- 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
- Axis (Alpharetta, GA)
- …our North America Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management and handling expertise for ... opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand...candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a… 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
- Axis (Alpharetta, GA)
- …specialized insurance sectors **What Will You Do In This Role?** + Serving as a Senior Claims Specialist focused on management liability claims within AXIS' ... opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand...The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength… more
- CVS Health (Atlanta, GA)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- Elevance Health (Atlanta, GA)
- ** Provider Contract/Cost of Care Consultant Senior ** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract/Cost of Care Consultant Senior ** provides...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… 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
- Cushman & Wakefield (Alpharetta, GA)
- **Job Title** Senior Facilities Manager **Job Description Summary** This position has managerial oversight of multiple facilities, an entire campus, or a ... client facilities and has at least one Facilities Manager and/or Assistant Facilities Manager reporting into it. The Senior Facilities Manager has the… 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
- Humana (Atlanta, GA)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… 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
- GE Vernova (Atlanta, GA)
- …potential contract scope deviations with IPM/Functions; escalate to Project Director/Project Manager claims requiring customer negotiation. + Coordinates the ... on monthly basis to identify the critical impacts and provide the mitigations suggestions. + Organize monthly 'schedule deep...deep dives' providing guidance & insights to project and senior management + Ensure project schedule updates and KPIs… 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