- NTT America, Inc. (Atlanta, GA)
- …Manager and the corporate insurance group as regards to high value insurance claims , to ensure that documentary information has been collected, secured, and ... medical , dental, and vision benefits, life and supplemental insurance , short-term and long-term disability, flexible spending account, and 401k retirement… more
- CVS Health (Atlanta, GA)
- …detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role is ideal for a data professional ... investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate...in data analytics or data science, preferably in healthcare, health insurance , or Medicaid programs + Ability… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance , other healthcare providers, clinical group practice… more
- Elevance Health (Atlanta, GA)
- …per week. The **Provider Reimburse Admin Sr** ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... with Federal and state mandates. + Works with other departments on claims adjudication workflow development and business process improvements. + May lead the… more
- Western Digital (Atlanta, GA)
- …leave; medical /dental/vision insurance ; life, accident and disability insurance ; tax-advantaged flexible spending and health savings accounts; employee ... and recommend appropriate courses of action. + Coordinate property and casualty insurance claims control function at all locations. + Continuous review… 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/or Dental Vendors is strongly preferred. + Experience with 837P and 837D claims /encounters is strongly preferred. + Advanced knowledge of Excel and SQL is… more
- Humana (Atlanta, GA)
- …us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate ... Qualifications** + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient… more