- Prime Therapeutics (Atlanta, GA)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Program Manager ( Claims Exp) - Remote **Job Description** ... The Senior Program Manager is accountable for leading and...to manage competing priorities and deadlines **Preferred Qualifications** + Claims experience (RxClaims) **Physical Demands** + Ability to travel… more
- AIG (Atlanta, GA)
- Join us as a Senior Claims Adjuster to take on key...you will act as a deputy for the Team Manager , and will provide training , and be a technical ... responsibilities within a world - class claims function. Make your mark in Claims ...you. That is why we created our Total Rewards Program , a comprehensive benefits package that extends beyond time… more
- CenterWell (Atlanta, GA)
- …market or Kansas City, MO or Kansas City, KS markets.** As the **RCM Manager ** , you will: + Manage the collection and billing operations and develop ... eligible dependents + Caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- CenterWell (Atlanta, GA)
- …community and help us put health first** As an **RCM Healthcare Claims Denials Specialist/Accounts Receivable Specialist** , you will: + Ensure the coordination ... agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate… more
- CenterWell (Atlanta, GA)
- …or Kansas City, MO or Kansas City, KS markets.** As the **RCM Healthcare Claims Denials (Accounts Receivable) Supervisor** , you will: + Supervise daily billing and ... and initiate correspondence to insurance companies for reconsideration of claims . + Supervise accounts receivable management functions and maintain assigned… more
- JE Dunn Construction Company (Atlanta, GA)
- Senior Planning and Scheduling Manager Location: Atlanta, GA, US, 30339 **Best People + Right Culture. These are the driving forces behind JE Dunn's success.** ... you to join us in our pursuit of building perfection.** **Role Summary** The Senior Planning & Scheduling Manager will complete most complex activities to… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... day to day operations and issue resolution. Escalate issues as appropriate to senior management. + Proactively source and develop ideas to improve fleet program… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …+ Status Reporting: Project health (risks, issues, decisions ) + Communicate with senior leaders on program execution as needed + Demonstrate political acumen, ... **About This Role** The BA/PrM shall partner with the Program Lead and Technical Lead to deliver the ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… 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...terms and deliverables are met. + Handle disputes or claims arising from contract performance. + Adhere to estimated… more
- CVS Health (Atlanta, GA)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager Data Consultant plays a crucial role in the overall planning and ... and non-technical audiences + Experience with healthcare datasets including claims , providers, members, authorizations. + Advanced Excel skills including pivot… more
- General Motors (Atlanta, GA)
- …Sales and Service Agreement. This review may include dealership practices relative to warranty claims and policy claims . These claims must comply with ... Specific responsibilities include: * Determining the compliance of these claims with the rules and policies * Constructing a...PREFERRED: * Wholesale field experience as a District Sales Manager , District Service Manager , Field Warranty … more
- Bank of America (Kennesaw, GA)
- Fraud Analytics and Innovation Senior Leader - Client Protection Newark, Delaware;Plano, Texas; Richmond, Virginia; New York, New York; Boston, Massachusetts; ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Fraud-Analytics-and-Innovation- Senior -Leader Client-Protection\_25020488-2) **Job Description:** At Bank of America, we… more
- Elevance Health (Atlanta, GA)
- **Business Information Consultant Senior - Provider Economics** The **Business Information Consultant Senior ** is responsible for value-based financial model ... to determine the best methods and approaches to calculate accurate estimates of program savings. _PLEASE NOTE: This position is not eligible for current or future… more
- Ferguson Enterprises, LLC. (Tucker, GA)
- …and provide feedback as part of the installers ongoing training + Help resolve claims and customer issues + Maintain parts storage areas in the warehouses, including ... in the warehouse and communicate long term needs to Area Installation Manager + Perform pre-installation and post-installation inspections of jobs and effectively… more
- Highmark Health (Atlanta, GA)
- …The incumbent will contribute to recommendations for annual/ongoing formulary and program strategies, in close collaboration with matrix partners and stakeholders ... review, assisting in navigating a complex regulatory environment, working with claims data, performing financial analyses, and supporting the presentation of… more
- CVS Health (Atlanta, GA)
- …support for certain financial components impacting the net cost of pharmacy claims . The colleague will: + Apply quantitative skills and analytical methods to ... scenario testing, supporting model development and maintenance, and working with manager , peers, and business partners to develop simple explanations for drivers… more
- Elevance Health (Atlanta, GA)
- …program savings. The ideal candidate will possess extensive experience in PI editing, claims , and program management. **How you will make an impact:** + ... **Strategy & Program Development Director - Payment Integrity Strategy &...compliance, and the strategic design and management of enterprise-wide claims editing projects. This role involves planning, budgeting, and… more
- Zurich NA (Atlanta, GA)
- …profitable business. This role will be filled at either the Account Executive or Senior level. The hiring manager will determine the appropriate level based upon ... South Region (Alabama, North Carolina, South Carolina, Florida) The Senior Commercial Surety Underwriter will work to analyze and...successful in your career + Experience a customized training program dedicated to those new joiners outside of the… more
- Walgreens (Atlanta, GA)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... champion an "earn while you learn" Pharmacy Technician Training Program recognized by ASHP & Department of Labor. This...Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager… more
- Walgreens (Atlanta, GA)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . + Strictly adheres to the Walgreen Co. policy… more