- Humana (Atlanta, GA)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… 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 ... comfortable in front of a whiteboard and can describe complex information in a concise but thorough fashion +...identity or expression, or any other characteristic protected by federal , state, or local laws. This applies to all… more
- Humana (Atlanta, GA)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex...IN, OH, KY, WI** + No current sanction from Federal or State Governmental organizations, and able to pass… more
- Humana (Atlanta, GA)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Atlanta, GA)
- …relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical interpretation and… more
- The Cigna Group (Atlanta, GA)
- **LOCATION:** **Must live in Atlanta, GA area** The ** Director , Provider Contracting** serves as an integral member of the Provider Contracting Team and reports to ... for a local given territory. **DUTIES AND RESPONSIBILITIES** + Manages complex contracting and negotiations for fee for service and value-based reimbursements… more
- Wabtec Corporation (Atlanta, GA)
- …within the transportation or heavy manufacturing industry. + Strong knowledge of federal and state EHS and product laws and regulations; broad-based experience ... oral and written communication skills. + Ability to communicate complex legal and technical issues to executives and non-legal...third parties relating to product regulatory issues, including potential claims against the company or claims by… more
- Stantec (Atlanta, GA)
- …with Earned Value management and forecasting. + Experience with scheduling large, complex projects. + Experience with claims management for design projects. ... be based on Project/Client needs as well as proactive Claims /Risk mitigation. + Oversee and approve the development and...(PGC) Monthly Reports; issue following review with the Design Director . + Responsible for the formulation of the Project… more
- Prime Therapeutics (Atlanta, GA)
- …improve compliance program practices. + Proactive identification and resolution of complex business and compliance issues, while aligning with organizational goals ... projects and initiatives, including developing, leading and/or oversight of large, complex initiatives that may be function-specific and/or involve multiple business… more
- Waystar (Atlanta, GA)
- …& coding/authorization rules. This analytical, solution-oriented individual will report to a Director of Enterprise Rules & Edits and work closely with client ... changes and compliance issues, focusing on government/payer requirements for claims billing & coding/authorization * Leverage analytical tools (Excel, PowerBI,… 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: ... completion of semi-monthly payroll processing + Ensures compliance with federal , state, and local payroll, wage, and hour laws...program to cut down on lost time incidents and claims . + Lead the investigation of accidents or injuries… more
- Cardinal Health (Atlanta, GA)
- …on policies. **_Manager, Ethics and Compliance_** Reporting to the Compliance Director , this position is responsible for supporting the programmatic requirements for ... corrective action outcomes for training and historical purposes. + Assist the Director in the development and creation of Compliance Committee and other presentation… more
- Owens & Minor (Alpharetta, GA)
- …Specialty and Surgical Solutions business. The position will report to the Director , Skin Health, Specialty and Surgical Solutions. **Core Responsibilities** + Act ... growth and protect base business. + Develop and maintain product performance claims . + Conduct VOC and market research to identify needs, determine market/product… more
- NBC Universal (Doraville, GA)
- …with many internal leaders and external vendors. This role reports to the Director , Security and will also work closely with Los Angeles based Global Security ... NBCUniversal Corporate Security policies + Liaise with local, state, and federal law enforcement, government agencies and investigators for all security emergencies… more
- Emory Healthcare/Emory University (Atlanta, GA)
- … claims , managing a team of billing specialists, resolving complex billing issues, maintaining compliance with healthcare regulations, and implementing strategies ... protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to… more
- Prime Therapeutics (Atlanta, GA)
- …is responsible for managing, analyzing, and delivering Treasury reporting, including complex liquidity reporting and claim payment process reporting for a variety ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more