- The Cigna Group (Atlanta, GA)
- …not limited to the following: + Efficiently query multiple data types (medical and pharmacy claims , EMR, lab, chargemaster) using SQL to identify populations of ... Deep healthcare data (eg, PBM experience, Provider Networks, Billing, Medical and Pharmacy claims ), statistical analysis experience, and an understanding of all… more
- CenterWell (Atlanta, GA)
- …agencies, and the timely reimbursement of receivables. + Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate ... Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances. + Clear payment variances,...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- Elevance Health (Atlanta, GA)
- …referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying ... **Investigator Senior ** **Supports the Payment Integrity line of business**...to recover corporate and client funds paid on fraudulent claims . Health insurance experience required with understanding of health… more
- Elevance Health (Atlanta, GA)
- …referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying ... **Investigator Senior ** **Location:** This position will work a hybrid...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim… more
- Elevance Health (Atlanta, GA)
- **Business Intelligence Analyst (Business Information Analyst Senior )** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per ... Indianapolis, IN. The **Business Intelligence Analyst (Business Information Analyst Senior )** is responsible for analyzing, reporting, and developing recommendations… more
- CenterWell (Atlanta, GA)
- …+ Experience with Medicare Advantage + Experience with member level claims **Additional Information** **Scheduled Weekly Hours** 40 **Pay Range** The compensation ... many other opportunities. Application Deadline: 03-02-2025 **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive,… more
- Prime Therapeutics (Atlanta, GA)
- …operations systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, ... considering the business needs and direction. Experience serving as the senior member on business intelligence or analytics/data warehousing projects with… more