- Highmark Health (Atlanta, GA)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... agencies. These studies and projects may involve all aspects of the health insurance business and care management processes and may be confidential in nature or… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …to University Board **Risk Management & Actuarial Oversight** + Restructure stop-loss insurance program for $1.3B scale (specific and aggregate coverages) + Manage ... pandemics, high-cost therapies, and market disruptions + Evaluate captive insurance and risk retention strategies appropriate for $1B+ operations **Analytics,… more
- Aveanna Healthcare (Atlanta, GA)
- …Collector to ensure claims are refiled and/or billed to the second insurance in a timely manner. Understands payer specific requirements for submitting claims ... any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts. Essential Job Functions… more
- Elevance Health (Atlanta, GA)
- …for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable Elevance ... building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review, payment integrity, utilization management, risk adjustment). + Cost of… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Robert Half Management Resources (Lithonia, GA)
- …for benefits administration, ensuring accurate and timely management of enrollment and claims . * Handle unemployment claims and ensure compliance with relevant ... benefits administration and HR compliance requirements. * Experience handling unemployment claims and related documentation. * Familiarity with HRIS systems and… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Sedgwick (Atlanta, GA)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance IT Project Management Advisor **PRIMARY PURPOSE OF THE ROLE** : Manages software ... application development projects preferred. Skills & Knowledge + Knowledge of claims management business and technology + Excellent oral and written communication… more
- Lowe's (Rincon, GA)
- …time, as well as access to top-tier medical, dental and vision insurance . For information about our benefit programs and eligibility, please visit ... Distribution Centers (BDC). Your day involves reviewing calls, emails, and claims , providing status updates, processing special orders, and monitoring load plans… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …basic life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k) match, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more