- Cognizant (Atlanta, GA)
- …sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims . This remote position offers the flexibility of ... from 8-5pm EST._ **Key Responsibilities-** + _Claims Processing:_ Review, validate, and process healthcare claims submitted by providers in accordance with US… more
- Zurich NA (Atlanta, GA)
- Executive Underwriter OR AVP, Underwriting Director - Excess Casualty 128851 Zurich is seeking an experienced Executive Underwriter OR AVP, Underwriting Director ... measured by gross written premium, profitability, and employee satisfaction! As an Executive Underwriter OR AVP, Underwriting Director - Excess Casualty you will… more
- Mass Markets (GA)
- …organization. We are seeking a highly organized, well-established, and detail-orientedVirtual Executive Assistantto join our remote team. As a Virtual ... (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider… more
- Mass Markets (GA)
- …(TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider ... across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions… more
- Molina Healthcare (GA)
- …in Connecticut** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. +… more
- Molina Healthcare (Savannah, GA)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a… more
- Molina Healthcare (Atlanta, GA)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …excellence + Lead quarterly transformation governance reviews with President and executive leadership on program health, ROI, and strategic pivots + Establish ... journey framework spanning: enrollment, provider search, care access, treatment navigation, claims resolution, health improvement, and renewal + Design and implement… more
- Humana (Atlanta, GA)
- …**Key Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support Humana's ... and measurable value realization, especially when navigating complex, high-volume claims environments. + Partner closely with architecture, operations, compliance,… more
- Cardinal Health (Atlanta, GA)
- …broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process , ensuring timely and accurate processing of ATSP ... cell & gene space (among other areas). The _Sr. Advisor, Payor Engagement Executive (Cell & Gene Specialty Pharmacy)_ will focus on payor engagement and negotiation.… more