- Molina Healthcare (Atlanta, GA)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Atlanta, GA)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Atlanta, GA)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- Elevance Health (Atlanta, GA)
- …combination of education and experience which would provide an equivalent background. + ** Claims Auditor Senior :** Requires a HS diploma or GED and a ... ** Claims Auditor I, II and Senior **...or any combination of education and experience which would provide an equivalent background. + ** Claims Auditor… more
- BrandSafway (Atlanta, GA)
- …our growing team! This position will be working under the general direction of the Senior Counsel - Insured Litigation and Claims will (1) manage assist with ... America and internationally with a primary focus on auto claims ; (2) provide legal support to Environment,...EHS, HR, and Legal, including specifically the Transportation Safety Manager to reduce vehicle accidents, better manage claims… more
- Elevance Health (Atlanta, GA)
- ** Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Analyst Senior **...providing analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims… more
- JE Dunn Construction Company (Atlanta, GA)
- Senior Safety Manager , Industrial/Manufacturing Location: Atlanta, GA, US, 30339Dallas, TX, US, 75254Austin, TX, US, 78704Kansas City, MO, US, 64106 **Best ... our diverse team of industry professionals._ **Role Summary** The Senior Safety Manager will plan, manage and...status on all safety and workers' compensation and related claims to senior management. + Attends various… more
- Danaher Corporation (Atlanta, GA)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- RxBenefits (Atlanta, GA)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Turner & Townsend (Atlanta, GA)
- …projects in the world. **Job Description** **Turner & Townsend is** seeking an experienced ** Senior Cost Manager / Quantity** to join our team, leading cost ... facilities, requiring exceptional expertise in cost control and construction management. The Senior Cost Manager will be responsible for overseeing the cost… more
- Sargent & Lundy (Atlanta, GA)
- …our internal teams to make the projects run as seamlessly as possible. The Senior Project Manager will work as a construction subject matter expert, responsible ... with our core values. The core functions within the Senior Project Manager scope are: + To...client relationships through effective communication and timely updates. + Provide oversight to the projects overall cost and schedule.… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Senior Technology Manager to play your part in that transformation. It's an opportunity ... of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues...will create an impact We are seeking an experienced Senior Technology Manager to lead our technology… more
- The Cigna Group (Atlanta, GA)
- …experience managing direct reports + Experience in developing and managing key provider relationships including senior executives + Knowledge of complex ... **Work Location: Atlanta, GA** The **AVP, Provider Contract Network Management** serves as an integral member of the Network Management & Affordability Team and… more
- Zurich NA (Atlanta, GA)
- Senior Environmental Underwriter (Sr. Level III or AVP...office.We may, at the sole discretion of the Hiring Manager , be willing to hire at other Zurich offices ... Level IV) 127364 Zurich is seeking an experienced Senior Environmental Underwriter, ( Senior Level III or...III) or AVP, Environmental Underwriter (Level IV). The hiring manager will determine the appropriate level based upon the… more
- Elevance Health (Atlanta, GA)
- …of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How ... **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit**...fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing + Correlates review… more
- Zurich NA (Atlanta, GA)
- …This role will be filled at either an AVP, Underwriting Director OR VP, Senior Underwriting Director level. The hiring manager will determine the appropriate ... and 12 or more years of experience in the Claims or Underwriting Support area OR VP, Senior...supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide… more
- Elevance Health (Atlanta, GA)
- ** Senior Health Economist - Managed Care** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... and business leaders passionate about transforming American healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures… more
- Walgreens (Atlanta, GA)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Grant Thornton (Atlanta, GA)
- …and helping clients design and implement internal controls + Support engagement Manager and/or Senior Manager /Director in project management activities, ... As a Healthcare Process Risk Senior Associate, you will get the opportunity to...mentor Associates and Interns on engagements, assess performance and provide feedback + Develop and execute internal audit workplans… more
- Elevance Health (Atlanta, GA)
- **Test Automation Engineer Senior Advisor** **Location:** Atlanta, GA; Chicago, IL (preferred). This role requires associates to be in-office 1 - 2 days per week, ... eligible for current or future visa sponsorship._ The **Test Automation Engineer Senior Advisor** is responsible for development and oversight of enterprise test… more