- Molina Healthcare (Macon, GA)
- …requirements and converting these terms to configuration parameters. + Handles coding , updating and maintaining benefit plans, provider contracts, fee schedules and ... and needs of user community. + GA Medicaid claims/ reimbursement/ coding experience is highly preferred **JOB QUALIFICATIONS** **Required Education** Associate… more
- Molina Healthcare (GA)
- …Visio + Advanced knowledge of Excel preferred + SQL knowledge preferred + Coding certification preferred + Knowledge of configuration in QNXT strongly preferred + GA ... Medicaid claims/ reimbursement/ coding experience is highly preferred **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent combination of… more
- Sedgwick (Atlanta, GA)
- …Fortune Best Workplaces in Financial Services & Insurance Claims Examiner Workers Comp I Remote I SE, Central, NE regions **PRIMARY PURPOSE** : To analyze complex or ... client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management.… more
- VetsEZ (GA)
- …and tools such as Jira, Git, and Jenkins. + Understanding of secure coding practices and federal compliance requirements. + US citizenship and ability to obtain ... PTO + Federal Holidays + Corporate Laptop + Training opportunities + Remote Opportunity Qualified applicants will receive consideration for employment without regard… 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 ... data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact… more
- Prime Therapeutics (Atlanta, GA)
- …make. **Job Posting Title** Medication Therapy Management (MTM) Specialist - Remote **Job Description** Evaluates and authorizes approval of prior authorization ... formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.). + Proficiency in Pharmacy… more
- VetsEZ (GA)
- …+ Experience with Fortify, Microsoft Threat Modeling Tool, or similar secure coding tools. + Familiarity with Kubernetes, Docker, or other container orchestration ... Laptop + Training and Professional Development Opportunities + Fully Remote Role Qualified applicants will receive consideration for employment without… more
- SitusAMC (Atlanta, GA)
- …Jenkins, Git, Bitbucket, or similar tools + Interest and ability to learn other coding languages as needed + Strong communication skills both written and verbal + ... LangGraph for GenAI pipeline development + Vector store integration for RAG \#LI-AS1 #LI- Remote Note: This job description is not intended to be all inclusive or… 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 ... of the development lifecycle from initial requirements gathering and design through to coding and testing of our business intelligence solutions. You must also be… 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 ... claimant and client. + Ensures claim files are properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical… more
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