- Molina Healthcare (Columbus, GA)
- …current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, ... processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to enable informed business… more
- Molina Healthcare (Columbus, GA)
- …Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to ... by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with… more
- Molina Healthcare (Columbus, GA)
- …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI ... **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network utilization and cost… more
- Molina Healthcare (Columbus, GA)
- JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely ... of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply to each database,… more
- Elevance Health (Columbus, GA)
- **Actuarial Analyst III** **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 III** supports Medicare Advantage pricing and bid development within the Medicare… more
- Southern Company (Butler, GA)
- **Renewables Project Engineer OR Engineering Analyst (SPC Renewable Energy O&M)** **Job Summary** This role is responsible for managing major capital and O&M ... the five-year capital budget and plan. + Support the SPC Budget Analyst with invoice reconciliation, accruals, variance explanations, and projections. + Lead… more
- Molina Healthcare (Columbus, GA)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and educate users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along with corresponding tracking… more
- Elevance Health (Columbus, 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
- Elevance Health (Columbus, GA)
- **Pharmacy Benefits Manager Pricing Strategy Analyst Manager** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... accommodation is granted as required by law. The **PBM Pricing Strategy Analyst Manager** is responsible for Pharmacy Services pricing and Administrative Services… more
- Molina Healthcare (Columbus, GA)
- …reporting work is well-organized, clearly defined, and delivered accurately. The Senior Analyst helps bring structure to reporting efforts and serves as a liaison ... and reviews SQL queries and database stored procedures + Supports data validation, troubleshooting, and quality assurance activities + Develops and maintains… more
- Molina Healthcare (Columbus, GA)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial… more
- Molina Healthcare (Columbus, GA)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial… more
- Molina Healthcare (Columbus, GA)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory requirements are ... claims-related regulatory and contractual requirements. * Tailors existing reports and/or available data to meet the needs of claims projects. * Evaluates claims… more
- NANA Regional Corporation (Fort Benning, GA)
- Compass Point is looking for a Systems Analyst to join our team supporting USSOCOM at our Fort Benning, GA location. In this role, you will be a part of an ... Point delivers a broad range of skilled IT services, including data -centric services, software development, IT infrastructure modernization, managed IT services, and… more
- Molina Healthcare (Columbus, GA)
- JOB DESCRIPTION Job Summary Provides analyst support for actuarial function activities including extracting, analyzing, and synthesizing data from various ... sources to identify risks. Estimates liabilities, establishes premium rates, and supports financial analysis and reporting. **Essential Job Duties** * Collaborates with actuarial team to complete incurred but not reported (IBNR) estimates and rate adequacy… more
- Molina Healthcare (Columbus, GA)
- …Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to ... by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments and with… more
- Molina Healthcare (Columbus, GA)
- …on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules ... as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to… more
- Molina Healthcare (Columbus, GA)
- …large and complex requirements. + Ability to organize and maintain regulatory data including real-time policy changes. + Self-motivated and ability to take ... initiative, identify, communicate, and resolve potential problems. + Ability to work independently in a remote environment. + Ability to work with those in other time zones than your own. **JOB QUALIFICATIONS** **Required Qualifications** + At least 4 years of… more
- Molina Healthcare (Columbus, GA)
- …estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk… more
- Molina Healthcare (Columbus, GA)
- …application development, business process re-engineering, enterprise integration, logical data modeling, project coordination, estimation, metrics generation, status ... reporting. Provides thought leadership or hands-on expertise for problem resolution, application enhancements, user training and documentation of business processes. Strong application delivery methodology or SDLC background, functional domain or software… more