- Elevance Health (Atlanta, GA)
- … experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. **How will ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Investigator Senior** is responsible for the... claims . Health insurance… more
- Molina Healthcare (Columbus, GA)
- …hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... The Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost,… more
- Molina Healthcare (Augusta, GA)
- …hospitals, network, ancillary, medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care ... Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost,… more
- Cardinal Health (Atlanta, GA)
- …and prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/billing data to insurance providers + Researching and ... appealing denied and rejected claims + Preparing, reviewing, and transmitting claims ...a wide variety of benefits and programs to support health and well-being. + Medical , dental and… more
- Sedgwick (Atlanta, GA)
- … medical , dental, vision, 401k and matching, PTO, disability and life insurance , employee assistance, flexible spending or health savings account, and other ... Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance General Product and Liability Complex Claim Advisor - Multi-State Licensing… more
- Elevance Health (Atlanta, GA)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Elevance Health (Columbus, GA)
- …for fraud and abuse prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to ... by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
- Elevance Health (Atlanta, GA)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management CPT codes.… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for ... certain assets within the broader CNS TA portfolio Medical Affairs (both US and Global), with a specialization in Psychiatry and/or Neurology. Accountable for a… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Position Summary** : Reporting to the Vice President, Global Medical Affairs, the Executive Director, CNS Strategy, Global Medical Affairs is a leadership ... position responsible for the strategic and tactical medical plans of both global and US ...life, accidental death & dismemberment, short-term and long-term disability insurance , tuition reimbursement, student loan assistance, a generous 401(k)… more