- Public Consulting Group (Atlanta, GA)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- CAI (Atlanta, GA)
- …**Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Claims Processor Analyst , you will receive, investigate, and triage expedited ... case assignments. **Job Description** We are looking for a ** Claims Processor Analyst ** , you will receive,...claims **What You'll Need** Required: + At least 1 year of experience in health insurance claims… more
- Prime Therapeutics (Atlanta, GA)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems Analyst (BSA) Lead IT is… more
- Fortrex (Atlanta, GA)
- **WHO YOU ARE:** We are seeking a detailed oriented Risk Management Analyst to join our team and play a crucial role in supporting insurance renewals, managing ... auto-liability and general liability claims , and overseeing certificates of insurance. In this role,...in food-industry-related contract sanitation and food safety + Over $ 1 Billion in sales with an excellent history of… more
- Prime Therapeutics (Atlanta, GA)
- …passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems Analyst (BSA) IT is ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… 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 ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Elevance Health (Atlanta, GA)
- **Business Information Analyst Sr. - Cost of Care** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates ... 50 miles of one of Elevance's Pulse Point locations. **The Business Information Analyst Sr. - Cost of Care** is responsible for providing utilization management… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is ... experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation… more
- Cushman & Wakefield (Atlanta, GA)
- **Job Title** Facilities Analyst **Job Description Summary** Under the supervision of the Facilities Manager, the Facility Analyst will manage and troubleshoot ... that arise in the client retail stores. The Facility Analyst is charged with ensuring that vendors and projects...and vendors comply with insurance requirements and coordinate all claims as required * Periodically inspect the facility, systems,… more
- Prime Therapeutics (Atlanta, GA)
- …our passion and drives every decision we make. **Job Posting Title** Health Data Analyst Sr- REMOTE **Job Description** The Senior Health Data Analyst provides ... experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Basic to intermediate SAS coding skills… more
- Prime Therapeutics (Atlanta, GA)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs and may lead some initiatives within their designated… 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 ... 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
- 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 ... of the Chick-fil-A culture by fostering collaboration and community. Responsibilities 1 . Commodity Risk: + Create commodity risk mitigation strategies to manage… more
- CVS Health (Atlanta, GA)
- …support for certain financial components impacting the net cost of pharmacy claims . The colleague will: + Apply quantitative skills and analytical methods to ... drivers of financial results. \#AetnaActuary Required Qualifications + Successful completion of 1 or more Society of Actuaries Exams + Experience with Microsoft… more
- CVS Health (Atlanta, GA)
- …managed care or population health - 2+ years of customer or patient-facing experience - 1 -2 years Enhanced knowledge of pharmacy and claims processing - Excellent ... organizational and analytical skills - Superior communication skills with patients and clinicians - Ability to prioritize daily to monthly deliverables - Computer Skills: Proficient in Microsoft Excel, Microsoft Teams, and Sharepoint **Preferred… more
- WestRock Company (Atlanta, GA)
- …leading science and technology to move fiber-based packaging forward. Learn more at [ 1 ] www.Smurfit Westrock.com. Casualty Claims Analyst - Atlanta, GA The ... corporate Risk Management and Insurance team responsible for coordinating casualty insurance claims with a primary emphasis on workers\u2019 compensation claims .… more
- Prime Therapeutics (Atlanta, GA)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Baylor Scott & White Health (Atlanta, GA)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more
- Prime Therapeutics (Atlanta, GA)
- …+ Prior experience as a Business Intelligence Developer or Data Analyst supporting business intelligence, reporting, analytics or data warehouse projects. + ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.) + Related industry experience. +… more
- Prime Therapeutics (Atlanta, GA)
- …Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, analyzing, and delivering Treasury ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more