- Molina Healthcare (GA)
- …Supporting the OH Plan, the candidate will act as the Ohio Operation lead on Claims and Encounters as well as the liaison to our state regulator in these areas. ... developer role but the candidate must be technically inclined and interface with IT, Claims , and Encounter Teams. Must be a self-starter willing to learn. Must be a… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel your professional journey with better benefits, valuable ... + Additional Epic Certifications in areas such as PB Claims and Remits or PB Charge would stand out...of clinical processes and functions. + Experience in a healthcare or academic medical center environment highly preferred. +… more
- Guidehouse (Atlanta, GA)
- …and financial outcomes for client organizations. The role centers on healthcare systems, project management, and process automation, supporting high-quality care ... and optimization. + Partner with revenue cycle teams to improve workflows and claims management. + Support Guidehouse Managed Services SOP on an ADHOK basis,… more
- Cognizant (Atlanta, GA)
- **Facets Healthcare Developer** **Work Model: Remote** **Employment Type: Full-Time** **Job ID: 00065752001** **About the role** As a **Senior Developer** , you will ... make an impact by designing, developing, and deploying robust solutions for healthcare platforms. You will be a valued member of the delivery team and work… more
- AIG (Atlanta, GA)
- …and service a profitable book of miscellaneous medical facilities and allied healthcare business. + Utilize underwriter authority in accordance with the published ... strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners,… more
- Molina Healthcare (Atlanta, GA)
- …release notes to accurately request and analyze impact reports of affected claims . + Analyzes, interprets, and maintains configurable tables and files that support ... or reimbursement processes + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg, performing… more
- Molina Healthcare (Macon, GA)
- …vendor, and internal COB leads. + Updates the other insurance table on the claims transactional system and COB tracking database. + Review of claims identified ... for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Columbus, GA)
- …and business leaders to enable enterprise wide capabilities. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... the Provider Online Directory, Utilization Management, Customer Experience, Enrollment, and Claims Payment and Processing. + Develop and enforce operating procedures… more
- Molina Healthcare (Augusta, GA)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare is seeking a seasoned Business Analyst to support cross-functional initiatives across all lines of business. ... This role will collaborate with teams in various departments ( Claims , Enrollment, Provider Network, IT, Compliance, etc.) to analyze business needs, document… more
- Molina Healthcare (Columbus, GA)
- **JOB DESCRIPTION** **Job Summary** The Molina Healthcare Internship Program shares an objective to create a stepping stone for students who aim to be professionals ... and future leaders in the healthcare business profession. Interns are assigned special projects and...learning and rule-based logic to detect potentially incorrectly paid claims . + Contribute to improve data quality, perform data… more