- Elevance Health (Columbus, GA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Perform duties telephonically or on-site ... will make an impact:** + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Atlanta, GA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site ... are not limited to: + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific care… more
- Elevance Health (Atlanta, GA)
- …the market + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... organizations preferred. + BA/BS degree in Actuarial Sciences or Health Economics preferred. + Minimum of 5 years in...+ Minimum of 5 years in healthcare industry in medical economics, provider finance, healthcare analytics, or actuarial services… more
- Catholic Health Initiatives (Ringgold, GA)
- …off), Professional Dues, and Relocation Reimbursement + Relocation Assistance Offered + Malpractice Insurance (Modified Claims Made) + Cell Phone Stipend + Full ... Benefits Eligibility with CommonSpirit Health **About CHI Memorial Medical Group** +...and your family + Paid Time Off (PTO) + Health /Dental/Vision Insurance + Flexible spending accounts +… more
- Guidehouse (Atlanta, GA)
- …and value sets, such as ICD-10, DRG, and CPT + Experience with commercial health datasets, eg, claims , encounters, risk scoring, HEDIS measures, etc. + Knowledge ... Trust **What You Will Do** **:** As an AI/ML Health Data Science Senior Consultant with Guidehouse you will...creating a diverse and supportive workplace. Benefits include: + Medical , Rx, Dental & Vision Insurance +… more
- Walmart (Tucker, GA)
- …awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical , vision and dental coverage. Financial benefits include ... facilitylevel training and execution of asset protection safety and claims and receiving procedures by reviewing the application of...great benefits for a happier mind, body, and wallet. Health benefits include medical , vision and dental… more
- CVS Health (Atlanta, GA)
- …**Preferred Qualifications** + Experience working in a call center environment + Medical terminology/ insurance experience + Results oriented and self-motivated + ... At CVS Health , we're building a world of health...+ Handle incoming calls from members and providers regarding claims status, benefits and eligibility, PPO participation, etc +… more
- Elevance Health (Atlanta, GA)
- …large, multi-source datasets with SAS required, and a minimum of 3 years in health care setting; or any combination of education and experience which would provide ... BI) strongly preferred + Familiarity with healthcare datasets (ie closed claims , EHR/EMR), market access analytics, and commercial strategies in the pharmaceutical… 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 ... overpayment adjustments Systems- FACETS, NextGen, CI&W Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
- CVS Health (Atlanta, GA)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...customer benefits questions, and clarifications on billing, eligibility, and claims processes. + Retain and grow the client relationship… more