- 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
- 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
- Molina Healthcare (Atlanta, 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
- 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 (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 ... 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
- Elevance Health (Atlanta, GA)
- …model financial target outcomes such as return-on-investment (ROI) and payback periods using claims and authorization data. * Lead and/or actively participate in ... **Business Information Analyst Sr.** **Location:** This position will work a...* Experience specific to health insurance or health insurance claims data or graduate level related education may also… more
- Evolent (Atlanta, GA)
- …positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… 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)
- **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 for analyzing the business process, proposing solutions to… more
- Molina Healthcare (Atlanta, GA)
- …Description** Who you are : + You have proven experience as a QA Analyst within an Agile environment. + Experienced testing on-premise and cloud based ETL/BI ... You can prioritize. + You have experience with QNXT, claims processing , healthcare insurance and SQL + You...QA role within our Agile team is a Senior Analyst position dedicated to ensuring the highest quality standards… 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
- Elevance Health (Atlanta, GA)
- …PulsePoint sites used for collaboration, community, and connection The **HEDIS Research Analyst ** is responsible for serving as an expert in HEDIS data analysis, ... + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Molina Healthcare (Atlanta, 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
- Comcast (Atlanta, GA)
- …in our passion for teamwork, our vision to revolutionize industries and our goal to lead the future in media and technology, we want you to fast-forward your career ... and analysis + Manage and create reports in Power BI for Internal Damage Claims and other analyses to provide in dept insights to the management and internal… more