- Prime Therapeutics (Atlanta, GA)
- …decision we make. **Job Posting Title** Deputy General Counsel, Litigation - REMOTE **Job Description** The Deputy General Counsel Litigation leads the company's ... in federal healthcare laws and regulations such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed care operations + Experience… more
- Prime Therapeutics (Atlanta, GA)
- …decision we make. **Job Posting Title** Forecasting Principal - Finance - Remote **Job Description** The Treasury Analyst Principal is responsible for developing, ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex… more
- Two95 International Inc. (Atlanta, GA)
- Job Title: Director, Health Plan Analytics Job type : Remote Work Type : 6+ Months Contract with extension Rate : $Market /Hour Requirements Position Summary: As the ... health plan operations including but not limited to enrollment, finance, call center, claims , Case Management and Utilization Management * 5+ years of experience in… more
- Molina Healthcare (Savannah, GA)
- …software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and ... + Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management, clinical indicators, industry benchmark, and/or… more
- Molina Healthcare (GA)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... not limited to, Configuration, Business Systems, Encounters (inbound and outbound), Claims , Provider Services and Contracting. * Identifies issues, resolves problems… more
- UNUM (Atlanta, GA)
- …Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The ... and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to… more
- CVS Health (Atlanta, GA)
- …and have experience troubleshooting data cleaning workflows. + Experience working in claims or appeals analytics. + Ability to communicate and translate technical ... results into understandable outputs that are digestible and impactful for both technical and non-technical audiences. + Experience with Tableau dashboard creation. **Preferred Qualifications** + Experience translating data analysis into actionable insights. +… more
- Molina Healthcare (GA)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of SQL ... 2005/2008 SSRS and Power BI report development + Familiar with relational database concepts, and SDLC concepts **Preferred Education** + Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. + Preferred… more
- Molina Healthcare (Macon, GA)
- …+ SQL expertise + Excel expertise + Medicare, Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting ... and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made… more
- Carrington (Atlanta, GA)
- …title records, organizing documents, creating chronologies, preparing and submitting title claims , monitoring for response from insurers and working with carrier ... retained counsel. + Ensure compliance with outside counsel guidelines and oversee adherence to loan servicing agreements and delegated authority matrixes. + Create, maintain, and deliver weekly, monthly and quarterly matter related reports. + Resolve routine… more