- 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 -Multinational Join us as a Senior Business Analyst Lead to make more of your specialist expertise and experience. Make your ... 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
- Prime Therapeutics (Atlanta, GA)
- …Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems Analyst (BSA) Lead IT is responsible for serving as a key role ... to define additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to...assignments within project + Educate and advance business systems analyst practice within the Claims IT team… 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
- Elevance Health (Atlanta, GA)
- **Title: Grievance/Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of ... our PulsePoint locations. The **Grievance/Appeals Analyst I** is an entry level position in the...with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear,… 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 ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to… 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
- 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
- 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. - Cost of Care** **Location:** This...* Experience specific to health insurance or health insurance claims data or graduate level related education may also… 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
- 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 ... programs that align with Prime's strategic imperatives and will lead high-complexity analysis and special projects as required. **Responsibilities** +… 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...in the implementation of Prime's compliance programs and may lead some initiatives within their designated areas and partners… 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)
- **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
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** The Sr. 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
- Molina Healthcare (Atlanta, GA)
- **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides ... manages email correspondence between vendors, functional counterparts, and stakeholders ( Claims , Enrollments, IT, Health Plan, Core Operations) + Performs… more
- AIG (Atlanta, GA)
- …lines, Operations and Claim Legal. + Align and strengthen controls for AIG Claims to ensure consistency and effective best practices. + In partnership with Key ... + In coordination with Claim Legal and the business analyst team, collect, review, and submit, when necessary, the...data calls, market conduct exams and annual reports. + Lead the completion of ICFR assessments on all new… more