- Molina Healthcare (Atlanta, GA)
- …data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with ... Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business ...experience ** Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience +… more
- Axis (Alpharetta, GA)
- …Accommodation is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **Job Family: IT group** **How does ... for the Business . The Business Analyst must be knowledgeable on Claims Admin...System (or similar Claims Admin application) experience required . + Experience developing Business Requirements Documents… more
- AIG (Atlanta, GA)
- AIG is reimagining the way we help customers manage risk. Join us as a Claims JD Analyst to play your part in that transformation with opportunities to learn and ... regulatory developments, as well as industry trends impacting the business / claims area. + Maintaining best...will start on July 28, 2025. Locations Early Career Claims JD Analyst positions are in-person opportunities… more
- AIG (Atlanta, GA)
- Claims Analyst Sr. Severity Join us as...and have forward thinking skills. + Some travel is required + Multiline claims adjuster experience is a ... a Senior Claims Analyst , Severity to grow your experience in Claims...skills. + 5 years work experience in Commercial Property Claims . + Experience in General Commercial Property, Business… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements ... are appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may...REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + 1-3 years claims analysis experience + 5+ years medical claims… more
- Molina Healthcare (Savannah, GA)
- …root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health ... Required Education** Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business analysis + 4+… more
- AIG (Atlanta, GA)
- …whole of the operations team and wider claims team. . Support effective claims business reporting including monthly and quarterly business reviews. What ... risk. Join us as a Fraud & Recovery TPA Analyst to play your part in that transformation. It's...the team. Make your mark in Fraud Investigation Our Claims teams are the proven problem solvers of choice… more
- PSSI (Atlanta, GA)
- …communication, relationships, and continuous improvement. + **Achievement:** We manage our business to provide opportunities and stability for our team members, and ... 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
- AIG (Atlanta, GA)
- …their litigation acumen with hands on experience working with outside counsel for optimal claims resolutions. Required Candidate for a JD degree to be received ... we help customers manage risk. Join us as a Claims JD Summer Intern to play your part in... for clients in all industries and lines of business (in all fifty states and internationally). AIG affords… more
- Elevance Health (Atlanta, GA)
- **Clinical Content Analyst ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within 50 miles ... MO, Wallingford, CT, Grand Prairie, TX or Louisville, KY. The **Clinical Content Analyst ** will be responsible for driving the development and execution of the… 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 ... 50 miles of one of Elevance's Pulse Point locations. **The Business Information Analyst Sr.** is responsible for providing utilization management services, and… more
- AIG (Atlanta, GA)
- Senior Business Analyst Lead Join us as a Senior Business Analyst Lead to make more of your specialist expertise and experience. Make your mark in ... system user/stakeholder feedback and identify training requirements. + Coordinate and deliver required training for business team and other key stakeholders on… more
- Intermountain Health (Atlanta, GA)
- …configuration, business knowledge, and effective communication skills to implement required business functions with turn-around time within established SLAs. ... **Job Description:** At SelectHealth, the Business Systems Configuration Analyst I is...systems or in healthcare, with a thorough understanding of claims processing and billing + Intermediate proficiency to demonstrate… more
- Prime Therapeutics (Atlanta, GA)
- …flexible schedule which may include weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use hands ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides… more
- Sumitomo Pharma (Atlanta, GA)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Prime Therapeutics (Atlanta, GA)
- …flexible schedule which may include weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use hands ... every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
- GE Vernova (Atlanta, GA)
- …spend) **Claim analysis** + Estimate costs associated with claims projects claims **What you'll bring:** ** Required Qualifications** + Bachelors degree in ... different. We have an immediate need for a Cost Analyst in our New Unit Projects division. In this...costs (vs budget and latest forecast) + Work with business to prepare for PMR reviews on quarterly/bi-annual basis… more
- Molina Healthcare (Augusta, GA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify… more
- Sedgwick (Atlanta, GA)
- …years of related experience or equivalent combination of education and experience required . Experience in multi-line claims management processes and system ... of LLMs + RESTFUL APIs + Knowledge of third party administration and claims management business and technology + Oral and written communication skills… more
- Bank of America (Kennesaw, GA)
- Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, ... and create mitigation strategies. **Responsibilities:** + Recommends ways to help the business achieve desired outcomes and make informed business decisions… more