- Public Consulting Group (Atlanta, GA)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- Axis (Alpharetta, GA)
- …is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **Job Family: IT group** **How does this role ... strategic vision, and advocate for the Business. The Business Analyst must be knowledgeable on Claims Admin...have:** + 5 plus year business analysis skills + 1 + years of Structured Query Language (SQL) experience preferred.… more
- PSSI (Atlanta, GA)
- …+ The Leader in food-industry-related contract sanitation and food safety + Over $ 1 Billion in sales with an excellent history of organic and acquisition growth ... ARE:** We are seeking a detailed oriented Risk Management Analyst to join our team and play a crucial...in supporting insurance renewals, managing auto-liability and general liability claims , and overseeing certificates of insurance. In this role,… more
- Prime Therapeutics (Atlanta, GA)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- CVS Health (Atlanta, GA)
- …to GPS to rework claims after validating as overpaid **Required Qualifications** * 1 years experience working with GPS and ECHS * Knowledge of ACAS claims ... This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and...experience along with provided guidance to review and validate claims for overpayment. The ideal candidate will be able… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is ... experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation… more
- Elevance Health (Atlanta, GA)
- **Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. **The Business Information Analyst Sr.** is responsible for providing utilization management services, and we're… more
- Evolent (Atlanta, GA)
- …Business, Economics, Engineering, Physical/Life Sciences, or a related field (preferred).** ** 1 + years of professional experience in claims -based healthcare ... positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to… more
- Elevance Health (Atlanta, GA)
- **Business Information Analyst II** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of ... our Elevance Health PulsePoint locations. The **Business Information Analyst II** will be responsible for analyzing the business process, proposing solutions to… more
- Elevance Health (Atlanta, GA)
- **Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. The **Business Information Analyst Sr.** is responsible for analyzing, reporting and developing recommendations on… more
- Elevance Health (Atlanta, GA)
- **Provider Contract/CofC Analyst Sr.** **Location:** This position will work a hybrid model (remote and in-office, 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. The **Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of Care and/or… more
- Chick-fil-A (Atlanta, GA)
- …stick to their bias and when they need to shift their strategy. The Commodity Analyst will play a crucial role in ensuring the seamless oversight and mitigation of ... of the Chick-fil-A culture by fostering collaboration and community. Responsibilities 1 . Commodity Risk: + Create commodity risk mitigation strategies to manage… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description** + Performs exploratory data analysis and data ... mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out financial, clinical and utilization analyses using a variety of… more
- CVS Health (Atlanta, GA)
- …support for certain financial components impacting the net cost of pharmacy claims . The colleague will: + Apply quantitative skills and analytical methods to ... drivers of financial results. \#AetnaActuary Required Qualifications + Successful completion of 1 or more Society of Actuaries Exams + Experience with Microsoft… more
- WestRock Company (Atlanta, GA)
- …leading science and technology to move fiber-based packaging forward. Learn more at [ 1 ] www.Smurfit Westrock.com. Casualty Claims Analyst - Atlanta, GA The ... corporate Risk Management and Insurance team responsible for coordinating casualty insurance claims with a primary emphasis on workers\u2019 compensation claims .… more
- Prime Therapeutics (Atlanta, GA)
- …new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to ... solution design; develop strategic partnerships with various levels of leadership and analyst teams within the organization + Support enterprise adoption of Tableau… more
- Department of State - Agency Wide (Atlanta, GA)
- …suspected fraudulent passport applications. In conjunction with the Customer Service Analyst (CSAs), maintains liaison with acceptance agents (clerks of court, ... to satisfy time-in-grade restrictions, per 5CFR 300, Subpart F. Applicants must have 1 year of specialized experience equivalent to the GS-11 level in the Federal… more
- Prime Therapeutics (Atlanta, GA)
- …Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, analyzing, and delivering Treasury ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more