- Command Investigations (Atlanta, GA)
- …Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... or GED. + Readiness to travel and accommodate overnight stays for remote assignments when necessary. + Ability to utilize web-based technology, digital surveillance… more
- Sedgwick (Atlanta, GA)
- …Best Workplaces in Financial Services & Insurance Claim Adjuster - Workers Compensation ( REMOTE - Needs experience in Southeast States) Are you looking for an ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Molina Healthcare (Atlanta, GA)
- …Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Sedgwick (Atlanta, GA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Customer Service Specialist **FULL TIME REMOTE POSITION** **SCHEDULE: ... answer questions. + Accurately and efficiently enters new housing claims into the system. + Monitors inbound email for...and partial stays + Audit hotel folios and related claims for billing accuracy, compliance, and documentation + Verifies… more
- Prime Therapeutics (Atlanta, GA)
- …Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The IT Business Systems Analyst (BSA) Sr is responsible ... to elicit, define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Prime Therapeutics (Atlanta, GA)
- …make. **Job Posting Title** Sr. Functional Bus Consultant (Compliance) - Remote **Job Description** The Senior Functional Business Consultant The Functional Business ... experience in at least one of the specific areas for position (eg, claims , eligibility, product, benefits, implementations or related area) + Must be eligible to… more
- Sedgwick (Atlanta, GA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Housing Coordinator - Remote - Per Diem Monday- Friday 10:00am-7:00pm EST ... or GED required. **Experience** Three (3) years of customer concierge or claims customer service experience or equivalent combination of education and experience… more
- Prime Therapeutics (Atlanta, GA)
- …drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Atlanta, GA)
- …we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of value ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Atlanta, GA)
- …decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible for the intake and initial ... Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United States without the… more