- Healthfirst (GA)
- …in a simple and easy to understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively communicate with all levels ... Assist in the setup of code sets and defining pre-authorization guidelines used in claims configuration to drive application of medical policy and accurate … more
- Healthfirst (GA)
- …products, claims editing, reference data and their enhancements including claims configuration improvements, compliance and systems enhancements. + Follow ... the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier management. + Interpret… more
- Intermountain Health (Atlanta, GA)
- **Job Description:** At SelectHealth, the Business Systems Configuration Analyst I is responsible to analyze, design, configure, test, implement and support ... models + Ability to design basic SQL queries + Experience in a configuration analyst role **Physical Requirements:** **Location:** SelectHealth - Murray **Work… more
- Molina Healthcare (GA)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... for quality and financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information, as needed. + Assists in… more
- Molina Healthcare (Savannah, GA)
- …areas. **KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing requirements (1500 and UB04), provider and benefit ... configuration , and other claim reimbursement drivers + Recognizes, identifies and documents changes to existing business processes and identifies new opportunities… more
- Molina Healthcare (Atlanta, GA)
- …conversion of new and existing health plans. + Must have experience in system configuration . + Monitor claims , create , generate and analyze reports using Excel ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Molina Healthcare (Atlanta, GA)
- …and conversion of new and existing health plans. + Must have experience on claims processing system, benefit configuration . + SQL knowledge is preferred. + ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Elevance Health (Atlanta, GA)
- …providing support, configuration , design, testing and implementation for ratings or claims systems. **How you will make an impact:** + Develops, implements, and ... of study and a minimum of 6 years systems analyst or business analyst experience; or any...field strongly preferred. + Strong understanding of data analysis, claims processing, and audit processes associated with healthcare payment… more