- Highmark Health (Atlanta, GA)
- …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
- State of Georgia (Fulton County, GA)
- Eligibility and Enrollment Analyst (State Based Exchange) Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/70188/other-jobs-matching/location-only) New ... Sign Up for Job Alerts Under supervision, the Eligibility and Enrollment Analyst is responsible for reviewing and updating program policies and operational… more
- Evolent (Atlanta, GA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple ... Evolent's clinical services (ie, specialty care, utilization management, care management, appeals & grievances) + Using analytical tools to integrate various data… more
- Carter's/OshKosh (Atlanta, GA)
- …Welfare plan administration for US and Canada, including benefits, enrollment, appeals , medical, dental, vision, life insurance, voluntary benefits, HSA/FSA & COBRA ... in partnership with third party administrators - for both the Full-time and Part-time US and Canada populations. - Serve as day-to-day lead for full-time and part-time US and Canada benefits payroll process for assigned benefits, including oversight of… more
- State of Georgia (Fulton County, GA)
- …investigation. SUPERVISION : + Legal services division staff including paralegal and analyst . MINIMUM QUALIFICATIONS : + Three years of directly related experience. ... Hearings, and before an Administrative Law Judge, the Georgia Court of Appeals , and the Georgia Supreme Court. + Experience interacting directly with the… more