- Molina Healthcare (Columbus, GA)
- …network, ancillary, medical facility, health care vendor, commercial health insurance , large physician practice, managed care organization, etc.) * Advanced ... care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding on health care financial… more
- Burns & McDonnell (Atlanta, GA)
- …Information (RFI's), submittals, change management, contract closeout, documentation, and claims mitigation. + Oversee Prime Contract, subcontractor, and client ... documentation. + Implement process for confirming project and subcontractor insurance , taxes/duties, licensures, and bonding requirements. + Perform project safety,… more
- Elevance Health (Atlanta, GA)
- …Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Waystar (Atlanta, GA)
- …of Healthcare Revenue Cycle Operations and Data Flows preferred, specifically claims , payer payments, and patient interactions + Snowflake / Snowpark experience ... adoption assistance and fertility support + 401(K) program with company match + Pet insurance + Employee resource groups Waystar is proud to be an equal opportunity… more
- Waystar (Atlanta, GA)
- …algorithms + Docker/Kubernetes + Familiarity with Healthcare domain including HL7, Claims /Payments data models **ABOUT WAYSTAR** Through a smart platform and better ... adoption assistance and fertility support + 401(K) program with company match + Pet insurance + Employee resource groups Waystar is proud to be an equal opportunity… more
- Elevance Health (Atlanta, GA)
- …organizations. **How you will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more
- Burns & McDonnell (Atlanta, GA)
- …information (RFI's), submittals, change management, contract closeout, documentation, and claims mitigation. + Oversee Prime Contract, subcontractor, and client ... documentation. + Implement process for confirming project and subcontractor insurance , taxes/duties, licensures, and bonding requirements. + Perform project safety,… more
- MetLife (Atlanta, GA)
- …and possess in-depth knowledge of plan designs, benefit features and how claims are paid * Strong understanding of industry marketplace and legal developments. ... related account management or customer service experience in the insurance industry Equal Employment Opportunity/Disability/Veterans If you need an accommodation… more
- Molina Healthcare (Macon, GA)
- …care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of ... of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and… more
- Elevance Health (Atlanta, GA)
- …procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... and long term disability benefits, 401(k) +match, stock purchase plan, life insurance , wellness programs and financial education resources, to name a few. Elevance… more