payment integrity Jobs in georgia

1 - 20 of 255 Jobs

Senior Medical Director Health Plan Analytics & Policy StrategyJob Title - Senior Medical Director Health Plan Analytics & Policy Strategy

Ztek ConsultingCompany Name - Ztek Consulting

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Remote

Part-time

Job title: Senior Medical Director Health Plan Analytics & Policy Strategy role Location: Remote Department: Medical Management / Payment Integrity Reports to: Chief Clinical Officer or SVP of Medical Affairs Experience Level: 10+ years in a senior leadership role within health plan or payer environments Position Overview: We are seeking a strategic, data-driven Senior Medical Director with deep expertise in health plan operations, medical policy development, and cost management analytics. This

Sr Data Scientist - Generative AI/ML/Databricks - RemoteJob Title - Sr Data Scientist - Generative AI/ML/Databricks - Remote

Molina HealthcareCompany Name - Molina Healthcare

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Remote or Long Beach, California, USA

Full-time

Job Description Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI t

Application Development Advisors- HybridJob Title - Application Development Advisors- Hybrid

CignaCompany Name - Cigna

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Remote or St. Louis, Missouri, USA

Full-time

The job profile for this position is Application Development Advisor, which is a Band 4 Contributor Career Track Role with Cigna-Evernorth Services Inc. Responsibilities- Develop software applications within AAPS (Affordability & Accuracy Pre/Post Pay Solutions) to support payment integrity programs, produce accurate claim payments, and reduce medical cost expenditures.Contribute to software development, strategy, and product roadmap.Use system development life cycle methodologies, including Sc

Sr Data Scientist - ML/AI/Databricks - RemoteJob Title - Sr Data Scientist - ML/AI/Databricks - Remote

Molina HealthcareCompany Name - Molina Healthcare

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Remote or Caldwell, Idaho, USA

Full-time

Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help solve various problems and make a true impact across various healthcare domains. Developing and deploying advanced machine learning models and AI solutions that enhance our products and services. Leverage their expertise in data science, machine learning, and AI technologies to der