- Prime Therapeutics (Atlanta, GA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Lead Claims Processor, Government Programs **Job Description** Adjudicate or submit ... and adjustments as required. + Implementation and maintenance of claims processing programs and procedures + Verify...and administrative duties as required by business need. + Lead and implement positive changes with a high level… more
- Axis (Alpharetta, GA)
- …Lines market in North America. As a direct report to the Head of Financial Lines Claims , the successful candidate will lead a sophisticated team of claims ... top talent and developing appropriate succession plans + Reviewing, processing , and assigning new D&O claims to...maintaining relationships with internal and external partners as their lead contact within the claims department for… more
- AIG (Atlanta, GA)
- …Law Firms with an annual spend of less than $500K for Insurance Claims processing and adjudication commodities. This shall include; + Negotiate commercial ... help customers to manage risk. Join us as a Claims Law Firm Analyst to play your part in...from AIG's Law Firm contract template; + Participate and lead Law Firm pricing negotiations; + Document and summarize… more
- AIG (Atlanta, GA)
- …service with empathy and efficiency. How you will create an impact + Support Lead claims cost reporting for all North American and Canadian vendors, creating ... to manage risk. Join us as a Vendor Operations Claims Analyst to play your part in that transformation....enabling upper management to present insights effectively. + Support processing / reporting of vendor exception submission requests from… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims ... accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing . This role will focus on identifying, reviewing, and validating Medicaid… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …seamless care with digital-enabled support to help bridge care gaps. The Area Business Lead will report to the respective Sr. Business Director (SBD) and be grouped ... decisions that reflect local customer needs. **Purpose** The Area Business Lead will provide strategic leadership and direction to cross-functional peers, guiding… more
- MetLife (Alpharetta, GA)
- …Alpharetta GA offices. In office once a month for meetings The Opportunity The Lead Administrator will perform a variety of complex tasks around death processing ... transactions. How You'll Help Us Build a Confident Future (Key Responsibilities) * Lead Administrator will have a small group to provide coaching and feedback to… more
- Humana (Atlanta, GA)
- …and processes + Solid understanding of healthcare operations, particularly around claims processing , enrollment, provider data management and clinical ... of our caring community and help us put health first** The Medicaid Lead , Technology Solutions builds strategic partnerships and manages relationships between IT and… more
- Guardian Life (Atlanta, GA)
- ** Lead AI Innovation Lead - Data Science Lab** **Overview** Guardian is on a transformation journey to evolve into a modern, forward-thinking insurance company ... of pioneering research into practical, enterprise-wide solutions. In this role as Managing Lead Data Scientist for the DSL, you'll be entrusted with the crucial task… more
- CenterWell (Atlanta, GA)
- …+ Support new business implementations with a goal of ensuring all pharmacy claims are processing appropriately + Drive project development and support project ... a part of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets.… more