- Cognizant (Atlanta, GA)
- ** Claims Process Executive ( remote )** **JOB PURPOSE:** Claim Processors will review claim submissions, verify information, adjudicate the claim as per ... the business requirements. **ESSENTIAL FUNCTIONS** : + Examining and entering basic claims for appropriateness of care and completeness of information in accordance… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Job 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 ... reported periodically to Senior Management through the Management Review process to ensure alignment with Company policy and strategy...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. +… more
- Norstella (Atlanta, GA)
- Senior Analytic Consultant Company: MMIT Location: Remote , United States Date Posted: Aug 21, 2025 Employment Type: Full Time Job ID: R-1436 **Description** **About ... offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and EMR data. You will be joining an organization… more
- Ford Motor Company (Atlanta, GA)
- …if you need a reasonable accommodation for the online application process due to a disability, please call ###. \#LI-WC #LI- Remote **Requisition ID** : 49381 ... to exceed Ford's customer service expectations throughout the buying/servicing/renewal process **Portfolio Optimization & Technical Underwriting:** . Provide deep… more
- Celestica (Atlanta, GA)
- …Celestica business and performance **Skills, Capabilities, Experience and Attributes** + Executive Relationship Management + Sales Process and Business ... Req ID: 126169 Remote Position: Yes Region: Americas Country: USA State/Province:...and contracts negotiation + Overall Customer Satisfaction + Develops executive level internal and external presentations and communications to… more
- Sumitomo Pharma (Atlanta, GA)
- …monitoring of global regulatory line items in the clinical development projects budget process + Serve as the senior point of contact for internal communication + ... Ensure that development of launch materials/new claims with Marketing, Medical and Legal are guided by...and work practices governing all phases of the regulatory process + Ensure that regulatory pathways are developed to… more
- Humana (Atlanta, GA)
- …optimal solutions aligned with business partner expectations. + Conducts executive -level briefings and presents solution recommendations in support of state-level ... goals. + Guides Medicaid Technology Solutions teams in developing technical process documentation. + Produces weekly, monthly, and quarterly Kanban updates for… more
- Guardian Life (Atlanta, GA)
- …adoption. + Report and communicate progress, opportunities, and risks to executive stakeholders, delivering insights and recommendations in a clear, actionable ... logs. + Deliver solutions that enhance underwriting risk assessment, claims auto-adjudication, and customer servicing. Operational Excellence + Establish scalable… more
- Norstella (Atlanta, GA)
- Head of Product, Strategic Intelligence Company: Norstella Location: Remote , United States Date Posted: Sep 10, 2025 Employment Type: Full Time Job ID: R-1488 ... Partner with Engineering and Data Science to incorporate RWD ( claims , lab, EMR) where it improves forecast accuracy and...+ Serve as a visible product leader with strong executive presence. + Communicate complex forecasting concepts in clear,… more