- MultiPlan (Atlanta, GA)
- …review team when required to provide subject matter expertise on the most complex claims for medical review and/or approval on a case-by-case basis ensuring ... to direct the clinical team in identifying inaccurate coding and other health care claim errors, new and existing. This position will oversee and direct a team… more
- WTW (Atlanta, GA)
- …job opportunity. **The Role** We have an exciting opportunity as an Associate Director within our **North America Enterprise Risk Consulting** practice, helping ... Our ** Risk & Analytics** business falls under WTW's **Corporate...put, our purpose is to reduce the likelihood of claims and reduce the cost of incidents when they… more
- EPAM Systems (Atlanta, GA)
- …- Payor, Provider, or Life Sciences and/or horizontal areas - Core Operations: Claims , Enrollment and Billing, Med Management; RCM; Commercial Operations, Supply ... sounds like you, this could be the perfect opportunity to join EPAM as a ** Director , Healthcare Advisory** . In this role, you will engage with insurance clients in… more
- Norstella (Atlanta, GA)
- …will be pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health ... Senior Director , RWD Analytics and Innovation Company: Citeline Location:...of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and… more
- Axis (Alpharetta, GA)
- …insurance and reinsurance. We stand apart for our outstanding client service, intelligent risk taking and superior risk adjusted returns for our shareholders. We ... upon request for candidates taking part in the selection process. Director , Product Development Job Family Grouping: Operations Job Family: Product Development… more
- Takeda Pharmaceuticals (Atlanta, GA)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... provided to patients and Health Care Providers while minimizing the risk of write-offs. + Independently authors/manages of outgoing communications regarding… more
- Sedgwick (Atlanta, GA)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director Global Accounts Payable **PRIMARY PURPOSE OF THE ROLE:** The Global ... Director of Accounts Payable is responsible for leading the...opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K, PTO and more Work environment… more
- Stantec (Atlanta, GA)
- …System selection to be based on Project/Client needs as well as proactive Claims / Risk mitigation. + Oversee and approve development and management of the ... Project Design Schedule. + Development and maintenance of the Project Risk Register, based on review of contract conditions, project-specific delivery requirements,… more
- Federal Reserve Bank (Atlanta, GA)
- …and sound judgement to ensure the best outcome for employees while mitigating risk for the Bank. Comprehensive healthcare options ( Medical , Dental, and Vision) ... to do work that touches lives and helps communities prosper. The Senior Medical Leave and Support Services Specialist administers the Bank's policies and procedures… more
- Papa John's International (Acworth, GA)
- …and Risk Management and the facility for workers' compensation claims ; ensure work-related incidents are reported; gather witness statements and documentation; ... as needed/requested and serve as a resource to the Director in the event of an OSHA inspection +...to work; assist department managers in obtaining all needed medical information regarding claims + Assist in… more
- Guidehouse (Atlanta, GA)
- …include actuarial modeling tasks such as developing healthcare projections, analyzing risk adjustment impacts, and designing and evaluating value-based contracts and ... other risk -sharing models for our clients. As an actuarial managing...development skills, they progress to the position of Associate Director . **What You Will Need:** Completion of at least… more
- Quality Technology Services, LLC (Suwanee, GA)
- …The **Business Continuity Analyst** will report to the Director , Corporate Resilience and Threat Intelligence and support efforts ... Analyst will assist with detailed, company-wide Business Impact Analysis and Risk Assessments covering IT systems, business processes, building management systems,… more
- ADM (Kennesaw, GA)
- …in the North American Market. The Senior Manager works in conjunction with the Global Director or Regulatory Compliance H&W and the Director of RSA for North ... all RSA team members. + Leverage regulatory feedback on topics related to claims and marketing materials in US (in collaboration with the Regulatory Scientific… more
- Shaw Industries Inc (Cartersville, GA)
- …or post-employment health assessments. This position aids in the coordination of: medical claims adjusters, medical personnel, workers compensation, and ... by a licensed physician who serves as Shaw Industries' Medical Director . + Provide and direct care...and validate data. + Provide health promotion, disease prevention, risk assessment, screening evaluations in accordance with best practice… more
- Truist (Atlanta, GA)
- …Policy is responsible for working with our Enterprise Fraud Management Detection and Claims teams to achieve desired business goals. These goals included, but are ... in an effort to identify improvement opportunities and reduce risk . ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary...projects, research, analysis as assigned by the Fraud Deputy Director or the Head of EFM. 6. Development of… more
