- 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...test cases. + Promote change management principles with executives, senior leaders, managers, and supervisors to influence, build relationships,… more
- Healthfirst (GA)
- …systems enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up ... + Lead and deliver projects related to the development and configuration of new business , member benefits and products, claims editing, reference data and their… 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 ... miles of one of Elevance's Pulse Point locations. **The Business Information Analyst Sr .** is...outcomes such as return-on-investment (ROI) and payback periods using claims and authorization data. * Lead and/or actively participate… more
- Prime Therapeutics (Atlanta, GA)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Pricing Analyst - Pharmacy Network - Remote **Job Description** The ... Senior Pricing Analyst participates in the assessment...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… 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 ... miles of one of Elevance's Pulse Point locations. The ** Business Information Analyst Sr .** is...performance using summary statistical procedures. * Develops and analyzes business performance reports (eg for claims data,… 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 ... 50 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… more
- Prime Therapeutics (Atlanta, GA)
- …we make. **Job Posting Title** Sr . Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- Molina Healthcare (Columbus, GA)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
- AIG (Atlanta, GA)
- Claims Analyst Sr . Severity Join us as a Senior Claims Analyst , Severity to grow your experience in Claims . Make your mark in Claims Our ... have forward thinking skills. + 5 years work experience in Commercial Property Claims . + Experience in General Commercial Property, Business Interruption, Real… more
- Molina Healthcare (Macon, 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...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
- Molina Healthcare (Augusta, GA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (GA)
- **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Macon, GA)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...+ Must have experience in system configuration. + Monitor claims , create , generate and analyze reports using Excel… more
- Molina Healthcare (Macon, GA)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and existing health plans. + Must have experience on claims processing system, benefit configuration. + SQL knowledge is… more
- Molina Healthcare (Macon, 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...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… 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 ... Build and maintain relationships within supply chain, finance, and the broader business + Improve existing reporting and accessibility for internal consumers +… more
- Comcast (Atlanta, GA)
- …fast-forward your career at Comcast. **Job Summary** Responsible for providing business performance analysis, reporting and forecasting. Provides a variety of ... all levels within the organization in support of functional business objectives. Has in-depth experience, knowledge and skills in...and create reports in Power BI for Internal Damage Claims and other analyses to provide in dept insights… 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
- Prime Therapeutics (Atlanta, GA)
- …fuels our passion and drives every decision we make. **Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The ... Senior Data Visualization Consultant is responsible for the design,...delivery of visualization- based solutions. This position collaborates with business partners across client facing divisions, product/ project management,… more