- Emory Healthcare/Emory University (Atlanta, GA)
- …can contribute to the excellence of our academic community. **Description** **Transform Healthcare Finance at Scale** Emory Health Plan seeks an exceptional finance ... strategy, build scalable infrastructure, and shape the future of healthcare delivery during the most dynamic period in the...+ Scale analytics infrastructure from 20M to 35-40M annual claims with advanced predictive modeling and machine learning +… more
- Humana (Atlanta, GA)
- …+ 2 or more years of project leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** ... bridges product ownership, data and software engineering, and regulatory healthcare data requirements, ensuring that data ingestion, transformation, and delivery… more
- Molina Healthcare (Atlanta, GA)
- …SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical providers. This position uses information ... enforcement or for payment recovery. **KNOWLEDGE/SKILLS/ABILITIES** + Reviews post pay claims with corresponding medical records to determine accuracy of claims… more
- Molina Healthcare (Macon, GA)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... the development, implementation and maintenance of provider data in the claims payment system. * Supports critical business strategies by providing systematic… more
- Synergy Healthcare Solutions (Dunwoody, GA)
- …per hour | Hourly | Posted 09-Oct-2025 (EST) | Administration | Synergy Healthcare Services - Atlanta | 1040 Crown Pointe Pkwy, Dunwoody, GA, USA **Insurance ... Insurance and Risk Management Department. This role ensures workers' compensation claims and related documentation are managed accurately and efficiently -… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** **Be inspired. Be valued. Belong.** At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship ... Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or Wisconsin **Description** Emory Healthcare is seeking an Epic Application Architect focused on Epic… more
- Humana (Atlanta, GA)
- …a related field, or equivalent work experience. + Demonstrated experience in claims analysis, payment integrity, or healthcare data analytics, preferably within ... anomalies in data to identify and collect overpayment of claims . Contributes to the investigations of fraud waste and...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Prime Healthcare (Riverdale, GA)
- …in ensuring patient safety, reducing hospital liability, and improving overall healthcare quality. This position blends clinical knowledge with risk management ... Center - Riverdale, GA Here are some of the benefits of working at Prime Healthcare : + Health, dental, and vision insurance options + Paid vacation, sick time and… more
- Grant Thornton (Atlanta, GA)
- As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... The ideal candidate will have exceptional expertise and experience in healthcare providers, specifically hospitals, academic medical centers, and healthcare … more
- Molina Healthcare (Augusta, GA)
- …including accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data within multiple claims systems ... Ensures that provider information is loaded accurately to ensure proper claims processing, outbound reporting and directory processes. **Required Qualifications** *… more