- Careers Integrated Resources Inc (Atlanta, GA)
- Job Title : Sr . Admin - Appeals Location : Remote Duration : 6 months+ with possible extension W2 contract. Pay rate: $16.20/Hr. on W2 Shift : 10AM ET -6:30PM ... / 7AM PT -3:30 PM PT - Monday through Friday. Position Overview: Sr . Administrative role is fully remote opportunity for an experienced professional who provides… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …community. **Description** The Office of Financial Aid is in search of a Senior Financial Aid Advisor to join their amazing team! KEY RESPONSIBILITIES: + Awards ... as needed. + Serves as a member of the appeals committee and reviews cases for all schools. +...reviews cases for all schools. + Serves as a senior file review specialist and processes quality assurance reviews.… more
- CVS Health (Atlanta, GA)
- …Medical Director transacts Utilization Management UM activities (prior authorization and appeals ) and responds to prescriber inquiries related to UM transactions and ... completing assigned medication utilization reviews (PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/Medicaid) programs and individual… more
- CVS Health (Atlanta, GA)
- …Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to identify, develop, implement, and evaluate the effectiveness ... performed through the aligned plan's grievance and appeal system. + Leads the administration of all medical management activities of the aligned Plans. + Plays a… more
- Federal Motor Carrier Safety Administration (Atlanta, GA)
- …the Southern Service Center, Field Operations, Federal Motor Carrier Safety Administration (FMCSA). Responsibilities As a Supervisory Highway Safety Specialist, you ... decision-making. Lead and/or support trend analyses of enforcement actions and appeals processing to identify educational and informational needs of FMCSA staff… more
- Guardian Life (Atlanta, GA)
- …personnel, and adjacent departments to facilitate the entire selection, issue, and administrative process. + Negotiate appeals of underwriting actions with ... will work with adjacent departments, including Individual Disability Service & Administration , for the benefit of the facilitation of the entire underwriting… more
