- Elevance Health (Atlanta, GA)
- …implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. **How you will make an impact:** ... for discharge planning. + Ensures member access to services appropriate to their health needs. + Conducts assessments to identify individual needs and a specific… more
- Elevance Health (Atlanta, GA)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. **How you ... 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
- CVS Health (Atlanta, GA)
- …+ Experience designing AI solutions for healthcare settings such as pharmacies, health insurance , or clinical workflows. + Background in process improvement ... At CVS Health , we're building a world of health...of AI-driven solutions to optimize healthcare processes, such as claims processing, patient care coordination, pharmacy operations, and supply… more
- Kemper (Alpharetta, GA)
- …and professionally negotiate settlements with claimants and attorneys. + Adjust insurance policies for UM/UIM claims . Position Qualifications: + Minimum ... and resolve moderate to severe, including fatal, bodily injury claims with prompt review and respond to all demands,...time limit demands. + Obtain and thoroughly analyze complex medical records and data. + Research and apply applicable… 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 ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Return to Work Representative Bilingual French, Hindi, Bengali or more **We… more
- Elevance Health (Atlanta, GA)
- …ideal candidate will live within a commutable distance from our PulsePoint locations. CareBridge Health is a proud member of the Elevance Health family of ... companies, within our Carelon business. CareBridge Health exists to enable individuals in home and community-based...with FHIR, HL7, or X12 standards for clinical and claims data preferred. + Experience working with provider groups,… 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 ... provider reimbursement methodologies highly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a… more
- Elevance Health (Atlanta, GA)
- …you will make an impact:** + Works with diverse departments within Elevance Health to generate dashboard reports that identify cost of care opportunities, business ... procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… more
- Elevance Health (Atlanta, GA)
- …timely manner. + Interacts with internal and external customers to provide claims , customer service, and/or membership support. + Completes necessary research to ... skills, facilitation skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed… more
- Elevance Health (Atlanta, GA)
- …staff. + This role is not focused on network participation, reimbursement or claims payment inquiries, and/or the resolution of provider data issues. + Travels 25% ... around cost of care and quality measures. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement… more