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Address:
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3350 Peachtree Rd NE
Atlanta, GA 30326-1039
United States
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Phone:
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404-842-8000
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Url: |
http://www.bcbsga.com
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Type:
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Private
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Industry:
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Health Care Plans
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Employees:
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1000
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Description:
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Hospital & Medical Service Plans.
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Available Positions
JOB SUMMARY
Under direction of IT Finance Manager, develop reports and analysis for information technology (IT) expenditure tracking, forecasting, and budgeting. Understand and apply complex financial provisions of vendor contracts to evaluate IT vendor invoices for payment. Determine adequacy of vendor-submitted expense documentation and obtain further documentation as needed. Coordinate manageme
Analyzes business issues to support development of configuration process of Claim Check. Document requirements, prototype solutions, validate design, build, test and implement Claim Check configuration rules.
REPRESENTATIVE JOB DUTIES:
* Participates in sessions to define business requirements and interpret configuration solutions for Claim Check. Gather requirements, ask probing questions, docu
The Director, IT Strategy and Planning, is responsible for the preparation and reporting of the long term direction of IT operations. Based on overall company vision and mission, the director develops the basic IT philosophies and standards related to the planning and architecture for acquiring or upgrading computer hardware, operating systems, infrastructure, and application software systems. The
JOB SUMMARY:
Analyze data, identify and prioritize recovery potential and directly pursue those recoveries not requiring the use of on-site audits. Analyze data, identify recovery potential, prepare findings and refer to on-site auditors as needed. Identify trends and patterns in data that result in expanded recovery potential. Develop data analysis criteria and prepare data run requests for new r
JOB SUMMARY
Help negotiate, analyze, support and monitor contractual arrangements between Blue Cross and participating providers, and provide data and reimbursement analysis and recommendations to management on issues impacting reimbursement. Resolve payment rates, complete special projects, develop the physician fee schedule and analyze hospital reports, including financial analyses. Review and
Ensure consistency in outcomes of divisional functions conducted by Health Management & Integration (HM&I) staff through ongoing training, monitoring, and evaluation. Provide employees with the tools needed to develop/enhance skills to meet the requirements of the job. Evaluate divisional processes to reduce corporate risk and serve as a consultant to management for improvement in overall efficien
The Information Security Technical Analyst will evaluate the status of security logs captured by the BCBSRI log management and intrusion prevention system (IDS) solutions from a number of computing platform and provide analysis and interpretation of the results. This individual will work with key members from Perot, IT, and BCBSRI Information Security to identify potential risks, vulnerabilities,
JOB SUMMARY
Analyze business needs and issues in support of business requirements, with minimal supervision. Facilitates business requirements documentation and offers support for business related activities on System Implementation Initiatives.
REPRESENTATIVE JOB DUTIES
Participates in sessions to define business requirements. Gather requirements by asking probing questions, document findings
Assist the OPS BPO Directors in the day-to-day oversight of the Company’s Claims (Blue Card, FEP, Basic, OCL) and Membership processing through the managed business relationship with the outsource vendor. Works with vendor management to ensure timely processing of the Company’s claims and membership through continuous process improvement to ensure satisfactory performance levels, that standards ar
JOB SUMMARY:
Ensure adequate, accurate and timely delivery of account renewals and new business proposal strategies consistent with corporate goals. Manage an assigned book of business to departmental financial and enrollment goals. Act as mentor and consultant to staff and Sales, and provide ongoing staff development relative to underwriting policy, methodologies, strategies, practice and theory
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