- Truist (Atlanta, GA)
- …to corporate clients, to include corporate finance, capital markets, and treasury and payment solutions, designated by industry vertical, with a focus on mid to ... large cap-sized private and public companies. Expertise in maximizing client engagement and delivering Truist's full suite of products and capabilities. Additional responsibilities on internal client management duties as specified by manager and team.… more
- Molina Healthcare (Savannah, GA)
- …+ Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document assumptions. + Analyze results to identify early ... signs of trends or other issues related to risk scores. + Design and maintain risk score models. + Generate and distribute routine reports to support risk adjustment calculations, pricing, and financial reporting. + Extract and compile information from various… more
- Molina Healthcare (Augusta, GA)
- **Job Description** **Job Summary** The Health Plan Operations, Payment Integrity Program Manager is an individual contributor role designed for a highly capable ... role focuses on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be… more
- Molina Healthcare (Atlanta, GA)
- …and responsibility for oversight, production, and resolution of Health Plan Payment Integrity (PI) recovery concepts. This role executes and monitors Health ... and State regulatory requirements are met for pre-pay edits, post payment datamining, and overpayment recovery which improves encounter submissions, reduces General… more
- Elevance Health (Atlanta, GA)
- …The **Rating/Claims Systems Implementation Advisor** will have expert-level experience in Payment Integrity and will be responsible for implementing payment ... analysis, claims processing, and audit processes associated with healthcare payment models. **How you will make an impact:** +...of study and a minimum of 6 years systems analyst or business analyst experience; or any… more
- Elevance Health (Atlanta, GA)
- …content strategy to meet financial and operational targets. As a Clinical Content Analyst , you'll research and interpret CMS, CPT/AMA and other major payer policies ... Your goal is to develop claims editing logic and content that promote payment accuracy and transparency across Medicaid, Medicare, and Commercial lines of business.… more
- Highmark Health (Atlanta, GA)
- …work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support. This team ... monthly reports detailing problematic accounts, Termination of groups for non- payment , Completing write-offs as appropriate, Coordinating AR issues affecting claims… more
- Lumen (Atlanta, GA)
- …endpoint protection. + Deep customer empathy, particularly with security operations, analyst , and CISOs. + Comfortable working in a matrixed organization, aligning ... advised that Lumen does not require any form of payment from job applicants during the recruitment process. All...addresses. If you encounter any job offers that request payment in exchange for employment at Lumen, they are… more
- Lumen (Atlanta, GA)
- …Engineering, Computer Science, or relevant experience. 3-5+ years in direct GIS Analyst experience. Experience utilizing mapping tools such as ESRI ArcGIS. 2-3+ ... advised that Lumen does not require any form of payment from job applicants during the recruitment process. All...addresses. If you encounter any job offers that request payment in exchange for employment at Lumen, they are… more
- CenterWell (Atlanta, GA)
- …programs, specialty provider network development, and financial performance. The Senior Analyst will work closely with market leadership, executive stakeholders, and ... to support contracting strategies, including provider network design and value-based payment arrangements. + Analyze utilization, quality, and financial data to… more