• Claim Audit Quality…

    CVS Health (Atlanta, GA)
    …each and every day. **Position Summary** The Quality Specialist will audit pre and post payment claims for accuracy and eligibility transactions. They ... identifying errors, necessary corrective measures, and may participate in special audit assignments. **Required Qualifications** + 1+ years of experience working in… more
    CVS Health (10/16/25)
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  • Senior Claim Benefit Specialist

    CVS Health (Atlanta, GA)
    …and financial accuracy. **Required Qualifications** + 1-2+ years of experience in a quality audit or claims testing environment. + Working knowledge ... day. **Position Summary** The Senior Claim Benefit Specialist serves as a quality champion and...process improvements. + Participate in special projects and targeted quality audit initiatives. + Provide subject matter… more
    CVS Health (10/17/25)
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  • Claims , Quality Assurance…

    AIG (Atlanta, GA)
    Claims , Quality Assurance Specialist - Worker's Compensation Join us as a Claims QA Specialist to make more of your specialist expertise and ... skills with ability to create consistently factual, correct, high quality audit reports and supporting documentation. +...+ Ability to address queries, disputes, challenges through the claims audit cycle while maintaining the philosophies… more
    AIG (10/01/25)
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  • Senior Claims Specialist

    Axis (Alpharetta, GA)
    …upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist ** AXIS is seeking a Senior Claims Specialist ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management...Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores… more
    Axis (09/23/25)
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  • Claim Governance and Control Lead

    AIG (Atlanta, GA)
    …to make more of your specialist expertise and experience. Make your mark in Claims . Our Claims teams are the proven problem solvers of choice for clients, ... adjuster licensing process and leading efforts on various Global Claim initiatives. You will have oversight of Claims...Audit Group (IAG), Compliance, External Auditors and the Claims organization. How you will create an impact +… more
    AIG (08/18/25)
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  • Regulatory Affairs Specialist

    BD (Becton, Dickinson and Company) (Covington, GA)
    **Job Description Summary** BD is seeking a Regulatory Affairs Specialist to join our team in Covington, GA. This is a hybrid role with 4 days working at our office. ... The Regulatory Affairs Specialist is responsible for implementing strategies, including domestic and international submissions, and providing support to product… more
    BD (Becton, Dickinson and Company) (10/11/25)
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  • Traffic Management Specialist - Title 32

    Air National Guard Units (Garden City, GA)
    …32 EXCEPTED SERVICE POSITION. This position is for a Traffic Management Specialist , Position Description Number D2422000 in the 165th Logistics Readiness Squadron, ... members of the Air National Guard. Responsibilities As a Traffic Management Specialist , GS-2130-09, you will: Serve as the technical transportation advisor to all… more
    Air National Guard Units (10/18/25)
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  • Facility Coding Inpatient DRG Coding…

    Banner Health (GA)
    …coding expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing ... to work and receive care. In this **Inpatient Facility/HIMS Certified Medical Coder, Quality Associate** position, you bring your **5 years of acute care inpatient… more
    Banner Health (10/16/25)
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  • DRG Coding Auditor

    Elevance Health (Atlanta, GA)
    …letters. + Maintains accuracy and quality standards as set by audit management for the auditing concept, valid claim identification, and documentation ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of...purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside… more
    Elevance Health (10/13/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Atlanta, GA)
    …and reference information to generate audit determinations and formulate detailed audit findings letters. + Maintains accuracy and quality standards as ... clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise,...Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation… more
    Elevance Health (09/23/25)
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