- Elevance Health (Atlanta, GA)
- ** Staff VP Claims Operations (Original Claims )** **Location:** Successful candidate must reside within 50 miles of an Elevance office, and able to ... advanced technology solutions + Experience having accountability for performance of large-scale claims operations + Experience managing large teams (500+) +… more
- Elevance Health (Atlanta, GA)
- …of Medicare rules and regulations for program areas including but not limited to: claims , grievances and appeals, Part D and risk adjustment. + Knowledge of Risk ... Adjustment Payment methodologies and the CMS HCC Model. + Healthcare operations and/or compliance experience within a large payor organization. + Progressive… more
- AIG (Atlanta, GA)
- …to direct reports to achieve technical excellence and aid the Assistant Vice President in developing and ensuring technical excellence by establishing ... high standard of customer service. + Ensure that adjusting staff analyze coverage; investigate and resolve claims ...an exciting time to join us - across our operations , we are thinking in new and innovative ways… more