- AIG (Atlanta, GA)
- Director of Claim Regulatory Compliance Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 ... network. About the role The Director of Claim Regulatory Compliance will be...reasonable accommodation, please send an email to ###@aig.com . Functional Area: CP - Compliance AIG Claims ,… more
- Wabtec Corporation (Atlanta, GA)
- …the Legal Department. Areas covered include: ESG disclosure and reporting, product regulatory , stewardship and chemical compliance matters, and EHS compliance ... Department to manage and resolve disputes with third parties relating to product regulatory issues, including potential claims against the company or claims… more
- CVS Health (Atlanta, GA)
- …role is primarily responsible for the project management support for implementing mid-year regulatory changes to Medicare benefits and claims system SNOW tickets ... CMS regulatory changes Business Requirements Documentation (BRD) developed by claims configuration partner to ensure the configuration aligns to benefit intent.… more
- Molina Healthcare (Atlanta, GA)
- …are achieved. Coordinates with Associate Vice President, Special Investigations Unit, Regulatory Operations (AVP- SIU) within to oversee the special investigations ... audit plans development policy and procedure maintenance and departmental compliance and implementation. Responsibilities may include responding to external audits,… more
- Waystar (Atlanta, GA)
- **ABOUT THIS POSITION** This role reports to a Director , Product Management and work closely with User Experience team and Technology teams. The Product Manager will ... healthcare industry standards and staying up-to-date on industry changes and compliance issues + Gathering inspiration and ideas by visiting customers regularly… more
- Humana (Atlanta, GA)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Humana (Atlanta, GA)
- …site of service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include ... The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Newell Brands (Sandy Springs, GA)
- …amount of related activity to promote a culture of privacy and data protection compliance + Serve as a liaison with regulatory authorities, industry groups and ... Winning, Ownership & Leadership. Newell is seeking an experienced Senior Director , Privacy and Data Protection, with exceptional organization, communication and… more
- Molina Healthcare (Atlanta, GA)
- …Corporate and other stakeholders as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements. * Monitors and ... analyses of national contracts/benefits to support accurate configuration for claims payment); Provider/Member Inquiry Research and Resolution; and Provider/Member… more
- Cardinal Health (Atlanta, GA)
- …and trainings on policies. **_Manager, Ethics and Compliance_** Reporting to the Compliance Director , this position is responsible for supporting the ... and implementation, strong communication skills, and expert-level functionality with regulatory laws related to healthcare compliance . **_Responsibilities_** +… more
- Molina Healthcare (Atlanta, GA)
- …Management on an as needed basis to modify contract templates to ensure compliance with all contractual and/or regulatory requirements. * Ensures compliance ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims… more
- TOCA USA (Atlanta, GA)
- …Excellence + Create Awesome Experiences Job Highlights: Reports To: Global Sr. Director , People Operations Location: Remote (Atlanta, GA or Dallas, GA) Compensation: ... as payroll, benefits administration, leave of absence management, safety and compliance , compensation analysis, training and development and supporting the numerous… more
- Adecco US, Inc. (Atlanta, GA)
- …implementing, and maintaining comprehensive safety and environmental programs to ensure compliance with all regulatory requirements while fostering a safe ... acting as the primary liaison with federal, state, and local regulatory bodies. **ESSENTIAL DUTIES AND RESPONSIBILITIES** **Safety Program Management:** + Develop,… more
- Quality Technology Services, LLC (Atlanta, GA)
- …Provide strategic guidance on lease negotiations and customer interactions. + Facilitate compliance activities and conduct regulatory monitoring in support of ... The Economic Development Program Manager will work closely with the Director of Public Policy and Economic Development to facilitate interdepartmental teaming… more
- PruittHealth (Norcross, GA)
- …service utilization meets needs for improved patient outcomes and appropriate claims reimbursement in accordance with regulatory billing guidelines. **KEY ... transfer (TSF) and discharge (D/C). + Ensure appropriateness, completeness, accuracy and compliance with all state and federal regulatory and accreditation… more
- Sanofi Group (Atlanta, GA)
- …and maintain compliance with all applicable Sanofi-Genzyme policies and procedures, regulatory and legal requirements, and help to monitor compliance during ... position, the FRM will report to a field based Director , Field Reimbursement, within Patient Support Neurology. The Field...to buy & bill processes, billing and coding education, claims and adjudication by site of care, financial assistance… more