- Axis (Alpharetta, GA)
- …available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores… more
- Grant Thornton (Atlanta, GA)
- As a Healthcare Process Risk Senior Associate, you will get the opportunity to grow and contribute to our clients' business needs by helping them understand their ... include but are not limited to co-sourced and outsourced internal audit , internal control assessments, enterprise risk management program assessments, tests of… more
- CRC Insurance Services, Inc. (GA)
- …5. Train claims staff on new policies or procedures. 6. Oversee and audit claims process ensuring proper documentation was created in the system and/or ... Coordinators reviewing allocation of staff to ensure productivity and quality standards meet or exceed expected goals. 4. Review,...order to provide account loss ratios and claims history to senior management.… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Job Summary** The Senior Director of Quality Strategy and Operations will be responsible for developing and delivering the Global Quality strategic plan, ... The ideal candidate will have a strong background in quality management within the pharmaceutical industry and a proven...improvement and governance to areas such as training and audit . Foster a culture of operational excellence, ensuring best… more
- CVS Health (Atlanta, GA)
- …customer and regulatory guidelines. + Owns responsibility for supporting targeted quality audit projects, reporting overall results, and making recommendations ... regarding training needs, quality controls, and procedures to senior management....and decision making skills + College degree preferred + Claims experience + DG experience **Education** + High School… more
- CVS Health (Atlanta, GA)
- …has an exciting opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives to ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...reporting using SQL and SAS. You will continuously improve quality controls and accuracy of reported data, looking for… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for leading a ... global team focused on R&D Quality . This global role includes direct reports in the...oversee clinical trial and submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical… more
- AIG (Atlanta, GA)
- …Management (ERM), Internal Audit Group (IAG), Compliance, External Auditors and the Claims organization. How you will create an impact + Drive a strong control ... ensure necessary changes to controls are made based upon audit feedback (self-audits, internal audits, PwC audits). + Drive...plus. + Ability to influence and collaborate effectively with senior managers across claims . + Excellent written… more
- Sunrise Senior Living (Acworth, GA)
- **When you join Sunrise Senior Living, you will be able to use your unique skills to empower residents to live longer, healthier, and happier lives. Not only will ... and shed light on meaningful ways to serve, grow, and shine together.** **Sunrise Senior Living was again certified as a Great Place to Work(R) by Activated… more
- Molina Healthcare (Augusta, GA)
- …and you keep complaint data synchronized across appeals & grievances, enrollment, claims , pharmacy, and quality functions. You surface systemic issues, steer ... grievances, and member communications. * Exposure to downstream domains: Enrollment, Claims , Pharmacy/PDE, Network, Stars quality metrics. * Proven record… more