- Elevance Health (Atlanta, GA)
- …8:00am-5:00pm EST **Responsible for researching, analyzing, documenting and coordinating the resolution of escalated and/or complex claims issues that span ... limited to:** + Provide project team leadership. Coordinate the identification and resolution of root causes involving configuration, claims and/or contracting… more
- Prime Therapeutics (Atlanta, GA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Claims Technical Analyst , Sr. **Job Description** The Senior Claims Technical ... Analyst is responsible for serving as the claims analysis resource for assigned operations teams. This role...assess claim trends, develop solutions and initiate appropriate claim resolution strategies + Partner with cross functional teams to… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst Senior Severity to play your part in that transformation. It's an ... valued member of the team. Make your mark in Claims Our Claims teams are the proven...requirements Accountabilities: + Timely, accurate and customer focused claim resolution , minimizing indemnity exposure and mitigating vendor expense +… more
- AIG (Atlanta, GA)
- …and professional service with empathy and efficiency. How you will create an impact The Claims Analyst III will handle and analyze general liability claims ... claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans. Determine need for and direct independent… more
- AIG (Atlanta, GA)
- …we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst III (Policy Aggregate to play your part in that transformation. It's an ... required corrective activity with appropriate contacts, post Benefit on resolution . + Prepares for and attends claims ...on resolution . + Prepares for and attends claims financial review sessions as requested. + Oversees Aggregate… more
- Intermountain Health (Atlanta, GA)
- **Job Description:** The Business Analyst Manager is responsible for the day to day operations of the business analysis function within Pharmacy Services. This ... experience, + Minimum 2 year batch process management for eligibility, claims and accumulators, formulary management experience. Scope Directs the department/area… more
- Intermountain Health (Atlanta, GA)
- …sustaining business processes and processes impacted by data and systems. The business analyst serves as the central point for interface changes for systems and ... Pharmacy support - will need accurate maintenance of configuration in Rx claims systems. Job Essentials 1. Participates in Business Process Management (BPM)… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and redesign business, ... and defining/execution of acceptance criteria. Document issues and participate in their resolution . + Work closely with development and business teams to understand… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and redesign business, ... defining/execution of acceptance criteria. Document issues and participate in their resolution . + Research and craft comprehensive documentation for the applications… more
- Highmark Health (Atlanta, GA)
- …requirements for member or provider issues; independently coordinates the resolution with internal/external parties as required; and documents and summarizes ... review all related relevant documentation and assemble case file. + Coordinate resolution results and relay investigative results with all involved parties. +… more
- Sedgwick (Atlanta, GA)
- …**:** To lead the analysis efforts for bill review technology and claims management processes supporting operations; to review, analyze and document internal and ... industry experience. The primary role is an integration support analyst ; however, additional functions and responsibilities include troubleshooting and production… more