- Norstella (Atlanta, GA)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Elevance Health (Atlanta, GA)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Elevance Health (Atlanta, GA)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Business Analyst III** will be responsible ... **Business Analyst III - Payment Intergrity Datamining** **Location:** This...and Experiences:** + Comprehensive understanding of healthcare payer systems, claims processes, and coding practices preferred. + Demonstrated proficiency… more
- Osmose Utilities Services (Atlanta, GA)
- Summary of position: The Claims Analyst will play a key... claims . + Assess the classification of each claim (first aid, medical only, lost time, ... workers' compensation program by managing, tracking, and analyzing employee injury claims . This position will ensure timely reporting, investigation, and resolution… more
- Molina Healthcare (Atlanta, GA)
- … function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant education ... JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities...and experience. * Medical claims processing experience across multiple states,… more
- Highmark Health (Atlanta, GA)
- …including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims , and Medical Policy. The person in this position must ... resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a...of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim… more
- Deloitte (Atlanta, GA)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... you'll do/Responsibilities + Support Epic enterprise implementation for a large academic medical center and health system in the Southeast region. + Conduct Epic… more
- Public Consulting Group (Atlanta, GA)
- … claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... and denied claim research results, final remittance advice processing, and medical record reviews that will include discussion with internal management to ensure… more
- Fortrex (Atlanta, GA)
- **WHO YOU ARE:** We are seeking a detailed oriented Risk Management Analyst to join our team and play a crucial role in supporting insurance renewals, managing ... auto-liability and general liability claims , and overseeing certificates of insurance. In this role,...we serve. **WHAT YOU WILL DO:** The Risk Management Analyst will analyze, assess, and monitor risks related to… more
- RxBenefits (Atlanta, GA)
- RxBenefits is hiring! We are adding a Strategic Pharmacy Analyst to our growing Business Development team. The Analyst will work closely with our Business ... Development team to achieve sales goals. The Analyst may work remotely or in our Birmingham, AL...+ Validate differing types of datasets from dozens of medical vendors and dozens of PBMs to ensure it… more
- Elevance Health (Atlanta, GA)
- **Cost of Care/Provider Contracting Data Analyst Senior** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- Elevance Health (Atlanta, GA)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more
- Prime Therapeutics (Atlanta, GA)
- …analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and initiatives throughout the ... build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst … more
- Elevance Health (Atlanta, GA)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Sedgwick (Atlanta, GA)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance SAP FICA Systems Analyst **PRIMARY PURPOSE OF THE ROLE:** To design and maintain robust, scalable ... INCLUDE** + Ensures software scalability and data integrity throughout all claims -related applications. + Ensures software compatibility and alignment with overall… more
- Intermountain Health (Atlanta, GA)
- **Job Description:** The RCO Revenue Integrity Analyst II is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... + Audits and evaluates system automation by comparing the charge/ claim data to the clinical record. Leverages other system...certification through AAPC, AHIMA or HFMA, or other specialty medical coding group. + Experience in a role requiring… more
- Rocket Software (Atlanta, GA)
- …BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and local benefit ... in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit… more
- Molina Healthcare (Atlanta, GA)
- …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable...Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If… more
- Quality Technology Services, LLC (Atlanta, GA)
- **SUMMARY** **The FacOps Analyst I** supports operational excellence by monitoring key processes, analyzing data, and identifying improvement opportunities. This ... and reconciles budgets, and creates reports to guide decision-making. The analyst contributes to process improvement projects, updates policies and documentation,… more
- Quality Technology Services, LLC (Duluth, GA)
- …mission driven. Together, we do great things. **Who You Are:** The **Investments Analyst ** position is a part of QTS' Strategic Planning and Investments team which ... such as re-tenanting and asset repositioning **What You Will Do:** The **Investments Analyst ** will be responsible for helping the team create and support the… more