- 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
- Walmart (Augusta, GA)
- …types, programs, and benefits to current and prospective members; processing memberships, upgrades, and credit accounts; encouraging membership renewals; ... up orders are filled. Oversees assigned area of responsibility by handling claims and returns; zoning the area; arranging and organizing merchandise; identifying… more
- Walmart (Sharpsburg, GA)
- …types programs and benefits to current and prospective members processing memberships upgrades and credit accounts encouraging membership renewals participating ... up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink… more
- Axis (Alpharetta, GA)
- …determine coverage, liability, and settlement value. + Leading initiatives to enhance claims processing efficiency and accuracy within the team. + Collaborating ... associations for knowledge enhancement. + Demonstrate the capability to lead process enhancement initiatives within a claims ...and directing the development of training materials relevant to claims processing . + Show a commitment to… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …+ Serve as the primary technical subject matter expert (SME) for upstream processing (cell culture/fermentation, harvest). + Lead and manage the technical ... Science and Technology (MSAT) for Upstream processes. This critical role will lead our efforts in developing, optimizing, and scaling up upstream bioprocesses for… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …Serve as the primary technical subject matter expert (SME) for downstream processing (chromatography, TFF/UFDF, viral clearance/filtration, etc.). + Lead and ... review of batch records, deviation investigations, and change controls. + Lead or significantly contribute to troubleshooting efforts and root cause investigations… more
- Evolent (Atlanta, GA)
- …scope + Responsible to escalate risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department standards as ... directed by the lead / manager + Consult for test plan creation,...source & target integrity across various databases supporting transaction processing based on the end-to-end data flow + create… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …policies and standards for purchased data. + Work closely with the Data Scouting lead role/s to aid in informing requirements for new data assets and provide input ... Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data, Specialty pharma, omnichannel data, SalesForce/Veeva (Call/Sample/Detail), etc.… more
- Elevance Health (Columbus, GA)
- …associated with fraud and abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies ... prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more