- Deloitte (Atlanta, GA)
- …accordance with established medical and legal requirements + Interact with healthcare professionals to provide report-specific feedback and assist in resolving ... / personal health information + Consistently meet individual productivity and quality goals The team Deloitte's Government and Public Services (GPS) practice… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- Molina Healthcare (Atlanta, GA)
- …Microsoft Azure, AWS, or Hadoop. + 3+ Years of experience with predictive modeling in healthcare quality data. + 3+ Years of experience in Analysis related to ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (Atlanta, GA)
- …large multi-system, multi-platform projects. This position is responsible for performing quality audits on iServe fulfilled tickets processed by the PCM Maintenance ... Maintenance teams for adherence to documented business rules. Generates weekly quality metric reports to facilitate and support PCM Maintenance configuration… more
- Molina Healthcare (Atlanta, GA)
- …a related field **PREFERRED EXPERIENCE:** 7-9 years of experience as a Business Analyst ; healthcare industry strongly preferred To all current Molina employees: ... **Job Description** **Job Summary** The Sr. Analyst , Advanced Provider Data Management is responsible for...into comprehensive business and functional specifications. * Analyze complex healthcare data sets to identify trends, patterns and insights… more
- Highlights Healthcare (Marietta, GA)
- …while working in our supportive clinician-driven environment. As a Board-Certified Behavior Analyst (BCBA) at Highlights Healthcare , you will: + Supervise ABA ... Highlights Healthcare is seeking an experienced and dedicated Board-Certified Behavior Analyst (BCBA) to work as needed as a LEAD BCBA for our locations &… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Lead Analyst , Advanced Provider Data Management is responsible for analyzing and understanding business processes, ... technical expertise, and the ability to mentor and support other analysts. The Lead Analyst often acts as a liaison between the business units and IT, ensuring that… more
- Molina Healthcare (Atlanta, GA)
- …Excel, Power BI, and/or Tableau and data management + Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health… more
- Evolent (Atlanta, GA)
- …as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal (Evolent Account ... form + Partnering with various internal stateside/global teams to deliver high quality analyses to clients + Proactively interpreting business needs based upon given… more
- Molina Healthcare (Atlanta, GA)
- …self-navigate organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper ... to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application...Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. +… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** **Be inspired. Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel your professional journey with better benefits, valuable ... + A minimum of 5 years of progressive experience in clinical, business, or other healthcare operational areas or 7 years no degree + This position requires that the… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** **Be inspired** **.** **Be rewarded. Belong. At Emory Healthcare .** At Emory Healthcare we fuel your professional journey with better benefits, ... in salary surveys, completes survey questionnaires, and researches additional sources of quality market data. + Assists senior team members in creating better… more
- Molina Healthcare (Atlanta, GA)
- …+ **Experience with User Acceptance Testing (UAT) and familiarity with quality assurance (QA) processes to ensure product reliability and performance.** **JOB ... business or experience system analysis experience, + **Must have worked in US Healthcare government programs such as Medicare, Medicaid, the Affordable Care Act, or… more
- Molina Healthcare (Atlanta, GA)
- …KPI and SLA reporting for the department, ensuring accuracy, timeliness, and quality in delivery and synergy across reporting platforms. Briefs executives on key ... resourcing, and more. **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and developing SOPs and/or BRDs. + Develops… more
- Molina Healthcare (Atlanta, GA)
- …Economics, or related fields **Preferred Experience** + Previous managed care or healthcare experience + Previous experience with Marketplace / Individual and Family ... verbal communication skills + Attention to detail and a commitment to producing high- quality work To all current Molina employees: If you are interested in applying… more
- Highmark Health (Atlanta, GA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job understands healthcare data from end-to-end and analyzes raw data and analytic data for ... and deployment of analytics to assist in the betterment of HEDIS Quality performance improvement. The incumbent cleanses, validates, audits, and compares data from… more
- Molina Healthcare (Atlanta, GA)
- …. Recommends updates to Claims SOP's and Job Aid's to increase the quality and efficiency of claims processing . Fields claims questions from Molina Operations ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Molina Healthcare (Atlanta, GA)
- …improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application upgrades and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Emory Healthcare/Emory University (Atlanta, GA)
- …by providing expertise to assist users in meeting their needs. + Develops automated quality control procedures to assess quality of data and provides reports to ... with onsite or field-based counterparts to coordinate consistent implementation of data quality control measures and provision of access to the central data… more
- Sedgwick Government Solutions (Atlanta, GA)
- Job Details Senior Analyst (Remote) 2025-1389 Atlanta, GA, USA Analytics Full Time Description **Overview - Senior Analyst ** **Senior Analyst (Remote)** ... opportunity for you. MCA is looking for a **Data Analyst II** who enjoys presenting data to clients, creating...expert (SME) on data, trends, and outcomes associated with healthcare and MCA programs and clients for both internal… more