- HHS Technology Group, Inc. (Atlanta, GA)
- …and Certification reimbursement Open PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER - PMP - Remote POSITION DESCRIPTION: HHS Technology Group is excited ... about expanding and adding an Agile Project Manager to our Professional Services team. This key member...managing projects of similar size and scope in MMIS ( claims , provider, or TPL). 2+ years of hands-on experience… more
- Sunrise System Inc (Atlanta, GA)
- Job Title: All-Payer Claims Database Product Manager Location: Atlanta, GA Duration: 12 months of contract. Under broad supervision, proficient in the design, ... in the management and analysis of databases that collect health insurance claims information from all health care payers into a statewide information repository.… more
- HHS Technology Group, Inc. (Atlanta, GA)
- …reimbursement Open PTO policy Join us! WHO WE ARE HIRING: PROJECT MANAGER (PMP CERTIFIED) POSITION DESCRIPTION: HHS Technology Group is excited about expanding ... and adding a Project Manager to our Professional Services team. This key member...of State government experience in Medicaid, MMIS, eligibility/enrollment systems, claims process or related experience Proven track record of… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form ... drug assistance. Position Summary: Under the general supervision of an Operations Manager , the Customer Access Specialist will be providing advanced services to… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Patient Services Representative Location: Remote Duration: 3+ month assignment Shift timings: 8:00 AM - 8:00 PM EST Position Summary: Under general direction ... of an Operations Manager , responsible for providing well defined services to patients,...Researches and resolves any claim denials or underpayment of claims . Effectively utilizes various means for collecting information using… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Patient Access Specialist Location: Remote Duration: 3+ month's Shift timings: 8:00 am - 8:00 pm EST Job Details: Complete data entry from the enrollment form ... drug assistance. Position Summary: Under the general supervision of an Operations Manager , the Customer Access Specialist will be providing advanced services to… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Benefits Verification Specialist Location: Remote Duration: 3+ month's Working hours: 8:30am to 5:30pm EST or 10:30am - 7:30pm EST Note: Training shift timing ... healthcare provider. Position Summary: Under general supervision of an Operations Manager , the Benefits Verification Specialist will contact insurance companies to… more
- Ryder System (Atlanta, GA)
- …issues, with a primary emphasis on complex high exposure liability claims . Assists Director in the identification of exposures, recommends solutions, promotes ... in the investigations, vehicle inspections, and resolves complex and high exposure claims , as well as directs outside vendors, independent adjusters, experts, and… more
- Sedgwick (Atlanta, GA)
- …place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ( Remote ) Claims Manager - Workers Compensation | VA Jurisdiction ... + Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. +… more
- HomeSafe Alliance (Atlanta, GA)
- …and best practices that enhance claims service. **About the Role** The Assistant Claims Manager role is a remote opportunity responsible for ensuring the ... **Title:** Assistant Claims Manager (Military Move) **_HomeSafe Alliance_**...duties as needed. **Note** : This position is fully remote / work from home. HomeSafe will supply appropriate… more
- Ryder System (Atlanta, GA)
- … are being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact ... Ryder s Liability program. + Assists Claims Manager in the identification of exposures and recommends solutions. + On-going interaction with field and operations… more
- Guardian Life (Atlanta, GA)
- The **Group Life Claims Case Manager II** is responsible for paying Group Life and AD&D Insurance claims to our planholder's beneficiaries. As a part of this ... GED required. + 5+ plus years of Group Life Claims Case Manager experience. + Outstanding customer...reassign duties and responsibilities at any time. **Location** + Remote /Flexible-This is a flexible, remote position. You… more
- HomeSafe Alliance (Atlanta, GA)
- …is better than the last. We are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of claims management, to ... **Title:** Claims Adjuster (SCA) HHG/Military Move **_HomeSafe Alliance_** is...**_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per… more
- Axis (Alpharetta, GA)
- …analyze the claim exposure, determine the proper course of action, and pursue claims to conclusion * Set accurate and timely claim reserves and make referrals ... relevant policies, review policy wordings to validate coverage for claims and escalate any issues arising * Prepare coverage...coverage positions to be reviewed and approved by Claim Manager * Work closely with Insureds, Claimants, attorneys and… more
- Sedgwick (Atlanta, GA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ( Remote ) Client Litigation Manager - Commercial General Liability **PRIMARY ... resolution to appropriate parties. Concentrates on high exposure clams ($300,000+) and claims of a sensitive nature (ie potential media exposure). + Responds to… more
- Siemens (Peachtree Corners, GA)
- **Job Family:** Project Management **Req ID:** 429639 **Position Title:** Project Manager - Electrical Products ( Remote ) **Location:** Peachtree Corners, GA ... tomorrow with us! We are looking for a Project Manager for Electrical Products **.** This position reports to...execute mid -level complexity projects. This position allows for remote working with some work travel will be required.… more
- Prime Therapeutics (Atlanta, GA)
- …our passion and drives every decision we make. **Job Posting Title** Manager , Quality Assurance ( Remote ) **Job Description Summary** Responsible for managing, ... + Collaborates between departmental business owners, end users, IT, Contact Center, Claims and Clinical departments to resolve issues, or develop small to large… more
- CVS Health (Atlanta, GA)
- …into new markets across the country. Fundamental Components * Nurse Care Manager is responsible for assessing, planning, implementing, and coordinating all case ... Conducts assessments that consider information from various sources, such as claims , to address all conditions including co-morbid and multiple diagnoses that… more
- IQVIA (Atlanta, GA)
- …insurance and adjudication processes + Understanding pharmacy and medical co-pay claims processing + Proficient in cross training in various departments, knowledge ... of interdepartmental coordination and communication procedures **Skills and Abilities:** + Proficient in PC applications. + Business acumen (knowledge of the pharmaceutical industry, including the applications for IQVIA data) + Change management/process… more
- Prime Therapeutics (Atlanta, GA)
- …every decision we make. **Job Posting Title** 340B Onsite Pharmacy Auditor - Remote in the Florida market **Job Description** The Onsite Pharmacy Auditor travels to ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… more
