- Public Consulting Group (Atlanta, GA)
- …Project and Grants Management + Assessments and Feasibility Studies Analyzes claims for accuracy, provides client support, documents inquiries, supervises staff, ... process improvements. **Duties and Responsibilities** + Analyzes and reviews claims for accuracy, completeness and eligibility. + Provides leadership, supervision… 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...cases. **What will you do in this role?** + Lead the facilitation, capture, review, and documentation of business… more
- Healthfirst (GA)
- **Duties & Responsibilities** : + Lead and deliver projects related to the development and configuration of new business, member benefits and products, claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… 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 ... Services migrations and ongoing oversight of service delivery. + Premium & Claims support. + Premium Booking/Collections oversight. + Audit support. + Ownership of… more
- Chick-fil-A (Atlanta, GA)
- …and our sourcing leads via commodity analysis & hedging activities. Further, we lead the capacity & contingency planning (CapCon) practice to support future growth ... when they need to shift their strategy. The Commodity Analyst will play a crucial role in ensuring the...still a lot of white space. This person will lead the COGS reporting and forecasting process and become… more
- HomeSafe Alliance (Atlanta, GA)
- **Title:** Lead IT Business Process Analyst ( Lead Product Owner) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... + Coordinate release planning with operations, customer care, supply chain, claims , and other departments. **Customer** **Feedback and Continuous Improvement:** +… more
- Molina Healthcare (Macon, GA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... completion dates with Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and configuration of all… more
- AIG (Atlanta, GA)
- …Americas Fraud and Recovery TPA Analyst will work closely with the Global F&R TPA Lead as well as the NAM Claims TPA Governance team. The role will develop, ... 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
- Molina Healthcare (Savannah, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to… 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 ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic… more
- Molina Healthcare (GA)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify...Python, R, etc.) to answer a given problem + Lead monthly trend presentations to plan leadership and other… more
- Molina Healthcare (Atlanta, GA)
- …and claims functionality. Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. + Complex ... and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive...and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex… more
- The Coca-Cola Company (Atlanta, GA)
- We are seeking a detail-oriented and motivated Accounts Receivable Analyst Intern to join our Finance team. This internship offers hands-on experience in accounts ... receivables portfolio in the North America Region (US and Canada). The Analyst will cultivate and maintain relationships with business clients, offering guidance and… more
- Elevance Health (Atlanta, GA)
- **Senior SQL Analyst ** **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 **Senior** **SQL Analyst ** is responsible for serving as an expert in...+ Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations… 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 will ... one of our Pulse Point locations. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting… 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 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 within ... 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
- Molina Healthcare (GA)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Lumen (Atlanta, GA)
- …connect the world and shape the future. **The Role** We are seeking a Lead Product Marketing Manager to drive the creation and delivery of unique market positioning ... to identify and develop valuable messaging that will drive engaging content. The Lead Product Marketing Manager is expected to be a content marketing expert across… more
- AIG (Atlanta, GA)
- …lines, Operations and Claim Legal. + Align and strengthen controls for AIG Claims to ensure consistency and effective best practices. + In partnership with Key ... + In coordination with Claim Legal and the business analyst team, collect, review, and submit, when necessary, the...data calls, market conduct exams and annual reports. + Lead the completion of ICFR assessments on all new… more