Top 246 Claims manager Jobs in Jonesboro, Ga

Program Integrity Manager
CVS Health —Atlanta, GA
- $54,300 - $145,860 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Analysis skills
- Health insurance
- Dental insurance
7d
Claims Manager
Vega —Atlanta, GA
- Full-time
- Hybrid work
- Management
- Office
- Supervising experience
- Free parking
- Health insurance
5d
Bodily Injury Claims Team Lead
Reserv —Atlanta, GA
- Full-time
- Remote
- 5 years
- Supervising experience
- Senior level
- Health insurance
- Dental insurance
Quick Apply
5d
Manager, Network Management (Hybrid/Atlanta, GA)
The Cigna Group —Atlanta, GA
- Online Application
- Customer service
- Mid-level
- Mentoring
Program Manager/Training Lead
Contact Government Services, LLC —Atlanta, GA
- $180,000 - $200,000 a year
- Full-time
- 5 years
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
Project Manager- Pharmacy Associate
Oscar Health —Atlanta, GA
- $87,188.40 - $114,434.78 a year
- Overtime
- Remote
- Mid-level
- Bachelor's degree
- Product management
- Paid parental leave
- Paid holidays
Quick Apply
Program Lead, Workforce Management
Oscar Health —Atlanta, GA
- $67,813 - $89,004 a year
- Overtime
- Remote
- Mid-level
- SQL
- Presentation skills
- Paid parental leave
- Paid holidays
Quick Apply
Fleet Manager
DH Pace —Atlanta, GA
- Background check
- Writing skills
- Pass drug screening
- Health savings account
- Paid holidays
Quick Apply
Claims Manager - Trucking (APD)
Reserv —Atlanta, GA
- Full-time
- Remote
- Supervising experience
- Bachelor's degree
- Continuous improvement
- Health insurance
- Dental insurance
Quick Apply
6d
Senior Manager, Hospital Billing
Emory Healthcare —Atlanta, GA
- $55.32 - $67.40 an hour
- Full-time
- Hybrid work
- HIPAA
- Office
- 3 years
- Wellness program
- Health insurance
Property & Casualty Insurance Claims Operations Consultant, Manager
PRICE WATERHOUSE COOPERS —Atlanta, GA
- $99,000 - $232,000 a year
- Mid-level
- Finance
- Bachelor's degree
- Paid holidays
- Health insurance
F & I Manager
Peak Performance Team —Atlanta, GA
- Team management
- Contracts
- Senior level
Quick Apply
Client Success Manager, RCM
nimble —Atlanta, GA
- Full-time
- Mid-level
- Analysis skills
- Continuous improvement
Quick Apply
Senior Manager, Medical Economics
CVS Health —Atlanta, GA
- $67,900 - $149,328 a year
- Full-time
- 5 years
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
1d
Litigation Manager
Pulte Home Company, LLC —Atlanta, GA
- Full-time
- Microsoft Word
- Microsoft Outlook
- 5 years
Program Manager - SA Residential and SAIOP - (Specialty Services - SUD) - Clayton Co.
View Point Health —Morrow, GA
- Part-time
- Addiction Medicine
- Pass drug screening
- Residential
1d
Regional Nutrition Manager
KIPP METRO ATLANTA COLLABORATIVE INC —Atlanta, GA
- $60,000 - $97,500 a year
- Weekends as needed
- Hybrid work
- Bilingual
- School experience
- Classroom
- Paid parental leave
- Paid holidays
Regional Safety Manager
American Equipment —Austell, GA
- $100,000 - $125,000 a year
- 8 hour shift
- 5 years
- Analysis skills
- Bachelor's degree
Quick Apply
Transportation Manager
Swift Transportation —Decatur, GA
- $55,000 - $60,000 a year
- Full-time
- Mid-level
- Children
- US work authorization
- Paid training
- Employee stock purchase plan
Quick Apply
1d
(USA) Area Manager Asset Protection - All DC/FC
Sam's Club —Lithia Springs, GA
- $65,500 - $98,000 a year
- High school
- Computer literacy
- Mid-level
- Paid jury duty
- Disability insurance
1d

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Program Integrity Manager

CVS Health -
Atlanta, GA

Apply Now

Job Details

Full-time
$54,300 - $145,860 a year
7 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Cross-functional collaboration
Cross-functional communication

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Program Integrity Manager serves as a key leader supporting Medicaid Program Integrity, Payment Integrity, and Special Investigations Unit (SIU) activities. This role is responsible for ensuring compliance with state and federal requirements, supporting fraud, waste, and abuse (FWA) prevention efforts, overseeing regulatory and contractual obligations, coordinating reporting and audit activities, and partnering with internal and external stakeholders to promote operational effectiveness and program integrity. The position works closely with health plan leadership, compliance, SIU, payment integrity vendors, and operational teams to support initiatives that improve performance, strengthen oversight, and ensure compliance with applicable requirements.

Required Qualifications

5+ years experience in Program Integrity, Payment Integrity, Special Investigations, Healthcare Compliance, Fraud, Waste and Abuse (FWA), Claims Operations, Healthcare Operations, or a related field.
Knowledge of healthcare regulatory and compliance requirements.
Strong analytical, organizational, communication, and problem-solving skills.
Ability to manage multiple priorities and work effectively in a collaborative environment.
Experience building relationships and working with cross-functional teams and external stakeholders.

Preferred Qualifications

Experience supporting Medicaid managed care programs.
Experience with regulatory reporting, audits, compliance initiatives, or operational oversight activities.
Experience working with SIU investigations, fraud prevention programs, vendor management, or payment integrity operations.
Knowledge of healthcare claims, provider reimbursement, payment accuracy, and program integrity practices.

Education

Bachelor's degree or equivalent combination of education and experience.

**We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.
Aetna Service Operations office/hub locations will be discussed with the selected candidate.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $145,860.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/15/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

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5+ years experience in Program Integrity, Payment Integrity, Special Investigations, Healthcare Compliance, Fraud, Waste and Abuse (FWA), Claims Operations, Healthcare Operations, or a related field.

Knowledge of healthcare regulatory and compliance requirements.

Strong analytical, organizational, communication, and problem-solving skills.

Ability to manage multiple priorities and work effectively in a collaborative environment.

Experience building relationships and working with cross-functional teams and external stakeholders.

Preferred Qualifications

Experience supporting Medicaid managed care programs.

Experience with regulatory reporting, audits, compliance initiatives, or operational oversight activities.

Experience working with SIU investigations, fraud prevention programs, vendor management, or payment integrity operations.

Knowledge of healthcare claims, provider reimbursement, payment accuracy, and program integrity practices.

Education

Bachelor's degree or equivalent combination of education and experience.