- Humana (Atlanta, GA)
- …to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from the data exchange between Humana and its ... to make an impact** **Required Qualifications** **5+ years of medical claims processing/auditing or encounter data management experience** **Demonstrated deep dive… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …outcomes; demonstrates competent product knowledge of own product and competition \#LI- Remote **Competencies** **Accountability for Results -** Stay focused on key ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …25% travel is required, based upon business needs + Position can be remote based **Competencies** **Accountability for Results -** Stay focused on key strategic ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- Norstella (Atlanta, GA)
- …RWD Analytics and Innovation (Healthcare & Life Sciences) Company: Norstella Location: Remote , United States Date Posted: Jul 30, 2025 Employment Type: Full Time ... integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health (SDoH) data, to drive… more
- Elevance Health (Atlanta, GA)
- …balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate locations may ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Guidehouse (Atlanta, GA)
- …**:** None **Join Our Growing Medical Coding Team! All roles are 100% REMOTE .** As an organization experiencing exponential growth, we are driven by our inclusive ... certified. At Guidehouse, coding is more than charts and claims - it's about making an impact. As a...and CEU support. Our coders enjoy the flexibility of remote work, the stability of long-term projects and career… more
- Amentum (Atlanta, GA)
- …mid-career, technically astute, and growth oriented. US Citizenship is required, this is a remote -telework role, if you live near our Herndon, VA office you are free ... appropriate insurance coverage and risk mitigation strategies. + Lead complex claims management, including litigation strategy and resolution in coordination with… more
- Humana (Atlanta, GA)
- …closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid ... APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg performing basic… more
- Humana (Atlanta, GA)
- …on beneficiary needs; assists with beneficiary related issues which may include claims inquiries, enrollment issues, travel attestations, access to care, wait lists, ... + Bilingual a plus. + Experience working in a remote /work at home setting. **Additional Information** **Work Days/Hours** :...8:00 am - 4:00 pm EST. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
- Banner Health (GA)
- …individual needs, with continued support throughout your career here! This is a fully remote position and available if you live in the **following states only: AK, ... coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing multiple… more