- 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)
- 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
- 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
- Molina Healthcare (Atlanta, GA)
- …root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health ... remediation plans and fixes, overall progress, and status of impacted claims **JOB QUALIFICATIONS** ** Required Education** Associate's Degree or equivalent… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- Public Consulting Group (Atlanta, GA)
- …operation of help desk lines. + Trains others on the function of analyzing claims . ** Required Skills** + Ability to evaluate, coordinate and perform a complex ... Project and Grants Management + Assessments and Feasibility Studies Analyzes claims for accuracy, provides client support, documents inquiries, supervises staff,… more
- 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 ... case summaries to be sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims . + Provides monthly reporting… 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 research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- AIG (Atlanta, GA)
- …whole of the operations team and wider claims team. . Support effective claims business reporting including monthly and quarterly business reviews. What ... 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
- PSSI (Atlanta, GA)
- …communication, relationships, and continuous improvement. + **Achievement:** We manage our business to provide opportunities and stability for our team members, and ... ARE:** We are seeking a detailed oriented Risk Management Analyst to join our team and play a crucial...in supporting insurance renewals, managing auto-liability and general liability claims , and overseeing certificates of insurance. In this role,… 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 providing utilization management services, and… more
- AIG (Atlanta, GA)
- …their litigation acumen with hands on experience working with outside counsel for optimal claims resolutions. Required Candidate for a JD degree to be received ... we help customers manage risk. Join us as a Claims JD Summer Intern to play your part in... for clients in all industries and lines of business (in all fifty states and internationally). AIG affords… more
- Molina Healthcare (Atlanta, 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)
- 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 ... system user/stakeholder feedback and identify training requirements. + Coordinate and deliver required training for business team and other key stakeholders on… more
- Elevance Health (Atlanta, GA)
- ** Business Information Analyst II** **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 ** Business Information Analyst II** will be responsible...performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data,… more
- Prime Therapeutics (Atlanta, GA)
- …flexible schedule which may include weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use hands ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides… more
- Elevance Health (Atlanta, GA)
- …and summarizes performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, ... PulsePoint sites used for collaboration, community, and connection The **HEDIS Research Analyst ** is responsible for serving as an expert in HEDIS data analysis,… more
- Sumitomo Pharma (Atlanta, GA)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Prime Therapeutics (Atlanta, GA)
- …flexible schedule which may include weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use hands ... every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
- Prime Therapeutics (Atlanta, GA)
- …Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for supporting the business in decision making and ... operations efforts by providing data, reporting and business intelligence services. This role is responsible for acting...education and/or relevant work experience; HS diploma or GED required + 5 years of work experience in data… more