- Globe Life Inc. (Atlanta, GA)
- …that calls us to Make Tomorrow Better.Role Overview: Could you be our next Life Claims Manager ? American Income Life is looking for an experienced Life Claims ... timely claim adjudication. This position will oversee the day-to-day operations of the AIL Life Claims team. This is a remote , work from home position. What You… more
- Sedgwick (Atlanta, GA)
- …Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Manager | VA Jurisdiction | Remote **PRIMARY PURPOSE** : To manage the ... + Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. +… more
- Sedgwick (Atlanta, GA)
- …and support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker , attorney and supervisor. + Identifies ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured … more
- Elevance Health (Atlanta, GA)
- …member benefits, and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/ remote experience is very ... **Anticipated End Date:** 2024-09-19 **Position Title:** RN Transplant Case Manager II (Telephonic) **Job Description:** **LOCATION** **: This is a remote … more
- Elevance Health (Atlanta, GA)
- **Anticipated End Date:** 2024-09-23 **Position Title:** CarelonRx Account Manager II **Job Description:** **CarelonRx Account Manager II** **Location:** This ... position will work a hybrid model ( remote and office). The ideal candidate must live within...PulsePoint locations listed on the requisition. The **CarelonRx Account Manager II** is responsible for retention and operational excellence… more
- Elevance Health (Atlanta, GA)
- **Anticipated End Date:** 2024-09-17 **Position Title:** Account Service Manager **Job Description:** **Account Service Manager ** **Location: Must be within 50 ... miles of any location listed; position has both office/ remote expectations.** AmeriBen is a proud member of the Elevance Health family of companies. We are a… more
- Elevance Health (Atlanta, GA)
- **Anticipated End Date:** 2024-09-12 **Position Title:** Account Service Manager - Pharmacy Account Management **Job Description:** **Account Service Manager - ... Pharmacy Account Management** **Location:** This position will work a hybrid model ( remote and office). The ideal candidate must live within 50 miles of one of our… more
- Medtronic (Atlanta, GA)
- …a more connected, compassionate world. **A Day in the Life** This role is open to remote . The hiring manager has a preference for candidates based in either EST ... remote for highly qualified candidates. However, the hiring manager has a preference for candidates to be based...interact with a computer, and communicate with peers and co- workers . Contact your manager or local HR… more
- Elevance Health (Atlanta, GA)
- …Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles from our ... of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How you… more
- Elevance Health (Atlanta, GA)
- …Group Clinical Validation Auditor** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one of ... Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- …any Elevance Health office location_ _**this position will work a hybrid model ( remote and office) which requires working in the nearest Elevance Health office 1-2 ... office**_ The **Provider Reimburse Admin** ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Elevance Health (Atlanta, GA)
- …**Pharmacy Internal Auditor** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one ... processes and processes related to enrollment and billing and claims processing, as well as customer service written and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- …**Senior Investigator (Investigator Sr)** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- …Contract/Cost of Care Consultant** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles of one of ... Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider… more
- Elevance Health (Atlanta, GA)
- …Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one the ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- …Investigator II **Job Description:** **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one ... + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines and to… more
- Elevance Health (Atlanta, GA)
- …week in the office (Hybrid 1) **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live within 50 miles of an Elevance ... to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- …**Associate Research Director** **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 miles of ... + Extensive experience conducting research using healthcare databases (ie administrative claims data) strongly preferred + Expertise in data science and analytic… more
- Elevance Health (Atlanta, GA)
- …in-office) with PulsePoint sites used for collaboration, community, and connection. This includes remote work and 1-2 days in office per week. Candidates must reside ... increments or decrement. + Communicates with sales, administration and claims to assess the rating and administrative impact or...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Atlanta, GA)
- …**Advanced Analytics Analyst Senior** **Location:** This position will work a hybrid model ( remote and in office 1 - 2 days per week). Candidates must live ... procedures. * Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance… more
