• Special Investigation Unit

    CVS Health (Atlanta, GA)
    …compassionate. And we do it all with heart, each and every day. The Special Investigations Unit is seeking a Manager to lead our team of Certified ... Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews...for overseeing and managing coding reviews for fraud detection, investigation , and prevention efforts to safeguard the organization's resources… more
    CVS Health (04/23/25)
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  • Billing Manager - Federal Unit

    CDM Smith (Atlanta, GA)
    special projects. * Performs other duties as required. **Job Title:** Billing Manager - Federal Unit **Group:** OPS - Billings **Employment Type:** Regular ... **41196BR** **Requisition ID:** 41196BR **Business Unit :** FSU **Job Description:** CDM Smith is looking...Description:** CDM Smith is looking for an experienced Billing Manager to manage our dedicated federal billing team. For… more
    CDM Smith (04/01/25)
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  • Bulk Electric System Compliance Manager

    Georgia Systems Operations (Tucker, GA)
    …administrator for the ERO Enterprise web portals (or successor systems). + Compliance Investigation and Review + Conduct thorough investigations and reviews to ... PTO, and Volunteer Time Off The Bulk Electric System ("BES") Compliance Manager is responsible for oversight, monitoring, and administering GSOC's NERC Compliance… more
    Georgia Systems Operations (03/28/25)
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  • Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    …coding and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of ... and risk avoidance based on the outcome of the investigation . + Assists with training of new associates. **Minimum...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (04/24/25)
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  • Clinical Provider Auditor II

    Elevance Health (Atlanta, GA)
    …coding and billing issues, trends and changes in laws/regulations. + Collaborates with the Special Investigation Unit and other internal areas on matters of ... and risk avoidance based on the outcome of the investigation . + Assists with training of new associates. **Minimum...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (04/23/25)
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  • SOC Engineer - Splunk Specialist

    Honeywell (Duluth, GA)
    …of our information assets. You will report directly to our Senior Cyber Security Manager and will be based at our Duluth, GA location, following a hybrid work ... schedule. As part of a special project, you will need to relocate to the...analyzing security events to identify potential threats * Conducting investigations and responding to security incidents * Implementing and… more
    Honeywell (03/06/25)
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  • General Liability Claim Representative

    Travelers Insurance Company (Alpharetta, GA)
    …on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. + Investigates each claim ... nurse consultants, and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings.… more
    Travelers Insurance Company (04/24/25)
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  • AVP, Complex Claim Liability Specialist

    Travelers Insurance Company (Atlanta, GA)
    …manage claims by completing essential functions including contacts, investigation , damages development, evaluation, reserving, litigation management, negotiating and ... and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the… more
    Travelers Insurance Company (04/04/25)
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  • Ghfa Psh Compliance Officer

    State of Georgia (Dekalb County, GA)
    …compliance to the Continuum of Care (COC) federal regulation on programmatic and unit compliance. GHFA PSH Program is part of the Permanent Supportive Housing (PSH) ... team in DCA's Office of Homeless and Special Needs Housing. An excellent candidate would possess strong...PSH Compliance Officer reports to the DCA GHFA PSH Manager . This position demands a willingness to stretch and… more
    State of Georgia (04/16/25)
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  • AVP, API Principal Engineer - Digital Servicing

    Synchrony (Alpharetta, GA)
    …software into the company's products + Perform other duties and/or special projects as assigned **Qualifications/Requirements:** + Bachelor's degree and a minimum ... Expertise with continuous integration environments + Experience with writing unit , integration, and UI test cases + Deep experience...to take a drug test, submit to a background investigation and submit fingerprints as part of the onboarding… more
    Synchrony (04/16/25)
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