- Sedgwick (Atlanta, GA)
- …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... Best Workplaces in Financial Services & Insurance Remote Housing Support Specialist **REMOTE POSITION** **Schedule: MONDAY - FRIDAY 11AM-8PM EST** **PRIMARY… more
- Molina Healthcare (Atlanta, GA)
- …Condition Categories) Risk Adjustment Model + Background in supporting risk adjustment management activities and clinical informatics + Experience with ... codes are reported accurately to maintain compliance and to minimize risk and denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts… more
- Evolent (Atlanta, GA)
- …mission. Stay for the culture. **What You'll Be Doing:** **Manager, Coding Support Specialist ** Evolent Care Partners is seeking a Risk Adjustment Coding Support ... Adjustment coding team members, including coding support specialists. + Provides leadership, management , and ongoing training to Risk Adjustment coding support… more
- Prime Therapeutics (Atlanta, GA)
- …systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + ... drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description** Delivers against business… more
- AIG (Atlanta, GA)
- At AIG, we are reimagining the way we help customers to manage risk . Join us to play your part in that transformation. It's an opportunity to grow your skills and ... strategy and work collaboratively with other aligned business functions including claims , actuarial, and consulting. + Work alongside our Distribution Partners,… more
- AIG (Atlanta, GA)
- …activities across the Globe, acting as the primary liaison between Enterprise Risk Management (ERM), Internal Audit Group (IAG), Compliance, External Auditors ... specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven...best practices designed to mitigate claim handling and operational risk . + In collaboration with Key Stakeholders and business… more
- NDCP (Duluth, GA)
- …and Excel required, with technical aptitude to quickly pick up the functional use of claims and/or risk management systems (based on the assigned TPA), ADP, ... Workers' Compensation Manager (WC) is responsible for all WC-related claims management , including proactive management ...incumbent(s) to broaden their knowledge of WC claim and risk management . Qualifications + Bachelor's degree is… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …with providers, negotiate contracts (where necessary), and ensure quality of care. CLAIMS MANAGEMENT : + Oversee TPA claim processing, ensure accurate and ... timely payment of claims , and identify areas for cost reduction. COMPLIANCE AND...(eg, EHC, EU University Senate) to achieve organizational goals. RISK MANAGEMENT : + Understand and mitigate financial… more
- WEG Electric Corp. (Duluth, GA)
- …with CBP and internal standards. + Provide reporting and metrics to management on compliance performance, cost savings, and risk indicators. **Experience:** ... opportunity for a Global Trade Compliance Analyst. The Global Trade Compliance Specialist will interpret International Trade Regulations and apply them as necessary;… more
- Highmark Health (Atlanta, GA)
- …analytical and communication skills Preferred + Associate's Degree + 3 years with claims processing and data management + Past auditing and strong ... areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in… more