• Manager , Claims Operations

    Molina Healthcare (Atlanta, GA)
    …opportunities for process developments and improvements. + Provides oversight of research and analytics associated with medical claims processing requirements ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
    Molina Healthcare (06/07/25)
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  • Complex Claims Adjuster-Warranty

    AIG (Atlanta, GA)
    …retention and customer satisfaction, they turn to us. Position Overview: Reporting to a Claims Team Manager , the Adjuster, Complex Claims works directly with ... customers to manage risk. Join us as a Complex Claims Adjuster-Warranty to play your part in that transformation....knowledge of industry and asset coverage types. + Handle research assignments and reporting as delegated by management. +… more
    AIG (06/01/25)
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  • Manager , Clinical Supply Operations

    Otsuka America Pharmaceutical Inc. (Atlanta, GA)
    **Job Summary** Manager , Clinical Supply Operations manages Phase I-IV clinical studies, including coordination of packaging, labeling, blinding of ... supply vendors. + Assist with forecasting and ordering bulk research drugs from manufacturing department. + Support with developing...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
    Otsuka America Pharmaceutical Inc. (05/28/25)
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  • Manager , Field Reporting - Commercial

    Sumitomo Pharma (Atlanta, GA)
    …Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.) ... diverse pipeline of early- to late-stage assets, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For more… more
    Sumitomo Pharma (06/21/25)
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  • Manager , Compliance Audit & Analysis

    Emory Healthcare/Emory University (Atlanta, GA)
    …for the organization regarding coding and billing compliance, including conducting research as needed to help the organization achieve compliance. **Principal duties ... Word, Access, Excel, PowerPoint; as well as Epic EMR. + Working knowledge of claims data and analysis, with experience working in the MD Audit tool preferred. +… more
    Emory Healthcare/Emory University (04/30/25)
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  • Fraud Analytics and Innovation Senior Leader…

    Bank of America (Kennesaw, GA)
    …degree, preferably in a quantitative discipline such as mathematics, statistics, operations research , engineering, computer science, finance, or business. ... working across multiple lines of business; partnering with product, technology, operations , vendors, and others; responsibility for the overall first party fraud… more
    Bank of America (06/03/25)
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