- 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)
- 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
- Ford Motor Company (Atlanta, GA)
- ** Claims Lead Analyst ** We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world -- ... is a hybrid role.** **What you'll do ** Lead development efforts for claims /returns modernization, ensuring current and future business requirements are met with… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... organizations. + Maintains SharePoint Sites as needed. **JOB QUALIFICATIONS** ** Required Education** Bachelor's Degree in Finance, Economics, Computer Science **… more
- Molina Healthcare (Atlanta, GA)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a Claims Analyst TTPO Claims to play your part in that transformation. It's an ... member of the team. Make your mark in TPA Claims Our Claims teams are the proven...within established evaluation. Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure… more
- Elevance Health (Atlanta, GA)
- ** Business Analyst ll** **Location** : Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Business Analyst ll** is responsible for translating basic business… more
- Evolent (Atlanta, GA)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… more
- Elevance Health (Atlanta, GA)
- …a strong, clinical-first lens to deliver member-centered, lasting pharmacy care. The **Test Analyst ( Business Analyst III)** will be responsible for serving ... **Test Analyst - Pharmacy Benefit Management (PBM)** **Location:** Alternate...as the liaison between the business and IT in translating complex business … more
- The Hartford (Alpharetta, GA)
- …by applying them to meaningful work at The Hartford. The Senior Ability Analyst primarily investigates claims to make timely, accurate and customer focused ... Sr Ability Analyst - C409ANAbility Specialist - C409BN We're determined...with the expectation of coming into an office as business needs arise. Start Date: 05/12/2025 Training Hours: Core… more
- Molina Healthcare (Atlanta, 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 to identify early signs… more
- Humana (Atlanta, GA)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- AIG (Atlanta, GA)
- About the role Senior BA Lead will will be working closely with business partners to gain in depth understanding of customer's business strategy, processes & ... standards. This role will also be responsible on leading various workshops with business partners, to derive the discussions in order to gather their requirements.… more
- CVS Health (Atlanta, GA)
- …REQUIRED ** **Excel is REQUIRED ** - May lead or act as a business technical expert with the planning, development and validation of master or detail test plans ... and access. - Evaluates available software and data to deliver better business solutions. ** Required Qualifications** -6+ Months Working experience reading and… more
- Elevance Health (Atlanta, GA)
- …of one of our Elevance Health PulsePoint location. The **P** **BM Formulary Analyst ll** is responsible for translating basic business needs into application ... **PBM Formulary Analyst ll** **Location** : This position will work...requirements. **How you will make an impact:** + Analyzes business needs to determine optimal means of meeting those… more
- Molina Healthcare (Atlanta, 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...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Regions Bank (Atlanta, GA)
- …be used for marketing purposes, sold, or shared outside of Regions unless required by law. Such information will be stored in accordance with regulatory requirements ... section of the system. **Job Description:** At Regions, the Fraud Strategy Analyst performs analysis and interpretation of fraud-based threats by gathering and… more
- Molina Healthcare (Atlanta, 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 knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- Molina Healthcare (Atlanta, 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...in contracts and benefits configuration. + Strong background in claims is required . + Experience working on… more
- AIG (Atlanta, GA)
- Senior Claims Analyst Severity At AIG, we...P&L profitability of Field referrals as directed for new business and large cases. + Participate in reviews of ... risk. Join us as a Global Accident & Health Analyst to play your part in that transformation. It's...for approval. + Ability to communicate technical concepts to Business partners to enhance their decision-making ability + Proven… more