- Jobleads-US (Atlanta, GA)
- …in Atlanta. Candidates open to relocation are encouraged to apply. ESSENTIAL FUNCTIONS Lead a team representing the full scope of People.* Build relationships ... a noble cause, essential to our success.* **An excellent team player** who enjoys working with others and has...This position is primarily in the Atlanta office but remote as schedules allow. This People leader will be… more
- Sedgwick (Atlanta, GA)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation | AZ, ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance… more
- Sedgwick (Atlanta, GA)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability ( REMOTE ) Are you looking for an opportunity ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Zurich NA (Atlanta, GA)
- …Parsippany, NJ. In this role, you'll take the lead in guiding a team of technical Claims Professionals, driving superior results, and fostering a culture of ... Claims Team Manager, General Liability (National Accounts)...Liability at Zurich North America!** Are you ready to lead a dynamic team and make an impact… more
- Zurich NA (Atlanta, GA)
- …assigned are to assist with workload(s), participate on CAT team and/or provide remote assistance for the CROP Claims Care Center calls and/or CCP Claims ... that could affect the quality assurance of the Crop Claims team + Assists with claims...with claims that may require subrogation and/or claims that may lead to litigation +… more
- Cognizant (Atlanta, GA)
- **Product Consultant - Facets Claims & Payer Domain** **Work Model: Remote ** **Employment Type: Full-Time** **Job ID: 00066023611** **About the role** As a ... You will be a valued member of the delivery team and work collaboratively with stakeholders across business and...payer domain systems. **In this role, you will:** + Lead the implementation and customization of Facets Claims… more
- Humana (Atlanta, GA)
- …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director… more
- Prime Therapeutics (Atlanta, GA)
- …drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- Prime Therapeutics (Atlanta, GA)
- …Experience with data consolidation and modeling **Preferred Qualifications** + Team lead /supervisory/management experience + Business Intelligence consulting ... drives every decision we make. **Job Posting Title** Reporting Principal - Remote **Job Description** The Finance Reporting Principal is responsible for supporting… more
- Molina Healthcare (Atlanta, GA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update...MRDT processes to be built by the TCIM Development team including new fee schedule processes. + Performs manual… more
- Prime Therapeutics (Atlanta, GA)
- …pharmacy with us. **Job Posting Title** Principal Solution Strategist - JUDI - Remote **Job Description** **We are currently on the lookout for a Principal Solution ... Strategist to help lead the Medicare and Medicaid migrations for the JUDI...products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims… more
- Prime Therapeutics (Atlanta, GA)
- …drives every decision we make. **Job Posting Title** Sr Solution Strategist - Remote **Job Description** **Calling all Solution Strategists! We are looking for a ... Solutions Strategist to be a part of our JUDI Team . If you are interested in working within a...utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions… more
- Molina Healthcare (Atlanta, GA)
- …Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue ... **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, manages relationships… more
- Two95 International Inc. (Atlanta, GA)
- …: $Market /Hour Requirements Position Summary: As the Director of Analytics, you will lead a team of Analytic Consultants. You will participate in all phases ... Job Title: Director, Health Plan Analytics Job type : Remote Work Type : 6+ Months Contract with extension...and other client deliverables created and maintained by your team * Provide technical direction to data engineering … more
- Prime Therapeutics (Atlanta, GA)
- …every decision we make. **Job Posting Title** Health Plan Account Manager Sr - Remote **Job Description** The Sr Health Plan Account Manager serves as a line of ... clients, account leaders and internal partners to fulfill client commitments, lead client communications, coordinate product presentations and adoption, and champion… more
- Prime Therapeutics (Atlanta, GA)
- …non-lawyer and lawyer professionals and is a key member of the legal department's leadership team . **Responsibilities** + Lead and mentor a team of attorneys ... make. **Job Posting Title** Deputy General Counsel, Litigation - REMOTE **Job Description** The Deputy General Counsel Litigation leads...and regulations such as HIPAA, Anti-Kickback Statute, and False Claims Act, with a focus on PBM and managed… more
- Guardian Life (Atlanta, GA)
- ** Lead AI Innovation Lead - Data Science...their families. As part of the Data & AI team , this role presents a distinctive opportunity to collaborate with ... Science, actively contributing to Guardian's ongoing evolution. Guardian's Data & AI team spearheads a culture of data insights across Guardian, facilitating the… more
- Guardian Life (Atlanta, GA)
- The **Client Management Operations Lead ** is a senior leader responsible for the strategic direction and operational excellence of the Client Management function ... and service delivery. This role partners closely with Distribution, Claims , Operations, Underwriting, Technology, and other cross-functional teams to ensure… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and ... to evaluate business processes and drive improvements aimed at minimizing risk. The Lead will focus on Project Management and is responsible for oversight of the… more
- AIG (Atlanta, GA)
- …is at the heart of everything we do, from underwriting risks to processing claims . The Information Technology (IT) team equips our colleagues with the latest ... risk. Join us as a IT Application Portfolio Governance Lead to play your part in that transformation. It's...skills and experience as a valued member of the team . Make your mark in Information Technology At AIG,… more
