- Humana (Atlanta, GA)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- CVS Health (Atlanta, GA)
- …detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is a full time role and is ideal for a data ... analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid regulatory &… more
- Sedgwick (Atlanta, GA)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analytics Manager **PRIMARY PURPOSE OF THE ROLE:** We are looking for a ... **QUALIFICATIONS:** + Business Acumen and Communication Skills + **Strong understanding of Insurance - Property line of business is** **a must** **.** + Ability… more
- Utilities Service, LLC (Statesboro, GA)
- …Hourly **Benefits:** + Company-sponsored Retirement Plan + Health Insurance (Medical/Dental/Vision) + Employee Assistance Program + Life, long-term/short-term ... disability insurance **Essential Functions & Responsibilities:** + Plans, coordinates, and...be delegated the authority to investigate incident reports, damage claims , etc., and to settle minor damage claims… more
- The Hartford (GA)
- …- KR08GE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... relationships with National Account Managers, field Risk Engineering Consultants (REC, Claims and Brokers to develop a valuable Industrial Hygiene service plan… more
- Fortrex (Atlanta, GA)
- …Receivable. . Monitor and work with internal departments to resolve outstanding AR claims and chargebacks. . Monitor weekly accrual and year end accrual of potential ... claims . . Communicate regularly with field operations personnel. ....computer. WHAT WE OFFER: . Medical, Dental, & Vision Insurance . Basic Life Insurance . Short… more
- Insight Global (Kennesaw, GA)
- …business unit to drive IT strategy and execution across underwriting, claims , digital transformation, analytics, and technical services. This leader delivers ... leading manager level leadership * 5+ years in any type of insurance , healthcare payer, healthcare provider, insurance brokerage, managing large cross-functional… more
- Cognizant (Atlanta, GA)
- …teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added ... in writing User Stories and handling CR/Epics. . Knowledge of Billing and Claims configuration is a plus. **Compensation:** - Annual salary range: $99,000 to… more
- Elevance Health (Columbus, GA)
- …process improvement, project coordination in a high-volume managed care operation ( claims , customer service, enrollment and billing); or any combination of education ... as AWS, GCP/CDP or Azure preferred. + Pharmacy Benefit Management Experience, Claims Experience, Experience reviewing data in Data warehouses strongly preferred. For… more
- Elevance Health (Atlanta, GA)
- …and effectiveness of drugs and other biologic interventions. + Uses a large claims database to conduct studies which focus on improving health outcomes. + Leads ... and Experiences:** + Experience conducting data management and analyses in claims databases highly preferred. + Experience using Panalgo's Instant Health Data… more