams and strategy within a large healthcare payor environment strongly preferred. + Proven track record leading Digital Transformation ... **Director II, Digital Claims Operations (Dir II Digital Ops)** Location: This...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Elevance Health (Atlanta, GA)
- **Business Architect Sr. - Government Claims ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... required by law. The **Business Architect Sr. - Government Claims ** will be part of Elevance Health's National Operations...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more