- Molina Healthcare (GA)
- …+ 7+ years of business analysis or systems experience, + 6+ years managed care experience. + Demonstrates expertise in a variety of concepts, practices, and ... processes including but not limited to Enrollment, UM, Claims & Care Management. **Preferred License, Certification, Association** Certified Business Analysis… more
- Molina Healthcare (GA)
- …**Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, practices, ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to… more
- Molina Healthcare (GA)
- …with Provider reimbursement data. + Working on Provider analytics in a healthcare or managed care environment is required. + Experience working on SQL, Excel , ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Graphic Packaging International, LLC (Atlanta, GA)
- Senior Business Systems Analyst Requisition ID: 7101 Location: Atlanta, GA, US, 30328 Department: Information Technology Travel: Up to 25% **If you are a GPI ... technologies which will enable significant operational results for the corporation. The analyst formalizes As-Is and To Be business processes, formulates, and… more
- Elevance Health (Columbus, GA)
- **Provider Contract/Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must ... of Elevance's Pulse Point locations. **The Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical...a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as… more
- Elevance Health (Atlanta, GA)
- **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... FL or Nashville, TN. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to...a minimum of 3 years' experience in broad-based analytical, managed care payor or provider environment as… more
- HomeSafe Alliance (Atlanta, GA)
- **Title:** Lead IT Business Process Analyst (Deltek/Costpoint) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 ... the last. **_About the Role:_** As the Lead IT Business process analyst , you will work with...scripts to troubleshoot issues and work with Deltek customer care to resolve + Execute system upgrades, monthly releases… more
- Prime Therapeutics (Atlanta, GA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Business Analyst II - Remote in the California market **Job Description Summary** ... Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments....as assigned. **Responsibilities** + Related professional experience in the managed care , healthcare, or insurance industries. +… more
- Elevance Health (Columbus, GA)
- …clinical-first lens, to deliver member-centered, lasting pharmacy care . The **PBM Formulary Analyst II (** ** Business Analyst II)** is responsible for ... **PBM Formulary Analyst II ( Business Analyst ...an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Managed care /PBM experience strongly preferred. + Knowledge… more
- Evolent Health (Atlanta, GA)
- … business experience in an HMO / PPO Claims, Medicaid, Medicare and / or managed care healthcare environment + Knowledge of the Affordable Care Act, HMO ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the… more
- MarketSource (Alpharetta, GA)
- 126124BRTitle:Financial AnalystJob Description:Financial Analyst MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed sales ... provides the unique skills and expertise to integrate brand-centric managed sales programs in the Automotive, Information Technology, Telecommunications, and… more
- Elevance Health (Atlanta, GA)
- …related field and a minimum of 3 years of experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Provider Contract Analyst Senior** **Location:** This position will work a...claims data preferred. + Experience analyzing and building valued-based care contracts for the Medicaid line of business… more
- AIG (Atlanta, GA)
- GenAI Product Analyst Be part of something groundbreaking At AIG, we are making long-term investments in a brand-new, innovative Generative AI team, designed to ... vision of the future and the core of our business offering. We will incorporate best-in-class engineering and product...key part of that transformation. As a GenAI Product Analyst you will have the opportunity to make a… more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Actuarial Analyst 1, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to… more
- Molina Healthcare (GA)
- …Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, practices, ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to… more
- Molina Healthcare (GA)
- …Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, practices, ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to… more
- Molina Healthcare (GA)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... **Job Description** **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...cleaning of data. + 6+ Years of experience in Managed Care Organization executing similar techno functional… more
- Molina Healthcare (GA)
- …**Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, practices, ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to… more
- Molina Healthcare (GA)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Molina Healthcare (GA)
- …**Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, practices, ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues within Payment Integrity Pre-Pay using data from internal and external sources to… more