- Axis (Alpharetta, GA)
- …part in the selection process. **How does this role contribute to our collective success?** The Claims Analytics Lead is a new role at AXIS reporting into ... will you do in this role?** + Partnering with reserving and claims colleagues to support analytics needs. + Building a strong knowledge of the different … more
- AIG (Atlanta, GA)
- …oversight, training, support, and management of daily activities to include reporting and analytics . + Manage all aspects of the claims investigation, to include ... customers to manage risk. Join us as a Principal Claims Investigator to play your part in that transformation....valued member of the team. Make your mark in Claims Our Claims teams are the proven… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Lead , Risk Adjustment - Predictive Analytics role supports Molina's Risk Adjustment Predictive Analytics team. ... the tasks required. **Knowledge/Skills/Abilities** + Assist Risk Adjustment Data Analytics Leaders in Prospective and Retrospective Intervention Strategy … more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- …within Global Medical Affairs. This role will serve as the data and analytics lead supporting operational excellence across the Global Medical Affairs ... function. This role reports into the Business Solutions & Analytics Lead who reports into the Executive...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Atlanta, GA)
- …such as an MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics , and use of business metrics. + Experience working with Case managers or Care ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director… more
- Humana (Atlanta, GA)
- …such as an MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics , and use of business metrics. + Experience working with Case managers or Care ... + Ability to obtain additional medical licenses **Additional Information** Typically reports to Lead depending on size of region or line of business. The Medical… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics ...and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality… more
- Highmark Health (Atlanta, GA)
- …Highmark Health **Job Description :** **JOB SUMMARY** This role delivers high-impact analytics and insights focused on Social Determinants of Health (SDOH) to ... clinical, administrative, operational, financial and technical stakeholders to ensure analytics are actionable and aligned with organizational strategic priorities,… more
- Oracle (Atlanta, GA)
- …the Health Data Intelligence platform and the solutions of Health Data Warehouse, Claims Analytics , and Determinants of Health among other disciplines. You will ... As a senior principal consultant on the HDI Implementation team within the Analytics Center of Excellence, you will be responsible for working with our customers… more
- Prime Therapeutics (Atlanta, GA)
- …build the future of pharmacy with us. **Job Posting Title** Mgr Reporting & Analytics - Remote **Job Description** The Manager Reporting and Analytics is ... to scope, quality, efficiency, budget, schedule and benefit. **Responsibilities** + Lead the development of the department reporting strategy based on compliance… more
- Two95 International Inc. (Atlanta, GA)
- …with extension Rate : $Market /Hour Requirements Position Summary: As the Director of Analytics , you will lead a team of Analytic Consultants. You will ... Job Title: Director, Health Plan Analytics Job type : Remote Work Type :...partners to understand their needs to gather requirements that lead to script creation and reports or dashboards *… more
- Highmark Health (Atlanta, GA)
- …IT or other related area **EXPERIENCE** **Required** + 5-7 years of lead role experience in healthcare informatics, analytics ,business intelligence or statistics ... responsible for the oversight and operations of the healthcare management analytics function with the Medical Policy department. The incumbent retains responsibility… more
- Elevance Health (Atlanta, GA)
- **Business Information Analyst II - HEDIS Quality Analytics ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care. The **Business Information Analyst… more
- CVS Health (Atlanta, GA)
- …each and every day. **Position Summary** As a Manager, Healthcare Data and Analytics (IC), you will be responsible for developing and maintaining complex financial ... reporting solutions that support Aetna's Medicaid Markets. This role will lead reporting for Value-Based Service contracts and contribute to other key reporting… more
- GuideOne Insurance (Atlanta, GA)
- We are building a next-generation Cloud Data Platform to unify data from Policy, Claims , Billing, and Administration systems into a single source of truth. We are ... seeking a Lead Cloud Data Engineer who will be 75% hand-on...to governance and performance optimization enabling scalable, high-quality, and analytics -ready data assets. This role requires hands on deep… more
- Highmark Health (Atlanta, GA)
- …core responsibility of this position is to leverage advanced data analytics to generate critical insights, identify actionable opportunities, and develop ... experiences with care delivery. The incumbent will also act as a clinical lead and expert on various workgroups, ensuring policies are grounded in strong clinical… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **_Sr. Director, Brand Lead , Neuroscience_** **Position Summary** The Senior Director, Brand Lead , Neuroscience is responsible for leading the commercial ... market model and overall cross-functional launch plan. The Senior Director will lead a cross-functional team, working closely with market access, sales, medical… more
- Otsuka America Pharmaceutical Inc. (Atlanta, GA)
- **Position Summary:** The Executive Director, Global Value Evidence Lead , is a strategic leader responsible for driving the global value evidence strategy across the ... product differentiation, market access, and reimbursement across geographies. The incumbent will lead a team of value evidence asset leads and collaborate with… more
- Humana (Atlanta, GA)
- …a part of our caring community and help us put health first** The Lead , Technical Product Owner requires someone known for creative problem solving. This role solves ... translation:** Elicit detailed requirements from stakeholders (eg, business, compliance, and analytics ) and translate them into clear user stories with defined… more
- Meta (Atlanta, GA)
- …variances monthly/quarterly for communication to Site Leadership and Strategic Planning & Analytics partners 7. Direct communication with Schedule Lead to ensure ... of critical strategic importance for Meta's infrastructure growth. The Project Controls Lead will not only be a technical subject matter expert overseeing all… more